7Risk Axes

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

How we calculate
SeverityModerate

45th national percentile — 1.6% high-severity citations

ChronicityElevated

92th national percentile — 25 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

16 citations

Weekend staffing dropLow

28th national percentile — 12.8%

Contract staff shareWatch

52th national percentile — 1.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 3.41 vs expected 2.78 · +0.63 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

63 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: Apr 9, 2026 · Isolated — no actual harm with potential for more
F-0677
D
Provide care and assistance to perform activities of daily living for an…
Minimal Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey date: Apr 9, 2026 · 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: Apr 9, 2026 · 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: Apr 9, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

16 citations on file
F-0211
F
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: Apr 9, 2026 · Widespread — no actual harm with potential for more
F-0374
E
Install smoke barrier doors that can resist smoke for at least 20 minute…
Potential Harm

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Survey date: Apr 9, 2026 · 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: Apr 24, 2025 · Pattern — no actual harm with potential for more
F-0511
E
Have properly installed electrical wiring and gas equipment
Potential Harm

Have properly installed electrical wiring and gas equipment.

Survey date: Apr 24, 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-SOUTHAMPTON
13.8 km · SOUTHAMPTON, PA
★★★★★
CMS
17th
Risk %ile
Lower risk
WILLOWBROOKE CTSKDCARECTR AT FORTWASHINGTONESTATES
16.3 km · FORT WASHINGTON, PA
★★★★★
CMS
17th
Risk %ile
Lower risk
WILLOWBROOKE CTSKDCARECTR ATNORMANDY FARMS ESTATES
24.6 km · BLUE BELL, PA
★★★★★
CMS
19th
Risk %ile
Lower risk