7Risk Axes

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

How we calculate
SeverityElevated

100th national percentile — 50.0% high-severity citations

ChronicityModerate

36th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropLow

10th national percentile — 9.5%

Contract staff shareElevated

92th national percentile — 18.9%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapWatch

Reported 5.09 vs expected 5.29 · −0.20 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

6 citations on file
F-0605
D
Prevent the use of unnecessary psychotropic medications or use medicatio…
Minimal Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey date: Jan 30, 2026 · Isolated — no actual harm with potential for more
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Jan 30, 2026 · Isolated — no actual harm with potential for more
F-0600
G
Protect each resident from all types of abuse such as physical, mental, …
Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey date: Aug 26, 2025 · Isolated — actual harm
F-0600
G
Protect each resident from all types of abuse such as physical, mental, …
Actual Harm↻ Repeat

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey date: Feb 6, 2025 · Isolated — actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 citations on file
F-0531
E
Have elevators that firefighters can control in the event of a fire
Potential Harm

Have elevators that firefighters can control in the event of a fire.

Survey date: Mar 21, 2025 · Pattern — no actual harm with potential for more
F-0541
E
Install properly constructed and protected linen or trash chutes
Potential Harm

Install properly constructed and protected linen or trash chutes.

Survey date: Mar 21, 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: Feb 23, 2024 · Pattern — no actual harm with potential for more
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Feb 23, 2024 · 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
REHABILITATION CENTER AT BRETHREN VILLAGE LLC
0 m · LANCASTER, PA
★★★★★
CMS
23th
Risk %ile
Lower risk
MAPLE FARM
10.0 km · AKRON, PA
★★★★★
CMS
23th
Risk %ile
Lower risk
GLEN AT WILLOW VALLEY
12.2 km · LANCASTER, PA
★★★★★
CMS
23th
Risk %ile
Lower risk