7Risk Axes

National percentile · lower = less risk · staffing gap is context only (not in composite)

How we calculate
SeverityElevated

99th national percentile — 36.4% high-severity citations

ChronicityModerate

41th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

16 citations

Weekend staffing dropElevated

99th national percentile — 30.3%

Contract staff shareWatch

61th national percentile — 2.5%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 4.10 vs expected 3.88 · +0.22 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

11 citations on file
F-0684
J
Provide appropriate treatment and care according to orders, resident’s p…
Actual Harm

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

Survey date: Oct 24, 2025 · Isolated — immediate jeopardy
F-0686
J
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Oct 24, 2025 · Isolated — immediate jeopardy
F-0686
G
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Actual Harm↻ Repeat

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Sep 12, 2025 · Isolated — actual harm
F-0580
D
Immediately tell the resident, the resident's doctor, and a family membe…
Minimal Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey date: Dec 20, 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-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: Dec 20, 2024 · Isolated — no actual harm with potential for more
F-0351
D
Install an approved automatic sprinkler system
Minimal Harm

Install an approved automatic sprinkler system.

Survey date: Dec 20, 2024 · Isolated — no actual harm with potential for more
F-0920
D
Ensure proper usage of power strips and extension cords
Minimal Harm

Ensure proper usage of power strips and extension cords.

Survey date: Dec 20, 2024 · Isolated — no actual harm with potential for more
F-0006
C
Conduct risk assessment and an All-Hazards approach
Minimal Harm

Conduct risk assessment and an All-Hazards approach.

Survey date: May 1, 2023 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
St. Ann's Community
16.0 km · Webster, NY
★★★★
CMS
23th
Risk %ile
Lower risk
Maplewood Nursing Home Inc
18.4 km · Webster, NY
★★★★★
CMS
24th
Risk %ile
Lower risk
The Brook at High Falls Nursing Home and Rehabilit
9.2 km · Rochester, NY
★★
CMS
29th
Risk %ile
Lower risk