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

ChronicityModerate

36th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropLow

10th national percentile — 9.7%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapAligned

Reported 3.58 vs expected 3.57 · 0.00 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

18 citations on file
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: May 15, 2025 · Isolated — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: May 15, 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 15, 2025 · 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: Feb 22, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0712
D
Have simulated fire drills held at unexpected times
Minimal Harm

Have simulated fire drills held at unexpected times.

Survey date: May 15, 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: May 15, 2025 · Isolated — no actual harm with potential for more
F-0221
D
Provide rooms that can be unlocked from inside without a key
Minimal Harm

Provide rooms that can be unlocked from inside without a key.

Survey date: Apr 6, 2023 · Isolated — no actual harm with potential for more
F-0372
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Minimal Harm

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Apr 6, 2023 · 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
BLUE HERON HEALTH AND REHABILITATION
17.8 km · WESLEY CHAPEL, FL
★★★★
CMS
32th
Risk %ile
Lower risk
HILLSIDE HEALTH AND REHABILITATION CENTER
1.8 km · ZEPHYRHILLS, FL
★★
CMS
34th
Risk %ile
Lower risk