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

46th national percentile — 7 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropElevated

85th national percentile — 21.0%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.90 vs expected 4.63 · −0.73 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

35 citations on file
F-0580
D
Immediately tell the resident, the resident's doctor, and a family membe…
Minimal Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey date: Aug 20, 2025 · Isolated — no actual harm with potential for more
F-0602
D
Protect each resident from the wrongful use of the resident's belongings…
Minimal Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey date: Jun 6, 2024 · Isolated — no actual harm with potential for more
F-0836
D
Ensure the facility is licensed under applicable State and local law and…
Minimal Harm

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Survey date: Jun 6, 2024 · Isolated — no actual harm with potential for more
F-0835
E
Administer the facility in a manner that enables it to use its resources…
Potential Harm

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

Survey date: Jun 6, 2024 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 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: Jun 6, 2024 · Widespread — no actual harm
F-0013
C
Develop Emergency Preparedness policies and procedures
Minimal Harm

Develop Emergency Preparedness policies and procedures.

Survey date: Jun 6, 2024 · Widespread — no actual harm
F-0035
C
Provide family notifications of emergency plan
Minimal Harm

Provide family notifications of emergency plan.

Survey date: Jun 6, 2024 · Widespread — no actual harm
F-0039
C
Conduct testing and exercise requirements
Minimal Harm

Conduct testing and exercise requirements.

Survey date: Jun 6, 2024 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
St. Ann's Community
11.2 km · Webster, NY
★★★★
CMS
23th
Risk %ile
Lower risk
Maplewood Nursing Home Inc
13.9 km · Webster, NY
★★★★★
CMS
24th
Risk %ile
Lower risk
The Brook at High Falls Nursing Home and Rehabilit
5.3 km · Rochester, NY
★★
CMS
29th
Risk %ile
Lower risk