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

9 citations

Weekend staffing dropModerate

34th national percentile — 13.5%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 5.89 vs expected 6.65 · −0.77 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

8 citations on file
F-0655
B
Create and put into place a plan for meeting the resident's most immedia…
No Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey date: May 23, 2025 · Pattern — no actual harm
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: May 23, 2025 · Isolated — no actual harm with potential for more
F-0811
D
Ensure that residents are assessed for appropriateness for a feeding ass…
Minimal Harm

Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

Survey date: May 23, 2025 · Isolated — no actual harm with potential for more
F-0868
D
Have the Quality Assessment and Assurance group have the required member…
Minimal Harm

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Survey date: May 23, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

9 citations on file
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: May 23, 2025 · Isolated — no actual harm with potential for more
F-0918
D
Have generator or other power source capable of supplying service within…
Minimal Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: May 23, 2025 · Isolated — no actual harm with potential for more
F-0921
E
Ensure that testing and maintenance of electrical equipment is performed…
Potential Harm

Ensure that testing and maintenance of electrical equipment is performed.

Survey date: May 23, 2025 · Pattern — no actual harm with potential for more
F-0372
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Potential Harm

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

Survey date: Mar 13, 2024 · 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
St. Ann's Community
2.9 km · Webster, NY
★★★★
CMS
23th
Risk %ile
Lower risk