7Risk Axes

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

How we calculate
SeverityElevated

97th national percentile — 25.0% high-severity citations

ChronicityLow

26th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropElevated

100th national percentile — 34.5%

Contract staff shareWatch

56th national percentile — 1.5%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 6.29 vs expected 6.63 · −0.35 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

16 citations on file
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: Dec 5, 2024 · Isolated — no actual harm with potential for more
F-0800
D
Provide each resident with a nourishing, palatable, well-balanced diet t…
Minimal Harm

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Survey date: Dec 5, 2024 · Isolated — no actual harm with potential for more
F-0812
F
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: Dec 5, 2024 · Widespread — no actual harm with potential for more
F-0868
F
Have the Quality Assessment and Assurance group have the required member…
Potential Harm

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Survey date: Dec 5, 2024 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 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: Dec 5, 2024 · Pattern — no actual harm with potential for more
F-0761
E
To conduct inspection, testing and maintenance of fire doors by qualifie…
Potential Harm

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Survey date: Dec 5, 2024 · Pattern — no actual harm with potential for more
F-0920
D
Ensure proper usage of power strips and extension cords
Minimal Harm

Ensure proper usage of power strips and extension cords.

Survey date: Dec 5, 2024 · Isolated — no actual harm with potential for more
F-0345
D
Have approved installation, maintenance and testing program for fire ala…
Minimal Harm↻ Repeat

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Jan 26, 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
MACCLENNY NURSING AND REHAB CENTER
1.1 km · MACCLENNY, FL
★★★★★
CMS
24th
Risk %ile
Lower risk