7Risk Axes

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

How we calculate
SeverityWatch

64th national percentile — 5.5% high-severity citations

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

20 citations

Weekend staffing dropClean

No PBJ staffing data

Contract staff shareClean

No PBJ staffing data

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapN/A

Not on file

Recent Health Violations

Health inspection citations from official Medicare records

73 citations on file
F-0550
L
Honor the resident's right to a dignified existence, self-determination,…
Actual Harm

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

Survey date: Oct 2, 2024 · Widespread — immediate jeopardy
F-0603
F
Protect each resident from separation (from other residents, his/her roo…
Potential Harm

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Survey date: Oct 2, 2024 · Widespread — no actual harm with potential for more
F-0741
F
Ensure that the facility has sufficient staff members who possess the c…
Potential Harm

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Survey date: Oct 2, 2024 · Widespread — no actual harm with potential for more
F-0740
F
Ensure each resident must receive and the facility must provide necessar…
Potential Harm

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Survey date: Oct 2, 2024 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

20 citations on file
F-0004
D
Develop and maintain an Emergency Preparedness Program (EP)
Minimal Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Oct 2, 2024 · Isolated — no actual harm with potential for more
F-0018
D
Establish procedures for tracking staff and patients during an emergency…
Minimal Harm

Establish procedures for tracking staff and patients during an emergency.

Survey date: Oct 2, 2024 · Isolated — no actual harm with potential for more
F-0751
F
Have restrictions on the use of flammable curtains
Potential Harm

Have restrictions on the use of flammable curtains.

Survey date: Oct 2, 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: Oct 2, 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
MULTY MEDICAL SKILLED NURSING FACILITY
2.0 km · RIO PIEDRAS, PR
CMS
15th
Risk %ile
Lower risk