7Risk Axes

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

How we calculate
SeverityElevated

70th national percentile — 6.7% high-severity citations

ChronicityLow

14th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

14 citations

Weekend staffing dropModerate

34th national percentile — 13.6%

Contract staff shareElevated

84th national percentile — 11.6%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.71 vs expected 3.70 · +0.01 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

15 citations on file
F-0550
D
Honor the resident's right to a dignified existence, self-determination,…
Minimal Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey date: Feb 3, 2025 · Isolated — no actual harm with potential for more
F-0584
D
Honor the resident's right to a safe, clean, comfortable and homelike en…
Minimal 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: Feb 3, 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: Feb 3, 2025 · Isolated — no actual harm with potential for more
F-0658
E
Ensure services provided by the nursing facility meet professional stand…
Potential Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey date: Feb 3, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

14 citations on file
F-0271
F
Have exits that are accessible at all times
Potential Harm

Have exits that are accessible at all times.

Survey date: Feb 3, 2025 · Widespread — no actual harm with potential for more
F-0300
F
Meet other general requirements that are deficient
Potential Harm

Meet other general requirements that are deficient.

Survey date: Feb 3, 2025 · Widespread — no actual harm with potential for more
F-0321
F
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: Feb 3, 2025 · Widespread — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Feb 3, 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
LANGHORNE GARDENS HEALTH & REHABILITATION CENTER
22.1 km · LANGHORNE, PA
★★★★
CMS
31th
Risk %ile
Lower risk
Pickering Manor Home
22.9 km · NEWTOWN, PA
★★★★
CMS
32th
Risk %ile
Lower risk
CHANDLER HALL HEALTH SERVICES
23.9 km · NEWTOWN, PA
★★★★★
CMS
33th
Risk %ile
Lower risk