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

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

34 citations

Weekend staffing dropLow

29th national percentile — 12.9%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 4.85 vs expected 5.21 · −0.37 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

6 citations on file
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: Nov 7, 2024 · Isolated — no actual harm with potential for more
F-0679
E
Provide activities to meet all resident's needs
Potential Harm

Provide activities to meet all resident's needs.

Survey date: Nov 7, 2024 · Pattern — no actual harm with potential for more
F-0756
D
Ensure a licensed pharmacist perform a monthly drug regimen review, incl…
Minimal Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey date: Nov 7, 2024 · Isolated — no actual harm with potential for more
F-0758
E
Implement gradual dose reductions(GDR) and non-pharmacological intervent…
Potential 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: Nov 7, 2024 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

34 citations on file
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Nov 7, 2024 · Widespread — no actual harm with potential for more
F-0222
F
Add doors in an exit area that do not require the use of a key from the …
Potential Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Nov 7, 2024 · Widespread — no actual harm with potential for more
F-0325
F
Have properly installed hallway dispensers for alcohol-based hand rub
Potential Harm

Have properly installed hallway dispensers for alcohol-based hand rub.

Survey date: Nov 7, 2024 · Widespread — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Nov 7, 2024 · Widespread — no actual harm with potential for more

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list

No other facilities with a lower realrating.care composite risk score in this radius.