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

ChronicityModerate

42th national percentile — 5 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

13 citations

Weekend staffing dropLow

11th national percentile — 9.9%

Contract staff shareElevated

86th national percentile — 12.8%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 2.79 vs expected 2.69 · +0.10 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

27 citations on file
F-0657
E
Develop the complete care plan within 7 days of the comprehensive assess…
Potential Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: May 15, 2025 · Pattern — no actual harm with potential for more
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: May 15, 2025 · Isolated — no actual harm with potential for more
F-0677
D
Provide care and assistance to perform activities of daily living for an…
Minimal Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey date: May 15, 2025 · Isolated — no actual harm with potential for more
F-0711
D
Ensure the resident's doctor reviews the resident's care, writes, signs …
Minimal Harm

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Survey date: Nov 5, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

13 citations on file
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: May 15, 2025 · Pattern — no actual harm with potential for more
F-0915
F
Have proper power supply for life support equipment
Potential Harm

Have proper power supply for life support equipment.

Survey date: May 15, 2025 · Widespread — no actual harm with potential for more
F-0100
C
Meet other general requirements
Minimal Harm

Meet other general requirements.

Survey date: Jun 27, 2024 · Widespread — no actual harm
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Jun 27, 2024 · Widespread — 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
CROSS KEYS VILLAGE-BRETHREN HOME COMMUNITY, THE
16.3 km · NEW OXFORD, PA
★★★★★
CMS
22th
Risk %ile
Lower risk
SPIRITRUST LUTHERAN THE VILLAGE AT GETTYSBURG
3.6 km · GETTYSBURG, PA
★★★★
CMS
38th
Risk %ile
Lower risk