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

ChronicityLow

14th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

21 citations

Weekend staffing dropElevated

79th national percentile — 19.8%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.67 vs expected 3.52 · +0.14 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

16 citations on file
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Sep 12, 2025 · Isolated — no actual harm with potential for more
F-0693
D
Ensure that feeding tubes are not used unless there is a medical reason…
Minimal Harm

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Survey date: Sep 12, 2025 · Isolated — no actual harm with potential for more
F-0760
D
Ensure that residents are free from significant medication errors
Minimal Harm

Ensure that residents are free from significant medication errors.

Survey date: Sep 12, 2025 · Isolated — no actual harm with potential for more
F-0644
D
Coordinate assessments with the pre-admission screening and resident rev…
Minimal Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey date: Apr 18, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

21 citations on file
F-0029
F
Develop a communication plan
Potential Harm

Develop a communication plan.

Survey date: Sep 12, 2025 · Widespread — no actual harm with potential for more
F-0341
F
Install a fire alarm system that can be heard throughout the facility
Potential Harm

Install a fire alarm system that can be heard throughout the facility.

Survey date: Sep 12, 2025 · Widespread — no actual harm with potential for more
F-0345
F
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: Sep 12, 2025 · Widespread — no actual harm with potential for more
F-0351
F
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: Sep 12, 2025 · Widespread — 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
AUTUMN LAKE HEALTHCARE AT VOORHEES
6.7 km · VOORHEES, NJ
★★★
CMS
26th
Risk %ile
Lower risk
Philadelphia Protestant Home
22.7 km · PHILADELPHIA, PA
★★★★★
CMS
26th
Risk %ile
Lower risk
TRANSITIONAL CARE UNIT AT NAZARETH HOSPITAL
20.0 km · PHILADELPHIA, PA
★★★★★
CMS
27th
Risk %ile
Lower risk