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

ChronicityWatch

66th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

16 citations

Weekend staffing dropModerate

42th national percentile — 14.5%

Contract staff shareModerate

39th national percentile — 0.1%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.30 vs expected 2.83 · +0.47 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

15 citations on file
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Nov 20, 2025 · Isolated — no actual harm with potential for more
F-0684
E
Provide appropriate treatment and care according to orders, resident’s p…
Potential Harm↻ Repeat

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Apr 24, 2025 · Pattern — no actual harm with potential for more
F-0842
D
Safeguard resident-identifiable information and/or maintain medical reco…
Minimal Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: Apr 24, 2025 · Isolated — no actual harm with potential for more
F-0550
D
Honor the resident's right to a dignified existence, self-determination,…
Minimal Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey date: Mar 4, 2024 · 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-0161
E
Use approved construction type or materials
Potential Harm

Use approved construction type or materials.

Survey date: Mar 4, 2024 · Pattern — no actual harm with potential for more
F-0293
D
Have properly located and lighted "Exit" signs
Minimal Harm

Have properly located and lighted "Exit" signs.

Survey date: Mar 4, 2024 · Isolated — no actual harm with potential for more
F-0321
D
Ensure that special areas are constructed so that walls can resist fire …
Minimal 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: Mar 4, 2024 · Isolated — no actual harm with potential for more
F-0372
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Minimal Harm

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

Survey date: Mar 4, 2024 · Isolated — 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
SCHERVIER PAVILION
21.1 km · WARWICK, NY
★★
CMS
29th
Risk %ile
Lower risk
MONTGOMERY NURSING AND REHABILITATION CENTER
15.7 km · MONTGOMERY, NY
★★
CMS
36th
Risk %ile
Lower risk