7Risk Axes

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

How we calculate
SeverityElevated

98th national percentile — 27.9% high-severity citations

ChronicityElevated

95th national percentile — 37 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

29 citations

Weekend staffing dropElevated

94th national percentile — 24.2%

Contract staff shareModerate

47th national percentile — 0.5%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapWatch

Reported 3.44 vs expected 3.68 · −0.24 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

86 citations on file
F-0865
F
Have a plan that describes the process for conducting QAPI and QAA acti…
Potential Harm

Have a plan that describes the process for conducting QAPI and QAA activities.

Survey date: Dec 22, 2025 · Widespread — no actual harm with potential for more
F-0550
E
Honor the resident's right to a dignified existence, self-determination,…
Potential Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey date: Dec 22, 2025 · Pattern — no actual harm with potential for more
F-0692
G
Provide enough food/fluids to maintain a resident's health
Actual Harm

Provide enough food/fluids to maintain a resident's health.

Survey date: Dec 22, 2025 · Isolated — actual harm
F-0554
G
Allow residents to self-administer drugs if determined clinically approp…
Actual Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey date: Dec 22, 2025 · Isolated — actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

29 citations on file
F-0015
F
Address subsistence needs for staff and patients
Potential Harm

Address subsistence needs for staff and patients.

Survey date: Dec 22, 2025 · Widespread — no actual harm with potential for more
F-0741
E
Have posted "No-smoking" signs in areas where smoking is not permitted o…
Potential Harm

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Survey date: Dec 22, 2025 · Pattern — no actual harm with potential for more
F-0923
E
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Dec 22, 2025 · Pattern — no actual harm with potential for more
F-0211
E
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Potential Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Dec 22, 2025 · Pattern — 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
St. Ann's Community
17.0 km · Webster, NY
★★★★
CMS
23th
Risk %ile
Lower risk
Maplewood Nursing Home Inc
19.6 km · Webster, NY
★★★★★
CMS
24th
Risk %ile
Lower risk
The Brook at High Falls Nursing Home and Rehabilit
8.0 km · Rochester, NY
★★
CMS
29th
Risk %ile
Lower risk