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

ChronicityModerate

49th national percentile — 5 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

6 citations

Weekend staffing dropLow

17th national percentile — 11.1%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 3.97 vs expected 3.86 · +0.11 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

24 citations on file
F-0565
E
Honor the resident's right to organize and participate in resident/famil…
Potential Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey date: Mar 5, 2025 · Pattern — no actual harm with potential for more
F-0645
E
PASARR screening for Mental disorders or Intellectual Disabilities
Potential Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey date: Mar 5, 2025 · Pattern — no actual harm with potential for more
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: Mar 5, 2025 · Isolated — no actual harm with potential for more
F-0676
D
Ensure residents do not lose the ability to perform activities of daily …
Minimal Harm

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Survey date: Mar 5, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

6 citations on file
F-0761
C
To conduct inspection, testing and maintenance of fire doors by qualifie…
Minimal Harm

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Survey date: Mar 5, 2025 · Widespread — no actual harm
F-0372
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Minimal Harm

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Apr 19, 2023 · Isolated — no actual harm with potential for more
F-0761
D
To conduct inspection, testing and maintenance of fire doors by qualifie…
Minimal Harm↻ Repeat

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Survey date: Apr 19, 2023 · Isolated — no actual harm with potential for more
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Jul 15, 2021 · Isolated — 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
PENINSULA HEALTH CENTER BY HARBORVIEW
8.2 km · TARPON SPRINGS, FL
★★★
CMS
25th
Risk %ile
Lower risk