7Risk Axes

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

How we calculate
SeverityModerate

45th national percentile — 1.3% high-severity citations

ChronicityElevated

87th national percentile — 28 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropModerate

36th national percentile — 13.8%

Contract staff shareElevated

83th national percentile — 10.6%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 3.44 vs expected 3.79 · −0.35 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

78 citations on file
F-0740
D
Ensure each resident must receive and the facility must provide necessar…
Minimal Harm

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Survey date: Jan 30, 2026 · Isolated — no actual harm with potential for more
F-0908
D
Keep all essential equipment working safely
Minimal Harm

Keep all essential equipment working safely.

Survey date: Aug 29, 2024 · Isolated — no actual harm with potential for more
F-0941
F
Develop, implement, and/or maintain an effective training program that i…
Potential Harm

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Survey date: Aug 29, 2024 · Widespread — no actual harm with potential for more
F-0942
F
Ensure that staff members are educated on resident rights and facility r…
Potential Harm

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Survey date: Aug 29, 2024 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

9 citations on file
F-0039
F
Conduct testing and exercise requirements
Potential Harm

Conduct testing and exercise requirements.

Survey date: Aug 29, 2024 · Widespread — no actual harm with potential for more
F-0223
F
Provide exit doors that are held open by devices that will automatically…
Potential Harm

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Survey date: Aug 29, 2024 · Widespread — no actual harm with potential for more
F-0347
F
Properly provide smoke detection systems in areas open to corridors
Potential Harm

Properly provide smoke detection systems in areas open to corridors.

Survey date: Aug 29, 2024 · Widespread — no actual harm with potential for more
F-0351
D
Install an approved automatic sprinkler system
Minimal Harm

Install an approved automatic sprinkler system.

Survey date: Aug 29, 2024 · Isolated — 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 CT SKILLED CARE BUCKINGHAM'S CHOICE
12.7 km · ADAMSTOWN, MD
★★★★★
CMS
32th
Risk %ile
Lower risk
LORIEN HEALTH SYSTEMS MT AIRY
22.5 km · MOUNT AIRY, MD
★★★★★
CMS
40th
Risk %ile
Similar risk
Fahrney-Keedy Memorial Home
24.7 km · BOONSBORO, MD
★★★★★
CMS
44th
Risk %ile
Similar risk