7Risk Axes

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

How we calculate
SeverityWatch

67th national percentile — 6.0% high-severity citations

ChronicityElevated

91th national percentile — 26 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

3 citations

Weekend staffing dropModerate

31th national percentile — 13.1%

Contract staff shareElevated

81th national percentile — 9.4%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapModerate

Reported 3.83 vs expected 3.85 · −0.01 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

67 citations on file
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: Dec 3, 2025 · Isolated — no actual harm with potential for more
F-0585
D
Honor the resident's right to voice grievances without discrimination or…
Minimal Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey date: Dec 3, 2025 · Isolated — no actual harm with potential for more
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: Dec 3, 2025 · Isolated — no actual harm with potential for more
F-0695
E
Provide safe and appropriate respiratory care for a resident when needed…
Potential Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Nov 17, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

3 citations on file
F-0374
E
Install smoke barrier doors that can resist smoke for at least 20 minute…
Potential Harm

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Survey date: Jan 5, 2024 · Pattern — no actual harm with potential for more
F-0037
D
Establish staff and initial training requirements
Minimal Harm

Establish staff and initial training requirements.

Survey date: Jan 5, 2024 · Isolated — no actual harm with potential for more
F-0374
E
Install smoke barrier doors that can resist smoke for at least 20 minute…
Potential Harm↻ Repeat

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Survey date: Jun 28, 2022 · 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
POLARIS HEALTHCARE AND REHABILITATION CENTER
612 m · MILFORD, DE
★★
CMS
51th
Risk %ile
Similar risk
DELAWARE VETERANS HOME
3.4 km · MILFORD, DE
★★★★
CMS
62th
Risk %ile
Similar risk