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

ChronicityElevated

82th national percentile — 13 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

26 citations

Weekend staffing dropElevated

81th national percentile — 20.2%

Contract staff shareElevated

97th national percentile — 30.7%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapModerate

Reported 3.60 vs expected 3.65 · −0.05 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

39 citations on file
F-0677
D
Provide care and assistance to perform activities of daily living for an…
Minimal Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey date: Aug 15, 2025 · Isolated — no actual harm with potential for more
F-0919
D
Make sure that a working call system is available in each resident's ba…
Minimal Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey date: Aug 15, 2025 · Isolated — no actual harm with potential for more
F-0925
D
Make sure there is a pest control program to prevent/deal with mice, ins…
Minimal Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey date: Aug 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: Aug 15, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

26 citations on file
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: Aug 15, 2025 · Widespread — no actual harm with potential for more
F-0271
D
Have exits that are accessible at all times
Minimal Harm

Have exits that are accessible at all times.

Survey date: Aug 15, 2025 · Isolated — no actual harm with potential for more
F-0324
F
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Aug 15, 2025 · Widespread — no actual harm with potential for more
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Aug 15, 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
HELEN HAYES HOSPITAL R H C F
6.0 km · WEST HAVERSTRAW, NY
★★★★★
CMS
23th
Risk %ile
Lower risk
HELEN HAYES HOSPITAL T C U
6.0 km · WEST HAVERSTRAW, NY
★★★★★
CMS
25th
Risk %ile
Lower risk
KENDAL ON HUDSON
18.2 km · SLEEPY HOLLOW, NY
★★★★★
CMS
27th
Risk %ile
Lower risk