7Risk Axes

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

How we calculate
SeverityModerate

47th national percentile — 2.2% high-severity citations

ChronicityElevated

85th national percentile — 16 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

35 citations

Weekend staffing dropWatch

69th national percentile — 18.1%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 2.87 vs expected 3.28 · −0.41 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

46 citations on file
F-0686
D
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Minimal Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Dec 22, 2025 · Isolated — no actual harm with potential for more
F-0605
D
Prevent the use of unnecessary psychotropic medications or use medicatio…
Minimal Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey date: Dec 8, 2025 · Isolated — no actual harm with potential for more
F-0675
D
Honor each resident's preferences, choices, values and beliefs
Minimal Harm

Honor each resident's preferences, choices, values and beliefs.

Survey date: Dec 8, 2025 · Isolated — no actual harm with potential for more
F-0700
D
Try different approaches before using a bed rail
Minimal Harm

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Survey date: Dec 8, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

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

Meet other general requirements.

Survey date: Dec 8, 2025 · Widespread — no actual harm
F-0345
C
Have approved installation, maintenance and testing program for fire ala…
Minimal Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Dec 8, 2025 · Widespread — no actual harm
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Dec 8, 2025 · Widespread — no actual harm with potential for more
F-0372
F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Potential Harm

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Dec 8, 2025 · 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
EMBASSY OF HILLSDALE PARK
23.1 km · HILLSDALE, PA
★★★★
CMS
34th
Risk %ile
Lower risk