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

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

15 citations

Weekend staffing dropModerate

46th national percentile — 15.0%

Contract staff shareWatch

63th national percentile — 2.9%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapWatch

Reported 3.61 vs expected 3.76 · −0.15 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

9 citations on file
F-0645
D
PASARR screening for Mental disorders or Intellectual Disabilities
Minimal Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey date: Apr 2, 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 2, 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 2, 2025 · Isolated — no actual harm with potential for more
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Apr 2, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

15 citations on file
F-0024
D
Establish policies and procedures for volunteers
Minimal Harm

Establish policies and procedures for volunteers.

Survey date: Apr 2, 2025 · Isolated — no actual harm with potential for more
F-0025
D
Create arrangements with other facilities to receive patients
Minimal Harm

Create arrangements with other facilities to receive patients.

Survey date: Apr 2, 2025 · Isolated — no actual harm with potential for more
F-0032
D
Provide primary/alternate means for communication
Minimal Harm

Provide primary/alternate means for communication.

Survey date: Apr 2, 2025 · Isolated — no actual harm with potential for more
F-0042
D
Meet the requirements of an integrated health system
Minimal Harm

Meet the requirements of an integrated health system.

Survey date: Apr 2, 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
MAJESTIC OAKS
10.6 km · ORANGE CITY, FL
★★★★★
CMS
20th
Risk %ile
Lower risk
VILLA HEALTHCARE & REHABILITATION CENTER
3.9 km · DELAND, FL
★★★★★
CMS
24th
Risk %ile
Lower risk
RIDGECREST HEALTHCARE AND REHABILITATION CENTER
3.3 km · DELAND, FL
★★★★
CMS
33th
Risk %ile
Lower risk