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

ChronicityWatch

61th national percentile — 7 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

15 citations

Weekend staffing dropLow

10th national percentile — 9.5%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapModerate

Reported 3.38 vs expected 3.48 · −0.10 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

28 citations on file
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Apr 10, 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 10, 2025 · Isolated — no actual harm with potential for more
F-0684
E
Provide appropriate treatment and care according to orders, resident’s p…
Potential Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Apr 10, 2025 · Pattern — no actual harm with potential for more
F-0756
D
Ensure a licensed pharmacist perform a monthly drug regimen review, incl…
Minimal Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey date: Apr 10, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

15 citations on file
F-0004
E
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Apr 10, 2025 · Pattern — no actual harm with potential for more
F-0324
E
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Apr 10, 2025 · Pattern — 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: Apr 10, 2025 · Pattern — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Apr 10, 2025 · 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
LAKE MONTGOMERY HEALTH AND REHABILITATION CENTER
802 m · LAKE CITY, FL
★★★★
CMS
24th
Risk %ile
Lower risk