7Risk Axes

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

How we calculate
SeverityElevated

81th national percentile — 10.0% high-severity citations

ChronicityModerate

46th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

7 citations

Weekend staffing dropLow

27th national percentile — 12.5%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 4.36 vs expected 5.14 · −0.78 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

10 citations on file
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: Dec 18, 2025 · Isolated — no actual harm with potential for more
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm↻ Repeat

Provide and implement an infection prevention and control program.

Survey date: Jan 23, 2025 · Pattern — no actual harm with potential for more
F-0558
D
Reasonably accommodate the needs and preferences of each resident
Minimal Harm

Reasonably accommodate the needs and preferences of each resident.

Survey date: Jan 23, 2025 · Isolated — no actual harm with potential for more
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Jan 23, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

7 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 23, 2025 · Pattern — no actual harm with potential for more
F-0161
E
Use approved construction type or materials
Potential Harm

Use approved construction type or materials.

Survey date: Feb 15, 2024 · Pattern — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm↻ Repeat

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Feb 15, 2024 · Pattern — 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: Mar 16, 2023 · Widespread — no actual harm

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
13.5 km · NEW OXFORD, PA
★★★★★
CMS
22th
Risk %ile
Lower risk
SPIRITRUST LUTHERAN THE VILLAGE AT UTZ TERRACE
6.2 km · HANOVER, PA
★★★★★
CMS
28th
Risk %ile
Lower risk
SPIRITRUST LUTHERAN THE VILLAGE AT GETTYSBURG
20.7 km · GETTYSBURG, PA
★★★★
CMS
38th
Risk %ile
Lower risk