7Risk Axes

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

How we calculate
SeverityElevated

74th national percentile — 7.7% high-severity citations

ChronicityElevated

77th national percentile — 12 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

3 citations

Weekend staffing dropLow

21th national percentile — 11.7%

Contract staff shareElevated

90th national percentile — 16.2%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 4.75 vs expected 2.55 · +2.20 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

39 citations on file
F-0580
D
Immediately tell the resident, the resident's doctor, and a family membe…
Minimal Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey date: Mar 19, 2026 · Isolated — no actual harm with potential for more
F-0655
D
Create and put into place a plan for meeting the resident's most immedia…
Minimal Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey date: Mar 19, 2026 · Isolated — no actual harm with potential for more
F-0690
D
Provide appropriate care for residents who are continent or incontinent …
Minimal Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey date: Feb 12, 2026 · 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: Feb 12, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

3 citations on file
F-0004
C
Develop and maintain an Emergency Preparedness Program (EP)
Minimal Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Feb 12, 2026 · Widespread — no actual harm
F-0037
C
Establish staff and initial training requirements
Minimal Harm

Establish staff and initial training requirements.

Survey date: Feb 12, 2026 · Widespread — no actual harm
F-0030
C
List the names and contact information of those in the facility
Minimal Harm

List the names and contact information of those in the facility.

Survey date: Feb 27, 2025 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
WILLOWBROOKE CTSKDCARECTR AT FORTWASHINGTONESTATES
9.3 km · FORT WASHINGTON, PA
★★★★★
CMS
17th
Risk %ile
Lower risk
WILLOWBROOKE COURT-SOUTHAMPTON
21.4 km · SOUTHAMPTON, PA
★★★★★
CMS
17th
Risk %ile
Lower risk
WILLOWBROOKE CTSKDCARECTR ATNORMANDY FARMS ESTATES
6.9 km · BLUE BELL, PA
★★★★★
CMS
19th
Risk %ile
Lower risk