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

5 citations

Weekend staffing dropLow

4th national percentile — 7.5%

Contract staff shareWatch

54th national percentile — 1.3%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.59 vs expected 3.35 · +0.24 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

15 citations on file
F-0761
D
Ensure drugs and biologicals used in the facility are labeled in accorda…
Minimal 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: Dec 9, 2024 · Isolated — no actual harm with potential for more
F-0695
E
Provide safe and appropriate respiratory care for a resident when needed…
Potential Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Nov 6, 2024 · 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: Nov 6, 2024 · Widespread — no actual harm with potential for more
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Aug 3, 2023 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 citations on file
F-0223
D
Provide exit doors that are held open by devices that will automatically…
Minimal Harm

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Survey date: Aug 3, 2023 · Isolated — no actual harm with potential for more
F-0712
E
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Aug 3, 2023 · Pattern — no actual harm with potential for more
F-0741
E
Have posted "No-smoking" signs in areas where smoking is not permitted o…
Potential Harm

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Survey date: Aug 3, 2023 · Pattern — no actual harm with potential for more
F-0761
E
To conduct inspection, testing and maintenance of fire doors by qualifie…
Potential Harm

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Survey date: Aug 3, 2023 · 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
CHATHAM GLEN HEALTHCARE AND REHABILITATION CENTER
11.9 km · THE VILLAGES, FL
★★★★★
CMS
32th
Risk %ile
Lower risk
SOUTH CAMPUS CARE CENTER AND REHAB
1.4 km · LEESBURG, FL
★★★
CMS
37th
Risk %ile
Lower risk
AVANTE AT MT DORA, INC
19.4 km · MOUNT DORA, FL
★★★
CMS
37th
Risk %ile
Lower risk