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

94th national percentile — 23 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropLow

19th national percentile — 11.5%

Contract staff shareElevated

91th national percentile — 17.6%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.20 vs expected 2.71 · +0.50 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

55 citations on file
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Jan 10, 2024 · Isolated — no actual harm with potential for more
F-0554
D
Allow residents to self-administer drugs if determined clinically approp…
Minimal Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey date: Jan 10, 2024 · Isolated — no actual harm with potential for more
F-0730
D
Observe each nurse aide's job performance and give regular training
Minimal Harm

Observe each nurse aide's job performance and give regular training.

Survey date: Jan 10, 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: Jan 10, 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-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Jan 10, 2024 · Isolated — no actual harm with potential for more
F-0222
E
Add doors in an exit area that do not require the use of a key from the …
Potential Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Apr 25, 2019 · Pattern — no actual harm with potential for more
F-0225
D
Have stairways and smokeproof enclosures used as exits that meet safety …
Minimal Harm

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

Survey date: Apr 25, 2019 · Isolated — no actual harm with potential for more
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm↻ Repeat

Install corridor and hallway doors that block smoke.

Survey date: Apr 25, 2019 · 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
THE VILLAGE AT ORCHARD RIDGE
5.3 km · WINCHESTER, VA
★★★★★
CMS
19th
Risk %ile
Lower risk
SHENANDOAH VALLEY WESTMINSTER CANTERBURY
3.7 km · WINCHESTER, VA
★★★
CMS
37th
Risk %ile
Lower risk