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

ChronicityElevated

78th national percentile — 11 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

16 citations

Weekend staffing dropModerate

42th national percentile — 14.5%

Contract staff shareElevated

70th national percentile — 4.9%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapN/A

Not on file

Recent Health Violations

Health inspection citations from official Medicare records

35 citations on file
F-0867
D
Set up an ongoing quality assessment and assurance group to review quali…
Minimal Harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey date: Mar 5, 2026 · Isolated — no actual harm with potential for more
F-0803
E
Ensure menus must meet the nutritional needs of residents, be prepared i…
Potential Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey date: Mar 5, 2026 · Pattern — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: Mar 5, 2026 · Isolated — no actual harm with potential for more
F-0812
E
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 5, 2026 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

16 citations on file
F-0004
C
Develop and maintain an Emergency Preparedness Program (EP)
Minimal Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Mar 5, 2026 · Widespread — no actual harm
F-0006
C
Conduct risk assessment and an All-Hazards approach
Minimal Harm

Conduct risk assessment and an All-Hazards approach.

Survey date: Mar 5, 2026 · Widespread — no actual harm
F-0026
C
Establish roles under a Waiver declared by secretary
Minimal Harm

Establish roles under a Waiver declared by secretary.

Survey date: Mar 5, 2026 · Widespread — no actual harm
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Mar 5, 2026 · 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
WESTMINSTER WOODS AT HUNTINGDO
2.4 km · HUNTINGDON, PA
★★
CMS
42th
Risk %ile
Similar risk