7Risk Axes

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

How we calculate
SeverityWatch

59th national percentile — 4.3% high-severity citations

ChronicityModerate

39th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

14 citations

Weekend staffing dropModerate

48th national percentile — 15.2%

Contract staff shareElevated

87th national percentile — 13.6%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapWatch

Reported 3.45 vs expected 3.66 · −0.21 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

23 citations on file
F-0552
D
Ensure that residents are fully informed and understand their health sta…
Minimal Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey date: May 6, 2025 · Isolated — no actual harm with potential for more
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

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

Survey date: May 6, 2025 · Isolated — no actual harm with potential for more
F-0883
E
Develop and implement policies and procedures for flu and pneumonia vacc…
Potential Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey date: May 6, 2025 · Pattern — no actual harm with potential for more
F-0610
D
Respond appropriately to all alleged violations
Minimal Harm

Respond appropriately to all alleged violations.

Survey date: May 6, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

14 citations on file
F-0223
F
Provide exit doors that are held open by devices that will automatically…
Potential 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: May 6, 2025 · Widespread — no actual harm with potential for more
F-0225
F
Have stairways and smokeproof enclosures used as exits that meet safety …
Potential Harm

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Survey date: May 6, 2025 · Widespread — no actual harm with potential for more
F-0293
F
Have properly located and lighted "Exit" signs
Potential Harm

Have properly located and lighted "Exit" signs.

Survey date: May 6, 2025 · Widespread — no actual harm with potential for more
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: May 6, 2025 · Widespread — 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
Briarcliffe Manor
22.1 km · Johnston, RI
★★★★★
CMS
27th
Risk %ile
Lower risk
LYDIA TAFT HOUSE
13.7 km · UXBRIDGE, MA
★★★★★
CMS
38th
Risk %ile
Lower risk
WEBSTER MANOR REHABILITATION & HEALTH CARE CENTER
17.2 km · WEBSTER, MA
★★
CMS
38th
Risk %ile
Lower risk