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

39th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropClean

No PBJ staffing data

Contract staff shareClean

No PBJ staffing data

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapN/A

Not on file

Recent Health Violations

Health inspection citations from official Medicare records

17 citations on file
F-0727
F
Have a registered nurse on duty 8 hours a day; and select a registered …
Potential Harm

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey date: Nov 17, 2023 · Widespread — no actual harm with potential for more
F-0761
D
Ensure drugs and biologicals used in the facility are labeled in accorda…
Minimal Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: Nov 17, 2023 · Isolated — no actual harm with potential for more
F-0802
D
Provide sufficient support personnel to safely and effectively carry out…
Minimal Harm

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Survey date: Nov 17, 2023 · Isolated — no actual harm with potential for more
F-0812
E
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Nov 17, 2023 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

11 citations on file
F-0161
D
Use approved construction type or materials
Minimal Harm

Use approved construction type or materials.

Survey date: Nov 17, 2023 · 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 17, 2023 · Isolated — no actual harm with potential for more
F-0347
F
Properly provide smoke detection systems in areas open to corridors
Potential Harm

Properly provide smoke detection systems in areas open to corridors.

Survey date: Nov 17, 2023 · Widespread — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Nov 17, 2023 · Pattern — 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.