7Risk Axes

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

How we calculate
SeverityElevated

74th national percentile — 7.7% high-severity citations

ChronicityElevated

77th national percentile — 8 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropLow

14th national percentile — 10.5%

Contract staff shareWatch

52th national percentile — 1.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.57 vs expected 3.43 · +0.15 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

26 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: Dec 18, 2025 · Isolated — no actual harm with potential for more
F-0698
D
Provide safe, appropriate dialysis care/services for a resident who requ…
Minimal Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey date: Dec 18, 2025 · Isolated — no actual harm with potential for more
F-0760
J
Ensure that residents are free from significant medication errors
Actual Harm

Ensure that residents are free from significant medication errors.

Survey date: Dec 18, 2025 · Isolated — immediate jeopardy
F-0835
J
Administer the facility in a manner that enables it to use its resources…
Actual Harm

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Survey date: Dec 18, 2025 · Isolated — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 citations on file
F-0920
E
Ensure proper usage of power strips and extension cords
Potential Harm

Ensure proper usage of power strips and extension cords.

Survey date: Jul 17, 2024 · Pattern — no actual harm with potential for more
F-0007
F
Address patient/client population and determine types of services needed…
Potential Harm

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

Survey date: Mar 9, 2023 · Widespread — no actual harm with potential for more
F-0009
F
Include a process for Emergency Preparedness collaboration
Potential Harm

Include a process for Emergency Preparedness collaboration.

Survey date: Mar 9, 2023 · Widespread — no actual harm with potential for more
F-0015
F
Address subsistence needs for staff and patients
Potential Harm

Address subsistence needs for staff and patients.

Survey date: Mar 9, 2023 · 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
2.8 km · THE VILLAGES, FL
★★★★★
CMS
32th
Risk %ile
Lower risk
CLUB HEALTHCARE AND REHABILITATION CENTER AT THE V
8.2 km · THE VILLAGES, FL
★★
CMS
37th
Risk %ile
Lower risk
SOUTH CAMPUS CARE CENTER AND REHAB
16.0 km · LEESBURG, FL
★★★
CMS
37th
Risk %ile
Lower risk