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

75th national percentile — 15 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

23 citations

Weekend staffing dropModerate

38th national percentile — 14.0%

Contract staff shareElevated

97th national percentile — 29.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 4.14 vs expected 4.00 · +0.14 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

50 citations on file
F-0580
D
Immediately tell the resident, the resident's doctor, and a family membe…
Minimal Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey date: Jul 2, 2025 · Isolated — no actual harm with potential for more
F-0812
F
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Jul 2, 2025 · Widespread — no actual harm with potential for more
F-0628
D
Provide the required documentation or notification related to the reside…
Minimal Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey date: Jul 2, 2025 · Isolated — no actual harm with potential for more
F-0690
E
Provide appropriate care for residents who are continent or incontinent …
Potential 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: Jul 2, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

23 citations on file
F-0006
C
Conduct risk assessment and an All-Hazards approach
Minimal Harm

Conduct risk assessment and an All-Hazards approach.

Survey date: Jul 2, 2025 · Widespread — no actual harm
F-0026
C
Establish roles under a Waiver declared by secretary
Minimal Harm

Establish roles under a Waiver declared by secretary.

Survey date: Jul 2, 2025 · Widespread — no actual harm
F-0037
C
Establish staff and initial training requirements
Minimal Harm

Establish staff and initial training requirements.

Survey date: Jul 2, 2025 · Widespread — no actual harm
F-0039
C
Conduct testing and exercise requirements
Minimal Harm

Conduct testing and exercise requirements.

Survey date: Jul 2, 2025 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
CONEMAUGH MEMORIAL MEDICAL CENTER TCU
22.1 km · JOHNSTOWN, PA
★★★★★
CMS
25th
Risk %ile
Lower risk
QUALITY LIFE SERVICES - WESTMONT
24.8 km · JOHNSTOWN, PA
★★★
CMS
46th
Risk %ile
Similar risk
RICHLAND NURSING AND REHAB
17.3 km · JOHNSTOWN, PA
★★★
CMS
47th
Risk %ile
Similar risk