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

ChronicityLow

17th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropElevated

73th national percentile — 18.8%

Contract staff shareModerate

46th national percentile — 0.4%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 3.36 vs expected 3.30 · +0.06 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

12 citations on file
F-0686
D
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Minimal Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Jul 27, 2023 · Isolated — no actual harm with potential for more
F-0693
D
Ensure that feeding tubes are not used unless there is a medical reason…
Minimal Harm

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Survey date: Jul 27, 2023 · Isolated — no actual harm with potential for more
F-0758
D
Implement gradual dose reductions(GDR) and non-pharmacological intervent…
Minimal Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey date: Jul 27, 2023 · Isolated — no actual harm with potential for more
F-0760
D
Ensure that residents are free from significant medication errors
Minimal Harm

Ensure that residents are free from significant medication errors.

Survey date: Jul 27, 2023 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

11 citations on file
F-0291
F
Install emergency lighting that can last at least 1 1/2 hours
Potential Harm

Install emergency lighting that can last at least 1 1/2 hours.

Survey date: Jul 27, 2023 · 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: Jul 27, 2023 · Widespread — no actual harm with potential for more
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Jul 27, 2023 · Pattern — no actual harm with potential for more
F-0374
F
Install smoke barrier doors that can resist smoke for at least 20 minute…
Potential Harm

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

Survey date: Jul 27, 2023 · 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
TRANSITIONAL CARE UNIT
18.3 km · SAINT MARYS, OH
★★★★★
CMS
26th
Risk %ile
Lower risk
OTTERBEIN-CRIDERSVILLE
17.9 km · CRIDERSVILLE, OH
★★★
CMS
29th
Risk %ile
Lower risk
VANCREST OF ST MARY'S
18.2 km · ST MARYS, OH
★★★★★
CMS
30th
Risk %ile
Lower risk