7Risk Axes

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

How we calculate
SeverityWatch

63th national percentile — 5.1% high-severity citations

ChronicityModerate

48th national percentile — 8 repeat citations

Staffing integrityClean

None on file

Fire safetyMinor

2 citations

Weekend staffing dropLow

19th national percentile — 11.4%

Contract staff shareElevated

89th national percentile — 15.9%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapElevated

Reported 2.77 vs expected 3.29 · −0.52 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

39 citations on file
F-0740
D
Ensure each resident must receive and the facility must provide necessar…
Minimal Harm

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Survey date: Feb 13, 2026 · Isolated — no actual harm with potential for more
F-0680
E
Ensure the activities program is directed by a qualified professional
Potential Harm

Ensure the activities program is directed by a qualified professional.

Survey date: Dec 18, 2025 · Pattern — 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: Dec 3, 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: Aug 6, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

2 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: Apr 25, 2025 · Widespread — no actual harm
F-0006
C
Conduct risk assessment and an All-Hazards approach
Minimal Harm

Conduct risk assessment and an All-Hazards approach.

Survey date: Mar 15, 2024 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
GLEN AT WILLOW VALLEY
5.5 km · LANCASTER, PA
★★★★★
CMS
23th
Risk %ile
Lower risk
REHABILITATION CENTER AT BRETHREN VILLAGE LLC
6.8 km · LANCASTER, PA
★★★★★
CMS
23th
Risk %ile
Lower risk
MAPLE FARM
14.8 km · AKRON, PA
★★★★★
CMS
23th
Risk %ile
Lower risk