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

53th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

25 citations

Weekend staffing dropElevated

86th national percentile — 21.3%

Contract staff shareElevated

70th national percentile — 4.8%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.88 vs expected 3.39 · +0.49 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

18 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: Mar 30, 2026 · Isolated — no actual harm with potential for more
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: May 23, 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: May 23, 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: May 23, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

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

Have properly located and lighted "Exit" signs.

Survey date: Aug 7, 2024 · Pattern — no actual harm with potential for more
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Aug 7, 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: Aug 7, 2024 · Isolated — no actual harm with potential for more
F-0374
D
Install smoke barrier doors that can resist smoke for at least 20 minute…
Minimal Harm

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Survey date: Aug 7, 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
HELEN HAYES HOSPITAL R H C F
16.5 km · WEST HAVERSTRAW, NY
★★★★★
CMS
23th
Risk %ile
Lower risk
HELEN HAYES HOSPITAL T C U
16.5 km · WEST HAVERSTRAW, NY
★★★★★
CMS
25th
Risk %ile
Lower risk
SALEM HILLS REHABILITATION AND NURSING CENTER
17.0 km · PURDYS, NY
★★★
CMS
30th
Risk %ile
Lower risk