7Risk Axes

National percentile · lower = less risk · staffing gap is context only (not in composite)

How we calculate
SeverityWatch

57th national percentile — 3.9% high-severity citations

ChronicityElevated

88th national percentile — 28 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

7 citations

Weekend staffing dropElevated

76th national percentile — 19.2%

Contract staff shareWatch

59th national percentile — 2.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.79 vs expected 3.34 · +0.45 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

76 citations on file
F-0949
E
Provide behavior health training consistent with the requirements and as…
Potential Harm

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Survey date: May 21, 2025 · Pattern — no actual harm with potential for more
F-0947
D
Ensure nurse aides have the skills they need to care for residents, and …
Minimal Harm

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Survey date: May 21, 2025 · Isolated — no actual harm with potential for more
F-0607
D
Develop and implement policies and procedures to prevent abuse, neglect,…
Minimal Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey date: May 21, 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: May 21, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

7 citations on file
F-0222
D
Add doors in an exit area that do not require the use of a key from the …
Minimal Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Dec 1, 2023 · Isolated — no actual harm with potential for more
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Apr 26, 2022 · Isolated — no actual harm with potential for more
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: Apr 26, 2022 · Pattern — no actual harm with potential for more
F-0325
F
Have properly installed hallway dispensers for alcohol-based hand rub
Potential Harm

Have properly installed hallway dispensers for alcohol-based hand rub.

Survey date: Mar 21, 2019 · 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
JOHNSON CNTR/FALCONS LANDING
18.3 km · POTOMAC FALLS, VA
★★★★★
CMS
29th
Risk %ile
Lower risk
HERITAGE HALL-LEESBURG
518 m · LEESBURG, VA
★★★★★
CMS
40th
Risk %ile
Similar risk
Potomac Falls Health & Rehab Center
18.9 km · STERLING, VA
★★★★
CMS
48th
Risk %ile
Similar risk