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

ChronicityModerate

32th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropLow

13th national percentile — 10.3%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.15 vs expected 3.48 · −0.33 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

20 citations on file
F-0756
D
Ensure a licensed pharmacist perform a monthly drug regimen review, incl…
Minimal Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey date: Aug 14, 2025 · Isolated — no actual harm with potential for more
F-0812
E
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Aug 14, 2025 · Pattern — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: Aug 14, 2025 · Isolated — no actual harm with potential for more
F-0919
D
Make sure that a working call system is available in each resident's ba…
Minimal Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey date: Aug 14, 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-0901
E
Ensure that building systems meet requirements determined by risk assess…
Potential Harm

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Survey date: Jul 16, 2025 · Pattern — no actual harm with potential for more
F-0004
D
Develop and maintain an Emergency Preparedness Program (EP)
Minimal Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Aug 29, 2023 · Isolated — no actual harm with potential for more
F-0100
D
Meet other general requirements
Minimal Harm

Meet other general requirements.

Survey date: Aug 29, 2023 · Isolated — no actual harm with potential for more
F-0291
D
Install emergency lighting that can last at least 1 1/2 hours
Minimal Harm

Install emergency lighting that can last at least 1 1/2 hours.

Survey date: Aug 29, 2023 · 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
SOLARIS HEALTHCARE DAYTONA
7.7 km · DAYTONA BEACH, FL
★★★★★
CMS
24th
Risk %ile
Lower risk
BEACHSIDE CENTER FOR REHABILITATION AND NURSING
19.6 km · NEW SMYRNA BEACH, FL
★★★★★
CMS
30th
Risk %ile
Lower risk