7Risk Axes

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

How we calculate
SeverityWatch

68th national percentile — 6.2% high-severity citations

ChronicityLow

14th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

10 citations

Weekend staffing dropWatch

51th national percentile — 15.6%

Contract staff shareElevated

99th national percentile — 38.7%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 4.01 vs expected 4.65 · −0.64 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

16 citations on file
F-0688
D
Provide appropriate care for a resident to maintain and/or improve range…
Minimal Harm

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Survey date: Nov 4, 2024 · Isolated — no actual harm with potential for more
F-0689
D
Ensure that a nursing home area is free from accident hazards and provid…
Minimal Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Nov 4, 2024 · Isolated — no actual harm with potential for more
F-0700
K
Try different approaches before using a bed rail
Actual Harm

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Survey date: Nov 4, 2024 · Pattern — immediate jeopardy
F-0909
E
Regularly inspect all bed frames, mattresses, and bed rails (if any) for…
Potential Harm

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Survey date: Nov 4, 2024 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

10 citations on file
F-0225
D
Have stairways and smokeproof enclosures used as exits that meet safety …
Minimal Harm

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Survey date: Nov 4, 2024 · Isolated — no actual harm with potential for more
F-0321
D
Ensure that special areas are constructed so that walls can resist fire …
Minimal Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Nov 4, 2024 · Isolated — no actual harm with potential for more
F-0345
E
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: Nov 4, 2024 · Pattern — 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: Nov 4, 2024 · 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
Penn Yan Manor Nursing Home Inc
291 m · Penn Yan, NY
★★★★★
CMS
36th
Risk %ile
Lower risk