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

22th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropWatch

56th national percentile — 16.3%

Contract staff shareElevated

89th national percentile — 15.3%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.49 vs expected 3.34 · +0.15 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

19 citations on file
F-0635
D
Provide doctor's orders for the resident's immediate care at the time th…
Minimal Harm

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Survey date: Apr 10, 2026 · Isolated — no actual harm with potential for more
F-0655
D
Create and put into place a plan for meeting the resident's most immedia…
Minimal Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey date: Aug 28, 2025 · Isolated — no actual harm with potential for more
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: Aug 28, 2025 · Isolated — no actual harm with potential for more
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: Aug 28, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 citations on file
F-0341
F
Install a fire alarm system that can be heard throughout the facility
Potential Harm

Install a fire alarm system that can be heard throughout the facility.

Survey date: Aug 28, 2025 · Widespread — no actual harm with potential for more
F-0351
F
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: Aug 28, 2025 · Widespread — no actual harm with potential for more
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Aug 28, 2025 · Widespread — no actual harm with potential for more
F-0241
F
Have correct number of accessible exits for each story
Potential Harm

Have correct number of accessible exits for each story.

Survey date: Feb 9, 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
SHADY LANE GLOUCESTER CO HOME
17.7 km · CLARKSBORO, NJ
★★★★★
CMS
16th
Risk %ile
Lower risk
AUTUMN LAKE HEALTHCARE AT VOORHEES
3.4 km · VOORHEES, NJ
★★★
CMS
26th
Risk %ile
Lower risk
MEDFORD LEAS
17.2 km · MEDFORD, NJ
★★★★★
CMS
30th
Risk %ile
Lower risk