7Risk Axes

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

How we calculate
SeverityElevated

79th national percentile — 9.5% high-severity citations

ChronicityModerate

44th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyMinor

1 citation

Weekend staffing dropWatch

56th national percentile — 16.2%

Contract staff shareElevated

100th national percentile — 51.4%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 6.89 vs expected 7.45 · −0.55 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

21 citations on file
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: Mar 12, 2026 · Isolated — no actual harm with potential for more
F-0700
D
Try different approaches before using a bed rail
Minimal Harm

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Survey date: Mar 12, 2026 · Isolated — no actual harm with potential for more
F-0812
F
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Mar 12, 2026 · Widespread — no actual harm with potential for more
F-0883
D
Develop and implement policies and procedures for flu and pneumonia vacc…
Minimal Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

1 citations on file
F-0037
D
Establish staff and initial training requirements
Minimal Harm

Establish staff and initial training requirements.

Survey date: Apr 25, 2023 · Isolated — 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
25.0 km · DOVER, DE
★★★
CMS
36th
Risk %ile
Lower risk
POLARIS HEALTHCARE AND REHABILITATION CENTER
3.7 km · MILFORD, DE
★★
CMS
51th
Risk %ile
Similar risk