7Risk Axes

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

How we calculate
SeverityWatch

67th national percentile — 6.1% high-severity citations

ChronicityElevated

88th national percentile — 12 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

18 citations

Weekend staffing dropLow

16th national percentile — 10.9%

Contract staff shareElevated

91th national percentile — 18.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.28 vs expected 3.75 · −0.47 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

33 citations on file
F-0689
K
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Feb 4, 2026 · Pattern — immediate jeopardy
F-0835
E
Administer the facility in a manner that enables it to use its resources…
Potential Harm

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Survey date: Feb 4, 2026 · Pattern — 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: Dec 3, 2025 · Pattern — no actual harm with potential for more
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Sep 10, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

18 citations on file
F-0912
E
Have power receptacles that are properly grounded
Potential Harm

Have power receptacles that are properly grounded.

Survey date: Nov 15, 2024 · Pattern — no actual harm with potential for more
F-0004
C
Develop and maintain an Emergency Preparedness Program (EP)
Minimal Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Nov 15, 2024 · 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: Nov 15, 2024 · 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: Nov 15, 2024 · 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
REHABILITATION CENTER AT BRETHREN VILLAGE LLC
133 m · LANCASTER, PA
★★★★★
CMS
23th
Risk %ile
Lower risk
MAPLE FARM
10.0 km · AKRON, PA
★★★★★
CMS
23th
Risk %ile
Lower risk
GLEN AT WILLOW VALLEY
12.1 km · LANCASTER, PA
★★★★★
CMS
23th
Risk %ile
Lower risk