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

ChronicityElevated

78th national percentile — 6 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

12 citations

Weekend staffing dropLow

1th national percentile — 5.1%

Contract staff shareElevated

70th national percentile — 4.8%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapModerate

Reported 3.71 vs expected 3.75 · −0.04 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

19 citations on file
F-0558
D
Reasonably accommodate the needs and preferences of each resident
Minimal Harm

Reasonably accommodate the needs and preferences of each resident.

Survey date: Jan 16, 2026 · Isolated — no actual harm with potential for more
F-0554
D
Allow residents to self-administer drugs if determined clinically approp…
Minimal Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey date: Jan 16, 2026 · Isolated — no actual harm with potential for more
F-0584
E
Honor the resident's right to a safe, clean, comfortable and homelike en…
Potential Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey date: Jan 16, 2026 · Pattern — no actual harm with potential for more
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Jan 16, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

12 citations on file
F-0100
C
Meet other general requirements
Minimal Harm

Meet other general requirements.

Survey date: Jan 16, 2026 · Widespread — no actual harm
F-0541
E
Install properly constructed and protected linen or trash chutes
Potential Harm

Install properly constructed and protected linen or trash chutes.

Survey date: Jan 16, 2026 · Pattern — no actual harm with potential for more
F-0911
E
Meet requirements for the installation and maintenance of electrical sys…
Potential Harm

Meet requirements for the installation and maintenance of electrical systems.

Survey date: Jan 16, 2026 · Pattern — no actual harm with potential for more
F-0211
E
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Potential Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Dec 12, 2024 · 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
16.3 km · SOUTHAMPTON, PA
★★★★★
CMS
17th
Risk %ile
Lower risk
WILLOWBROOKE CTSKDCARECTR AT FORTWASHINGTONESTATES
18.5 km · FORT WASHINGTON, PA
★★★★★
CMS
17th
Risk %ile
Lower risk
WILLOWBROOKE CTSKDCARECTR ATNORMANDY FARMS ESTATES
19.7 km · BLUE BELL, PA
★★★★★
CMS
19th
Risk %ile
Lower risk