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

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropWatch

53th national percentile — 15.9%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 4.25 vs expected 4.65 · −0.40 hr/res/day

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

9 citations on file
F-0225
F
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: Jul 2, 2025 · Widespread — no actual harm with potential for more
F-0291
C
Install emergency lighting that can last at least 1 1/2 hours
Minimal Harm

Install emergency lighting that can last at least 1 1/2 hours.

Survey date: Jul 2, 2025 · Widespread — no actual harm
F-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Jul 2, 2025 · Pattern — no actual harm with potential for more
F-0343
C
Have a fire alarm with audible and visual signals that transmits the ala…
Minimal Harm

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Survey date: Jul 2, 2025 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
MAPLE FARM
5.5 km · AKRON, PA
★★★★★
CMS
23th
Risk %ile
Lower risk
REHABILITATION CENTER AT BRETHREN VILLAGE LLC
13.5 km · LANCASTER, PA
★★★★★
CMS
23th
Risk %ile
Lower risk
GLEN AT WILLOW VALLEY
18.9 km · LANCASTER, PA
★★★★★
CMS
23th
Risk %ile
Lower risk