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

ChronicityElevated

90th national percentile — 8 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropModerate

43th national percentile — 14.6%

Contract staff shareWatch

59th national percentile — 2.1%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapWatch

Reported 3.53 vs expected 3.66 · −0.14 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

21 citations on file
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Apr 17, 2025 · Isolated — no actual harm with potential for more
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Apr 17, 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: Apr 17, 2025 · Isolated — no actual harm with potential for more
F-0695
E
Provide safe and appropriate respiratory care for a resident when needed…
Potential Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Apr 17, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0324
F
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Apr 17, 2025 · Widespread — no actual harm with potential for more
F-0920
E
Ensure proper usage of power strips and extension cords
Potential Harm

Ensure proper usage of power strips and extension cords.

Survey date: Apr 17, 2025 · Pattern — no actual harm with potential for more
F-0923
E
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Apr 17, 2025 · Pattern — no actual harm with potential for more
F-0345
F
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: Aug 4, 2022 · Widespread — 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
CHATHAM GLEN HEALTHCARE AND REHABILITATION CENTER
12.4 km · THE VILLAGES, FL
★★★★★
CMS
32th
Risk %ile
Lower risk
SOUTH CAMPUS CARE CENTER AND REHAB
2.6 km · LEESBURG, FL
★★★
CMS
37th
Risk %ile
Lower risk
AVANTE AT MT DORA, INC
21.3 km · MOUNT DORA, FL
★★★
CMS
37th
Risk %ile
Lower risk