7Risk Axes

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

How we calculate
SeverityWatch

61th national percentile — 4.8% high-severity citations

ChronicityWatch

58th national percentile — 5 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropLow

26th national percentile — 12.5%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapModerate

Reported 4.38 vs expected 4.43 · −0.06 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

21 citations on file
F-0697
D
Provide safe, appropriate pain management for a resident who requires su…
Minimal Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey date: Mar 21, 2025 · Isolated — 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 21, 2025 · Isolated — no actual harm with potential for more
F-0623
D
Provide timely notification to the resident, and if applicable to the re…
Minimal Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey date: Feb 26, 2024 · Isolated — no actual harm with potential for more
F-0761
D
Ensure drugs and biologicals used in the facility are labeled in accorda…
Minimal Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: Feb 26, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

11 citations on file
F-0131
F
Meet requirements for sections of health care facilities separated by fi…
Potential Harm

Meet requirements for sections of health care facilities separated by fire resistive construction.

Survey date: Mar 21, 2025 · Widespread — no actual harm with potential for more
F-0225
E
Have stairways and smokeproof enclosures used as exits that meet safety …
Potential Harm

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Survey date: Mar 21, 2025 · Pattern — no actual harm with potential for more
F-0372
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Potential Harm

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Mar 21, 2025 · Pattern — no actual harm with potential for more
F-0923
E
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Mar 21, 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
WILLOWBROOKE COURT SKD CARE CENTER AT LIMA ESTATES
13.8 km · LIMA, PA
★★★★★
CMS
13th
Risk %ile
Lower risk
WILLOWBROOKE COURT AT COUNTRY HOUSE
6.9 km · WILMINGTON, DE
★★★★★
CMS
16th
Risk %ile
Lower risk
WILLOWBROOKE COURT-GRANITE
14.4 km · MEDIA, PA
★★★★★
CMS
16th
Risk %ile
Lower risk