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

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropLow

16th national percentile — 10.8%

Contract staff shareElevated

76th national percentile — 7.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.90 vs expected 4.45 · −0.55 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

12 citations on file
F-0552
D
Ensure that residents are fully informed and understand their health sta…
Minimal Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey date: Aug 30, 2025 · Isolated — no actual harm with potential for more
F-0565
E
Honor the resident's right to organize and participate in resident/famil…
Potential Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey date: Aug 30, 2025 · Pattern — no actual harm with potential for more
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: Aug 30, 2025 · Pattern — no actual harm with potential for more
F-0607
D
Develop and implement policies and procedures to prevent abuse, neglect,…
Minimal Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey date: Aug 30, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0211
E
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Potential Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Aug 30, 2025 · 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: Aug 30, 2025 · Pattern — no actual harm with potential for more
F-0521
F
Ensure heating and ventilation systems that have been properly installed…
Potential Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Aug 30, 2025 · Widespread — 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 10, 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
GLEN AT WILLOW VALLEY
16.2 km · LANCASTER, PA
★★★★★
CMS
23th
Risk %ile
Lower risk
LAKESIDE AT WILLOW VALLEY
14.4 km · WILLOW STREET, PA
★★★★★
CMS
27th
Risk %ile
Lower risk