7Risk Axes

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

How we calculate
SeverityModerate

47th national percentile — 2.1% high-severity citations

ChronicityElevated

95th national percentile — 40 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

43 citations

Weekend staffing dropLow

15th national percentile — 10.6%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.32 vs expected 2.84 · +0.48 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

94 citations on file
F-0610
D
Respond appropriately to all alleged violations
Minimal Harm

Respond appropriately to all alleged violations.

Survey date: Mar 16, 2026 · Isolated — no actual harm with potential for more
F-0600
D
Protect each resident from all types of abuse such as physical, mental, …
Minimal Harm

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

Survey date: Mar 16, 2026 · Isolated — no actual harm with potential for more
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 16, 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: Mar 16, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

43 citations on file
F-0347
D
Properly provide smoke detection systems in areas open to corridors
Minimal Harm

Properly provide smoke detection systems in areas open to corridors.

Survey date: Jan 29, 2025 · Isolated — no actual harm with potential for more
F-0362
D
Ensure that corridors are separated from use areas by walls constructed …
Minimal Harm

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Survey date: Jan 29, 2025 · Isolated — no actual harm with potential for more
F-0354
D
Follow proper procedures when the automatic sprinkler systems was out of…
Minimal Harm

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Survey date: Jan 29, 2025 · Isolated — no actual harm with potential for more
F-0351
E
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: Jan 29, 2025 · 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
CAROLINE NURSING AND REHAB
2.2 km · DENTON, MD
★★
CMS
32th
Risk %ile
Lower risk