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

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropElevated

77th national percentile — 19.5%

Contract staff shareElevated

87th national percentile — 13.5%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 5.39 vs expected 4.79 · +0.60 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

6 citations on file
F-0761
D
Ensure drugs and biologicals used in the facility are labeled in accorda…
Minimal Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: Feb 7, 2025 · Isolated — no actual harm with potential for more
F-0812
E
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Feb 7, 2025 · Pattern — no actual harm with potential for more
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Feb 7, 2025 · Pattern — no actual harm with potential for more
F-0887
D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 …
Minimal Harm

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Survey date: Mar 13, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

11 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: Feb 7, 2025 · Isolated — no actual harm with potential for more
F-0036
E
Establish emergency prep training and testing
Potential Harm

Establish emergency prep training and testing.

Survey date: Feb 7, 2025 · Pattern — no actual harm with potential for more
F-0223
D
Provide exit doors that are held open by devices that will automatically…
Minimal Harm

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Survey date: Feb 7, 2025 · Isolated — no actual harm with potential for more
F-0291
C
Install emergency lighting that can last at least 1 1/2 hours
Minimal Harm

Install emergency lighting that can last at least 1 1/2 hours.

Survey date: Feb 7, 2025 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
CEDAR HEALTHCARE CENTER
15.8 km · PORTSMOUTH, NH
★★★★★
CMS
29th
Risk %ile
Lower risk