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

33th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

6 citations

Weekend staffing dropElevated

97th national percentile — 25.9%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 3.66 vs expected 4.11 · −0.45 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

13 citations on file
F-0686
E
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Potential Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Jul 31, 2025 · Pattern — 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: Jul 31, 2025 · Isolated — no actual harm with potential for more
F-0756
E
Ensure a licensed pharmacist perform a monthly drug regimen review, incl…
Potential 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: Jul 31, 2025 · Pattern — no actual harm with potential for more
F-0812
D
Procure food from sources approved or considered satisfactory and store,…
Minimal Harm

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

Survey date: Jul 31, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

6 citations on file
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: Jul 31, 2025 · Pattern — 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: Jul 31, 2025 · 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: Jul 31, 2025 · Isolated — no actual harm with potential for more
F-0029
C
Develop a communication plan
Minimal Harm

Develop a communication plan.

Survey date: May 13, 2022 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
St. Ann's Community
17.0 km · Webster, NY
★★★★
CMS
23th
Risk %ile
Lower risk
Maplewood Nursing Home Inc
19.3 km · Webster, NY
★★★★★
CMS
24th
Risk %ile
Lower risk
The Brook at High Falls Nursing Home and Rehabilit
10.9 km · Rochester, NY
★★
CMS
29th
Risk %ile
Lower risk