7Risk Axes

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

How we calculate
SeverityElevated

98th national percentile — 27.3% high-severity citations

ChronicityModerate

41th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropClean

No PBJ staffing data

Contract staff shareClean

No PBJ staffing data

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 9.91 vs expected 10.78 · −0.86 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

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

Ensure each resident receives an accurate assessment.

Survey date: Jan 9, 2026 · Isolated — no actual harm with potential for more
F-0656
E
Develop and implement a complete care plan that meets all the resident's…
Potential Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Jan 9, 2026 · Pattern — no actual harm with potential for more
F-0689
K
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Jan 9, 2026 · Pattern — immediate jeopardy
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: Jan 9, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 citations on file
F-0018
F
Establish procedures for tracking staff and patients during an emergency…
Potential Harm

Establish procedures for tracking staff and patients during an emergency.

Survey date: Dec 12, 2024 · Widespread — no actual harm with potential for more
F-0023
D
Establish policies and procedures for medical documentation
Minimal Harm

Establish policies and procedures for medical documentation.

Survey date: Dec 12, 2024 · Isolated — no actual harm with potential for more
F-0031
F
Provide emergency officials' contact information
Potential Harm

Provide emergency officials' contact information.

Survey date: Dec 12, 2024 · Widespread — no actual harm with potential for more
F-0036
F
Establish emergency prep training and testing
Potential Harm

Establish emergency prep training and testing.

Survey date: Dec 12, 2024 · 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
BAY TERRACE REHABILITATION AND HEALTH CENTER
17.1 km · DOVER, DE
★★★
CMS
36th
Risk %ile
Lower risk
CADIA REHABILITATION CAPITOL
14.3 km · DOVER, DE
★★★
CMS
37th
Risk %ile
Lower risk
COMPLETE CARE AT SILVER LAKE LLC
13.6 km · DOVER, DE
★★★
CMS
38th
Risk %ile
Lower risk