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

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

6 citations

Weekend staffing dropLow

4th national percentile — 7.4%

Contract staff shareModerate

46th national percentile — 0.4%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 6.20 vs expected 5.99 · +0.20 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

3 citations on file
F-0628
C
Provide the required documentation or notification related to the reside…
Minimal Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey date: Feb 19, 2026 · Widespread — no actual harm
F-0700
E
Try different approaches before using a bed rail
Potential Harm

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Survey date: Feb 19, 2026 · Pattern — no actual harm with potential for more
F-0640
C
Encode each resident’s assessment data and transmit these data to the St…
Minimal Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey date: Jan 15, 2025 · Widespread — no actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

6 citations on file
F-0345
E
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: Feb 19, 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 19, 2026 · Pattern — no actual harm with potential for more
F-0511
E
Have properly installed electrical wiring and gas equipment
Potential Harm

Have properly installed electrical wiring and gas equipment.

Survey date: Feb 19, 2026 · Pattern — no actual harm with potential for more
F-0291
E
Install emergency lighting that can last at least 1 1/2 hours
Potential Harm

Install emergency lighting that can last at least 1 1/2 hours.

Survey date: Jan 15, 2025 · 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
WILLOWBROOKE COURT-SOUTHAMPTON
8.2 km · SOUTHAMPTON, PA
★★★★★
CMS
17th
Risk %ile
Lower risk
WILLOWBROOKE CTSKDCARECTR AT FORTWASHINGTONESTATES
10.8 km · FORT WASHINGTON, PA
★★★★★
CMS
17th
Risk %ile
Lower risk
WILLOWBROOKE CTSKDCARECTR ATNORMANDY FARMS ESTATES
19.5 km · BLUE BELL, PA
★★★★★
CMS
19th
Risk %ile
Lower risk