7Risk Axes

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

How we calculate
SeverityWatch

55th national percentile — 3.6% high-severity citations

ChronicityElevated

94th national percentile — 23 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

20 citations

Weekend staffing dropLow

5th national percentile — 8.0%

Contract staff shareElevated

91th national percentile — 18.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapModerate

Reported 3.53 vs expected 3.54 · 0.00 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

55 citations on file
F-0553
D
Allow resident to participate in the development and implementation of h…
Minimal Harm

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Survey date: Feb 27, 2026 · Isolated — no actual harm with potential for more
F-0655
D
Create and put into place a plan for meeting the resident's most immedia…
Minimal Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey date: Feb 27, 2026 · Isolated — no actual harm with potential for more
F-0684
E
Provide appropriate treatment and care according to orders, resident’s p…
Potential Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Feb 27, 2026 · Pattern — no actual harm with potential for more
F-0686
D
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Minimal Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Feb 27, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

20 citations on file
F-0131
E
Meet requirements for sections of health care facilities separated by fi…
Potential Harm

Meet requirements for sections of health care facilities separated by fire resistive construction.

Survey date: Feb 27, 2026 · Pattern — no actual harm with potential for more
F-0293
E
Have properly located and lighted "Exit" signs
Potential Harm

Have properly located and lighted "Exit" signs.

Survey date: Feb 27, 2026 · Pattern — no actual harm with potential for more
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Feb 27, 2026 · Pattern — no actual harm with potential for more
F-0923
E
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Feb 27, 2026 · Pattern — 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
KADIMA REHABILITATION & NURSING AT LUZERNE
22.9 km · DRUMS, PA
CMS
50th
Risk %ile
Similar risk
SUNSET RIDGE REHABILITATION AND NURSING CENTER
14.8 km · BLOOMSBURG, PA
★★★
CMS
51th
Risk %ile
Similar risk