7Risk Axes

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

How we calculate
SeverityElevated

86th national percentile — 12.5% high-severity citations

ChronicityLow

14th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

3 citations

Weekend staffing dropLow

11th national percentile — 9.9%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.86 vs expected 4.23 · −0.37 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

16 citations on file
F-0644
D
Coordinate assessments with the pre-admission screening and resident rev…
Minimal Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey date: Nov 7, 2024 · Isolated — no actual harm with potential for more
F-0847
E
Inform resident or representatives choice to enter into binding arbitrat…
Potential Harm

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Survey date: Nov 7, 2024 · Pattern — no actual harm with potential for more
F-0867
D
Set up an ongoing quality assessment and assurance group to review quali…
Minimal Harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey date: Nov 7, 2024 · Isolated — no actual harm with potential for more
F-0684
G
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: Sep 30, 2024 · Isolated — actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

3 citations on file
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Nov 7, 2024 · Isolated — no actual harm with potential for more
F-0223
E
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: Mar 25, 2021 · Pattern — no actual harm with potential for more
F-0521
E
Ensure heating and ventilation systems that have been properly installed…
Potential Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Mar 25, 2021 · 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
COMMONS AT ORLANDO LUTHERAN TOWERS
11.8 km · ORLANDO, FL
★★★★
CMS
24th
Risk %ile
Lower risk
ISLAND LAKE CENTER
19.3 km · LONGWOOD, FL
★★★
CMS
24th
Risk %ile
Lower risk
PARKVIEW REHABILITATION CENTER AT WINTER PARK
8.4 km · WINTER PARK, FL
★★★★★
CMS
28th
Risk %ile
Lower risk