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

26th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropModerate

40th national percentile — 14.2%

Contract staff shareWatch

60th national percentile — 2.4%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapModerate

Reported 4.02 vs expected 4.08 · −0.06 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

8 citations on file
F-0578
D
Honor the resident's right to request, refuse, and/or discontinue treatm…
Minimal Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey date: May 24, 2024 · Isolated — no actual harm with potential for more
F-0604
D
Ensure that each resident is free from the use of physical restraints, u…
Minimal Harm

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Survey date: May 24, 2024 · Isolated — no actual harm with potential for more
F-0582
B
Give residents notice of Medicaid/Medicare coverage and potential liabil…
No Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey date: Aug 2, 2022 · Pattern — no actual harm
F-0700
D
Try different approaches before using a bed rail
Minimal Harm

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Survey date: Aug 2, 2022 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

4 citations on file
F-0344
E
Have an alternate power supply for its alarm system
Potential Harm

Have an alternate power supply for its alarm system.

Survey date: May 24, 2024 · Pattern — no actual harm with potential for more
F-0346
E
Follow proper procedures when the fire alarm was out of service for more…
Potential Harm

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Survey date: May 24, 2024 · Pattern — no actual harm with potential for more
F-0345
E
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Aug 2, 2022 · Pattern — no actual harm with potential for more
F-0918
E
Have generator or other power source capable of supplying service within…
Potential Harm

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

Survey date: Aug 2, 2022 · 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
LOCKPORT REHAB & HEALTH CARE CENTER
23.6 km · LOCKPORT, NY
★★★★
CMS
37th
Risk %ile
Lower risk