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

ChronicityWatch

67th national percentile — 7 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

13 citations

Weekend staffing dropLow

8th national percentile — 9.1%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapModerate

Reported 3.64 vs expected 3.67 · −0.03 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

26 citations on file
F-0684
J
Provide appropriate treatment and care according to orders, resident’s p…
Actual Harm

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

Survey date: Oct 6, 2025 · Isolated — immediate jeopardy
F-0689
J
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 6, 2025 · Isolated — immediate jeopardy
F-0605
E
Prevent the use of unnecessary psychotropic medications or use medicatio…
Potential Harm

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

Survey date: Jun 5, 2025 · Pattern — no actual harm with potential for more
F-0641
E
Ensure each resident receives an accurate assessment
Potential Harm

Ensure each resident receives an accurate assessment.

Survey date: Jun 5, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

13 citations on file
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Jun 5, 2025 · Pattern — no actual harm with potential for more
F-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Jul 3, 2024 · Pattern — no actual harm with potential for more
F-0345
E
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

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

Survey date: Jul 3, 2024 · Pattern — no actual harm with potential for more
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Jul 3, 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
MENNO HAVEN REHABILITATION CENTER
17.4 km · CHAMBERSBURG, PA
★★★★★
CMS
31th
Risk %ile
Lower risk
SPIRITRUST LUTHERAN THE VILLAGE AT GETTYSBURG
19.9 km · GETTYSBURG, PA
★★★★
CMS
38th
Risk %ile
Lower risk
GARDENS AT GETTYSBURG, THE
17.0 km · GETTYSBURG, PA
★★★
CMS
39th
Risk %ile
Lower risk