7Risk Axes

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

How we calculate
SeverityElevated

98th national percentile — 29.4% high-severity citations

ChronicityModerate

39th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropLow

27th national percentile — 12.7%

Contract staff shareWatch

61th national percentile — 2.5%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 4.16 vs expected 3.90 · +0.26 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

17 citations on file
F-0655
D
Create and put into place a plan for meeting the resident's most immedia…
Minimal Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey date: Jul 17, 2025 · Isolated — no actual harm with potential for more
F-0550
D
Honor the resident's right to a dignified existence, self-determination,…
Minimal Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey date: Jul 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: Jul 17, 2025 · Isolated — no actual harm with potential for more
F-0688
D
Provide appropriate care for a resident to maintain and/or improve range…
Minimal Harm

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Survey date: Jul 17, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 citations on file
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Apr 17, 2024 · Pattern — no actual harm with potential for more
F-0741
E
Have posted "No-smoking" signs in areas where smoking is not permitted o…
Potential Harm

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Survey date: Apr 17, 2024 · Pattern — no actual harm with potential for more
F-0254
D
Provide hallway or ground-level exits in all residents' rooms
Minimal Harm

Provide hallway or ground-level exits in all residents' rooms.

Survey date: Dec 16, 2022 · Isolated — 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: Dec 16, 2022 · Pattern — 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
10.1 km · THE VILLAGES, FL
★★★★★
CMS
32th
Risk %ile
Lower risk
CLUB HEALTHCARE AND REHABILITATION CENTER AT THE V
5.7 km · THE VILLAGES, FL
★★
CMS
37th
Risk %ile
Lower risk
SOUTH CAMPUS CARE CENTER AND REHAB
20.5 km · LEESBURG, FL
★★★
CMS
37th
Risk %ile
Lower risk