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

30th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropElevated

71th national percentile — 18.4%

Contract staff shareWatch

56th national percentile — 1.5%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 6.25 vs expected 7.45 · −1.20 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

14 citations on file
F-0880
F
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Mar 21, 2024 · Widespread — no actual harm with potential for more
F-0943
D
Give their staff education on dementia care, and what abuse, neglect, an…
Minimal Harm

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Survey date: Mar 21, 2024 · Isolated — no actual harm with potential for more
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: Mar 21, 2024 · Isolated — no actual harm with potential for more
F-0623
C
Provide timely notification to the resident, and if applicable to the re…
Minimal Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey date: Oct 27, 2022 · Widespread — no actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 citations on file
F-0037
D
Establish staff and initial training requirements
Minimal Harm

Establish staff and initial training requirements.

Survey date: Mar 21, 2024 · Isolated — no actual harm with potential for more
F-0345
F
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: Oct 27, 2022 · Widespread — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Oct 27, 2022 · Widespread — no actual harm with potential for more
F-0355
F
Properly select, install, inspect, or maintain portable fire extinguishe…
Potential Harm

Properly select, install, inspect, or maintain portable fire extinguishes.

Survey date: Oct 27, 2022 · Widespread — 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 AT COUNTRY HOUSE
16.5 km · WILMINGTON, DE
★★★★★
CMS
16th
Risk %ile
Lower risk
WILLOWBROOKE COURT AT COKESBURY VILLAGE
12.6 km · HOCKESSIN, DE
★★★★★
CMS
21th
Risk %ile
Lower risk
EXCEPTIONAL CARE FOR CHILDREN
6.0 km · NEWARK, DE
★★★★★
CMS
27th
Risk %ile
Lower risk