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

ChronicityWatch

51th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

18 citations

Weekend staffing dropModerate

40th national percentile — 14.3%

Contract staff shareModerate

47th national percentile — 0.5%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.63 vs expected 4.09 · −0.45 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

14 citations on file
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal 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: Dec 11, 2025 · Isolated — no actual harm with potential for more
F-0641
B
Ensure each resident receives an accurate assessment
No Harm

Ensure each resident receives an accurate assessment.

Survey date: Aug 1, 2025 · Pattern — no actual harm
F-0657
E
Develop the complete care plan within 7 days of the comprehensive assess…
Potential Harm↻ Repeat

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: Aug 1, 2025 · Pattern — no actual harm with potential for more
F-0756
D
Ensure a licensed pharmacist perform a monthly drug regimen review, incl…
Minimal Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey date: Aug 1, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

18 citations on file
F-0029
B
Develop a communication plan
No Harm

Develop a communication plan.

Survey date: Aug 1, 2025 · Pattern — no actual harm
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Aug 1, 2025 · Widespread — no actual harm with potential for more
F-0761
E
To conduct inspection, testing and maintenance of fire doors by qualifie…
Potential Harm

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Survey date: Aug 1, 2025 · Pattern — no actual harm with potential for more
F-0918
F
Have generator or other power source capable of supplying service within…
Potential Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Aug 1, 2025 · 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
WILLOWBROOKE CTSKDCARECTR AT FORTWASHINGTONESTATES
11.1 km · FORT WASHINGTON, PA
★★★★★
CMS
17th
Risk %ile
Lower risk
WILLOWBROOKE COURT-SOUTHAMPTON
17.9 km · SOUTHAMPTON, PA
★★★★★
CMS
17th
Risk %ile
Lower risk
WILLOWBROOKE CTSKDCARECTR ATNORMANDY FARMS ESTATES
16.8 km · BLUE BELL, PA
★★★★★
CMS
19th
Risk %ile
Lower risk