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

ChronicityModerate

46th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

19 citations

Weekend staffing dropLow

28th national percentile — 12.7%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapWatch

Reported 4.50 vs expected 4.68 · −0.17 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

5 citations on file
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

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

Survey date: Sep 13, 2024 · Isolated — no actual harm with potential for more
F-0761
D
Ensure drugs and biologicals used in the facility are labeled in accorda…
Minimal Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: Sep 13, 2024 · Isolated — 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: Oct 20, 2023 · Isolated — no actual harm with potential for more
F-0610
D
Respond appropriately to all alleged violations
Minimal Harm

Respond appropriately to all alleged violations.

Survey date: Dec 8, 2022 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

19 citations on file
F-0225
E
Have stairways and smokeproof enclosures used as exits that meet safety …
Potential Harm

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Survey date: Sep 13, 2024 · Pattern — no actual harm with potential for more
F-0324
C
Provide properly protected cooking facilities
Minimal Harm

Provide properly protected cooking facilities.

Survey date: Sep 13, 2024 · Widespread — no actual harm
F-0363
F
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Sep 13, 2024 · Widespread — no actual harm with potential for more
F-0712
C
Have simulated fire drills held at unexpected times
Minimal Harm

Have simulated fire drills held at unexpected times.

Survey date: Sep 13, 2024 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
BARCLAY FRIENDS
16.5 km · WEST CHESTER, PA
★★★★
CMS
24th
Risk %ile
Lower risk
TEL HAI RETIREMENT COMMUNITY
9.5 km · HONEY BROOK, PA
★★★★★
CMS
28th
Risk %ile
Lower risk
GREEN MEADOWS NURSING & REHABILITATION CENTER
20.6 km · MALVERN, PA
★★★★★
CMS
28th
Risk %ile
Lower risk