7Risk Axes

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

How we calculate
SeverityElevated

78th national percentile — 9.1% high-severity citations

ChronicityModerate

41th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropModerate

35th national percentile — 13.7%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 4.05 vs expected 4.05 · +0.01 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

11 citations on file
F-0745
D
Provide medically-related social services to help each resident achieve …
Minimal Harm

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Survey date: Feb 2, 2026 · Isolated — no actual harm with potential for more
F-0758
D
Implement gradual dose reductions(GDR) and non-pharmacological intervent…
Minimal Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey date: Sep 20, 2024 · Isolated — no actual harm with potential for more
F-0580
D
Immediately tell the resident, the resident's doctor, and a family membe…
Minimal Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey date: Nov 3, 2023 · Isolated — no actual harm with potential for more
F-0638
D
Assure that each resident’s assessment is updated at least once every 3 …
Minimal Harm

Assure that each resident’s assessment is updated at least once every 3 months.

Survey date: Nov 3, 2023 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

9 citations on file
F-0325
D
Have properly installed hallway dispensers for alcohol-based hand rub
Minimal Harm

Have properly installed hallway dispensers for alcohol-based hand rub.

Survey date: Sep 20, 2024 · Isolated — no actual harm with potential for more
F-0351
D
Install an approved automatic sprinkler system
Minimal Harm

Install an approved automatic sprinkler system.

Survey date: Sep 20, 2024 · Isolated — no actual harm with potential for more
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Sep 20, 2024 · Isolated — no actual harm with potential for more
F-0355
C
Properly select, install, inspect, or maintain portable fire extinguishe…
Minimal Harm

Properly select, install, inspect, or maintain portable fire extinguishes.

Survey date: Nov 3, 2023 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
HIGHLANDS AT WYOMISSING
23.9 km · WYOMISSING, PA
★★★★★
CMS
22th
Risk %ile
Lower risk
MAPLE FARM
3.1 km · AKRON, PA
★★★★★
CMS
23th
Risk %ile
Lower risk
REHABILITATION CENTER AT BRETHREN VILLAGE LLC
13.0 km · LANCASTER, PA
★★★★★
CMS
23th
Risk %ile
Lower risk