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

20 citations

Weekend staffing dropElevated

99th national percentile — 31.3%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 10.32 vs expected 9.71 · +0.60 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

8 citations on file
F-0761
E
Ensure drugs and biologicals used in the facility are labeled in accorda…
Potential 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 25, 2025 · Pattern — no actual harm with potential for more
F-0812
F
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 25, 2025 · Widespread — no actual harm with potential for more
F-0838
E
Conduct and document a facility-wide assessment to determine what resour…
Potential Harm

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Survey date: Feb 25, 2025 · Pattern — no actual harm with potential for more
F-0865
E
Have a plan that describes the process for conducting QAPI and QAA acti…
Potential Harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey date: Feb 25, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

20 citations on file
F-0351
F
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: Feb 25, 2025 · Widespread — no actual harm with potential for more
F-0029
F
Develop a communication plan
Potential Harm

Develop a communication plan.

Survey date: Feb 25, 2025 · Widespread — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Feb 25, 2025 · Widespread — no actual harm with potential for more
F-0921
F
Ensure that testing and maintenance of electrical equipment is performed…
Potential Harm

Ensure that testing and maintenance of electrical equipment is performed.

Survey date: Feb 25, 2025 · Widespread — 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
AUTUMN LAKE HEALTHCARE AT VOORHEES
14.1 km · VOORHEES, NJ
★★★
CMS
26th
Risk %ile
Lower risk