7Risk Axes

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

How we calculate
SeverityElevated

94th national percentile — 18.8% high-severity citations

ChronicityLow

26th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropLow

20th national percentile — 11.6%

Contract staff shareWatch

59th national percentile — 2.1%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.39 vs expected 4.14 · −0.75 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

16 citations on file
F-0584
D
Honor the resident's right to a safe, clean, comfortable and homelike en…
Minimal Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey date: Dec 12, 2024 · Isolated — no actual harm with potential for more
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

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

Survey date: Dec 12, 2024 · Isolated — no actual harm with potential for more
F-0867
E
Set up an ongoing quality assessment and assurance group to review quali…
Potential Harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey date: Dec 12, 2024 · Pattern — no actual harm with potential for more
F-0921
E
Make sure that the nursing home area is safe, easy to use, clean and com…
Potential Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey date: Dec 12, 2024 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 citations on file
F-0100
E
Meet other general requirements
Potential Harm

Meet other general requirements.

Survey date: Dec 12, 2024 · 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: Dec 12, 2024 · Widespread — no actual harm with potential for more
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Dec 12, 2024 · Widespread — no actual harm with potential for more
F-0761
F
To conduct inspection, testing and maintenance of fire doors by qualifie…
Potential Harm

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Survey date: Dec 12, 2024 · 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
24.2 km · THE VILLAGES, FL
★★★★★
CMS
32th
Risk %ile
Lower risk
AVANTE AT MT DORA, INC
4.6 km · MOUNT DORA, FL
★★★
CMS
37th
Risk %ile
Lower risk
SOUTH CAMPUS CARE CENTER AND REHAB
18.4 km · LEESBURG, FL
★★★
CMS
37th
Risk %ile
Lower risk