7Risk Axes

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

How we calculate
SeverityElevated

79th national percentile — 9.5% high-severity citations

ChronicityModerate

44th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropModerate

35th national percentile — 13.7%

Contract staff shareElevated

84th national percentile — 11.5%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 4.80 vs expected 5.29 · −0.49 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

21 citations on file
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: Dec 22, 2025 · Isolated — no actual harm with potential for more
F-0686
G
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Dec 22, 2025 · Isolated — actual harm
F-0710
D
Obtain a doctor's order to admit a resident and ensure the resident is u…
Minimal Harm

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Survey date: Dec 22, 2025 · Isolated — no actual harm with potential for more
F-0730
D
Observe each nurse aide's job performance and give regular training
Minimal Harm

Observe each nurse aide's job performance and give regular training.

Survey date: Dec 22, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

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

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Dec 22, 2025 · Widespread — no actual harm
F-0007
C
Address patient/client population and determine types of services needed…
Minimal Harm

Address patient/client population and determine types of services needed.

Survey date: Dec 22, 2025 · Widespread — no actual harm
F-0037
C
Establish staff and initial training requirements
Minimal Harm

Establish staff and initial training requirements.

Survey date: Dec 22, 2025 · Widespread — no actual harm
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Dec 22, 2025 · 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
SCHERVIER PAVILION
14.4 km · WARWICK, NY
★★
CMS
29th
Risk %ile
Lower risk
MONTGOMERY NURSING AND REHABILITATION CENTER
18.6 km · MONTGOMERY, NY
★★
CMS
36th
Risk %ile
Lower risk
MIDDLETOWN PARK REHAB & HEALTH CARE CENTER
8.9 km · MIDDLETOWN, NY
★★★★
CMS
46th
Risk %ile
Similar risk