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

16 citations

Weekend staffing dropModerate

45th national percentile — 14.9%

Contract staff shareModerate

36th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 4.70 vs expected 5.32 · −0.62 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

4 citations on file
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: Jul 24, 2025 · Isolated — no actual harm with potential for more
F-0658
D
Ensure services provided by the nursing facility meet professional stand…
Minimal Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey date: Jul 24, 2025 · Isolated — no actual harm with potential for more
F-0700
E
Try different approaches before using a bed rail
Potential 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: Jul 24, 2025 · Pattern — no actual harm with potential for more
F-0757
D
Ensure each resident’s drug regimen must be free from unnecessary drugs
Minimal Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey date: Jul 29, 2022 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

16 citations on file
F-0293
E
Have properly located and lighted "Exit" signs
Potential Harm

Have properly located and lighted "Exit" signs.

Survey date: Feb 2, 2024 · Pattern — no actual harm with potential for more
F-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Feb 2, 2024 · Pattern — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Feb 2, 2024 · Pattern — no actual harm with potential for more
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Feb 2, 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
EDEN REHABILITATION NURSING CENTER
19.7 km · EDEN, NY
★★★★★
CMS
24th
Risk %ile
Lower risk
FOX RUN AT ORCHARD PARK
9.4 km · ORCHARD PARK, NY
★★★★★
CMS
29th
Risk %ile
Lower risk