7Risk Axes

National percentile · lower = less risk · staffing gap is context only (not in composite)

How we calculate
SeverityLow

22th national percentile — 0.0% high-severity citations

ChronicityLow

17th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropElevated

100th national percentile — 31.9%

Contract staff shareWatch

65th national percentile — 3.3%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapWatch

Reported 3.26 vs expected 3.43 · −0.17 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

12 citations on file
F-0609
D
Timely report suspected abuse, neglect, or theft and report the results …
Minimal Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey date: Feb 28, 2025 · Isolated — no actual harm with potential for more
F-0677
D
Provide care and assistance to perform activities of daily living for an…
Minimal Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey date: Feb 28, 2025 · Isolated — no actual harm with potential for more
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Feb 28, 2025 · Isolated — no actual harm with potential for more
F-0698
D
Provide safe, appropriate dialysis care/services for a resident who requ…
Minimal Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey date: Feb 28, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

9 citations on file
F-0281
E
Install proper backup exit lighting
Potential Harm

Install proper backup exit lighting.

Survey date: Feb 28, 2025 · Pattern — no actual harm with potential for more
F-0345
E
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Feb 28, 2025 · Pattern — no actual harm with potential for more
F-0712
D
Have simulated fire drills held at unexpected times
Minimal Harm

Have simulated fire drills held at unexpected times.

Survey date: Feb 28, 2025 · Isolated — no actual harm with potential for more
F-0921
D
Ensure that testing and maintenance of electrical equipment is performed…
Minimal Harm

Ensure that testing and maintenance of electrical equipment is performed.

Survey date: Feb 28, 2025 · Isolated — no actual harm with potential for more

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
Bethany Nursing Home & Health Related Facility Inc
24.3 km · Horseheads, NY
★★★★
CMS
32th
Risk %ile
Lower risk