7Risk Axes

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

How we calculate
SeverityWatch

67th national percentile — 6.1% high-severity citations

ChronicityElevated

92th national percentile — 26 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

12 citations

Weekend staffing dropLow

25th national percentile — 12.4%

Contract staff shareWatch

65th national percentile — 3.5%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 3.54 vs expected 3.96 · −0.42 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

66 citations on file
F-0557
D
Honor the resident's right to be treated with respect and dignity and to…
Minimal Harm

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Survey date: Apr 14, 2026 · Isolated — no actual harm with potential for more
F-0607
G
Develop and implement policies and procedures to prevent abuse, neglect,…
Actual Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey date: Apr 14, 2026 · Isolated — actual harm
F-0609
D
Timely report suspected abuse, neglect, or theft and report the results …
Minimal Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey date: Apr 14, 2026 · Isolated — no actual harm with potential for more
F-0610
G
Respond appropriately to all alleged violations
Actual Harm

Respond appropriately to all alleged violations.

Survey date: Apr 14, 2026 · Isolated — actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

12 citations on file
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Jan 14, 2026 · Pattern — 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: Feb 12, 2025 · 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 12, 2025 · Pattern — no actual harm with potential for more
F-0039
C
Conduct testing and exercise requirements
Minimal Harm

Conduct testing and exercise requirements.

Survey date: Feb 29, 2024 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
CONEMAUGH MEMORIAL MEDICAL CENTER TCU
3.3 km · JOHNSTOWN, PA
★★★★★
CMS
25th
Risk %ile
Lower risk
QUALITY LIFE SERVICES - WESTMONT
140 m · JOHNSTOWN, PA
★★★
CMS
46th
Risk %ile
Similar risk
RICHLAND NURSING AND REHAB
10.3 km · JOHNSTOWN, PA
★★★
CMS
47th
Risk %ile
Similar risk