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 — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropElevated

78th national percentile — 19.6%

Contract staff shareElevated

82th national percentile — 9.9%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 5.18 vs expected 5.01 · +0.18 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

20 citations on file
F-0842
D
Safeguard resident-identifiable information and/or maintain medical reco…
Minimal Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: May 28, 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: Apr 16, 2025 · Isolated — no actual harm with potential for more
F-0684
E
Provide appropriate treatment and care according to orders, resident’s p…
Potential Harm

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

Survey date: Apr 16, 2025 · Pattern — no actual harm with potential for more
F-0690
D
Provide appropriate care for residents who are continent or incontinent …
Minimal Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey date: Apr 16, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 citations on file
F-0131
F
Meet requirements for sections of health care facilities separated by fi…
Potential Harm

Meet requirements for sections of health care facilities separated by fire resistive construction.

Survey date: May 23, 2024 · Widespread — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: May 23, 2024 · Pattern — no actual harm with potential for more
F-0324
E
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Jun 8, 2023 · 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: Jun 8, 2023 · 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
CONEMAUGH MEMORIAL MEDICAL CENTER TCU
8.4 km · JOHNSTOWN, PA
★★★★★
CMS
25th
Risk %ile
Lower risk
QUALITY LIFE SERVICES - WESTMONT
6.9 km · JOHNSTOWN, PA
★★★
CMS
46th
Risk %ile
Similar risk
RICHLAND NURSING AND REHAB
6.9 km · JOHNSTOWN, PA
★★★
CMS
47th
Risk %ile
Similar risk