7Risk Axes

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

How we calculate
SeverityElevated

74th national percentile — 7.7% high-severity citations

ChronicityLow

24th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropLow

2th national percentile — 5.5%

Contract staff shareWatch

57th national percentile — 1.6%

Clinical trendElevated

99th national percentile — 4/5 measures worsened

Staffing gapElevated

Reported 4.08 vs expected 4.99 · −0.91 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

26 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: Oct 24, 2025 · Isolated — no actual harm with potential for more
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Oct 24, 2025 · Isolated — no actual harm with potential for more
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: Oct 24, 2025 · Isolated — no actual harm with potential for more
F-0689
G
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: Oct 24, 2025 · Isolated — actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

9 citations on file
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Jan 11, 2024 · Widespread — no actual harm with potential for more
F-0311
E
Have an enclosure around a vertical opening shaft
Potential Harm

Have an enclosure around a vertical opening shaft.

Survey date: Jan 11, 2024 · Pattern — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Jan 11, 2024 · Pattern — 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

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

Survey date: Jan 11, 2024 · 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
WILLOWBROOKE COURT AT COUNTRY HOUSE
18.0 km · WILMINGTON, DE
★★★★★
CMS
16th
Risk %ile
Lower risk
WILLOWBROOKE COURT AT COKESBURY VILLAGE
13.0 km · HOCKESSIN, DE
★★★★★
CMS
21th
Risk %ile
Lower risk
EXCEPTIONAL CARE FOR CHILDREN
3.8 km · NEWARK, DE
★★★★★
CMS
27th
Risk %ile
Lower risk