7Risk Axes

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

How we calculate
SeverityWatch

57th national percentile — 4.0% high-severity citations

ChronicityLow

25th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

12 citations

Weekend staffing dropModerate

46th national percentile — 15.0%

Contract staff shareWatch

51th national percentile — 0.9%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 5.51 vs expected 4.00 · +1.51 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

25 citations on file
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Aug 19, 2025 · Isolated — no actual harm with potential for more
F-0755
D
Provide pharmaceutical services to meet the needs of each resident and e…
Minimal Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey date: Aug 19, 2025 · Isolated — no actual harm with potential for more
F-0582
D
Give residents notice of Medicaid/Medicare coverage and potential liabil…
Minimal Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey date: May 15, 2025 · Isolated — no actual harm with potential for more
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal Harm↻ Repeat

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: May 15, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

12 citations on file
F-0004
C
Develop and maintain an Emergency Preparedness Program (EP)
Minimal Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: May 15, 2025 · Widespread — no actual harm
F-0018
C
Establish procedures for tracking staff and patients during an emergency…
Minimal Harm

Establish procedures for tracking staff and patients during an emergency.

Survey date: May 15, 2025 · Widespread — no actual harm
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: May 15, 2025 · Pattern — no actual harm with potential for more
F-0923
E
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: May 15, 2025 · 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
WILLOWBROOKE COURT SKD CARE CENTER AT LIMA ESTATES
21.9 km · LIMA, PA
★★★★★
CMS
13th
Risk %ile
Lower risk
SHADY LANE GLOUCESTER CO HOME
18.3 km · CLARKSBORO, NJ
★★★★★
CMS
16th
Risk %ile
Lower risk
WILLOWBROOKE COURT-GRANITE
22.1 km · MEDIA, PA
★★★★★
CMS
16th
Risk %ile
Lower risk