7Risk Axes

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

How we calculate
SeverityLow

22th national percentile — 0.0% high-severity citations

ChronicityModerate

36th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

6 citations

Weekend staffing dropLow

14th national percentile — 10.4%

Contract staff shareElevated

88th national percentile — 14.2%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 3.52 vs expected 3.45 · +0.07 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

6 citations on file
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Jun 13, 2025 · Isolated — 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: Jun 13, 2025 · Isolated — no actual harm with potential for more
F-0757
D
Ensure each resident’s drug regimen must be free from unnecessary drugs
Minimal Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey date: Jun 13, 2025 · Isolated — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: Jul 11, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

6 citations on file
F-0030
C
List the names and contact information of those in the facility
Minimal Harm

List the names and contact information of those in the facility.

Survey date: Jun 13, 2025 · Widespread — no actual harm
F-0325
E
Have properly installed hallway dispensers for alcohol-based hand rub
Potential Harm

Have properly installed hallway dispensers for alcohol-based hand rub.

Survey date: Jun 13, 2025 · Pattern — no actual harm with potential for more
F-0761
C
To conduct inspection, testing and maintenance of fire doors by qualifie…
Minimal Harm

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Survey date: Jun 13, 2025 · Widespread — no actual harm
F-0918
C
Have generator or other power source capable of supplying service within…
Minimal Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Jun 13, 2025 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
WILLOWBROOKE COURT AT COUNTRY HOUSE
23.2 km · WILMINGTON, DE
★★★★★
CMS
16th
Risk %ile
Lower risk
WILLOWBROOKE COURT AT COKESBURY VILLAGE
19.0 km · HOCKESSIN, DE
★★★★★
CMS
21th
Risk %ile
Lower risk
EXCEPTIONAL CARE FOR CHILDREN
21.3 km · NEWARK, DE
★★★★★
CMS
27th
Risk %ile
Lower risk