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

52th national percentile — 5 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

13 citations

Weekend staffing dropModerate

33th national percentile — 13.4%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.81 vs expected 4.08 · −0.27 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

23 citations on file
F-0638
D
Assure that each resident’s assessment is updated at least once every 3 …
Minimal Harm

Assure that each resident’s assessment is updated at least once every 3 months.

Survey date: Dec 22, 2025 · Isolated — 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: Dec 22, 2025 · 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: Dec 22, 2025 · Isolated — no actual harm with potential for more
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: Dec 22, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

13 citations on file
F-0271
D
Have exits that are accessible at all times
Minimal Harm

Have exits that are accessible at all times.

Survey date: Dec 22, 2025 · Isolated — no actual harm with potential for more
F-0293
D
Have properly located and lighted "Exit" signs
Minimal Harm

Have properly located and lighted "Exit" signs.

Survey date: Dec 22, 2025 · Isolated — no actual harm with potential for more
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Dec 22, 2025 · Isolated — no actual harm with potential for more
F-0761
D
To conduct inspection, testing and maintenance of fire doors by qualifie…
Minimal Harm

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

Survey date: Dec 22, 2025 · 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
WINDMERE
22.1 km · NORTH HALEDON, NJ
★★★★
CMS
13th
Risk %ile
Lower risk
HELEN HAYES HOSPITAL R H C F
9.0 km · WEST HAVERSTRAW, NY
★★★★★
CMS
23th
Risk %ile
Lower risk
HELEN HAYES HOSPITAL T C U
9.0 km · WEST HAVERSTRAW, NY
★★★★★
CMS
25th
Risk %ile
Lower risk