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

ChronicityElevated

80th national percentile — 9 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

14 citations

Weekend staffing dropLow

14th national percentile — 10.5%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 5.29 vs expected 5.73 · −0.44 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

28 citations on file
F-0882
F
Designate a qualified infection preventionist to be responsible for the …
Potential Harm

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Survey date: Mar 23, 2023 · Widespread — no actual harm with potential for more
F-0655
D
Create and put into place a plan for meeting the resident's most immedia…
Minimal Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey date: Mar 23, 2023 · Isolated — no actual harm with potential for more
F-0625
D
Notify the resident or the resident’s representative in writing how long…
Minimal Harm

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Survey date: Mar 23, 2023 · Isolated — no actual harm with potential for more
F-0656
E
Develop and implement a complete care plan that meets all the resident's…
Potential 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: Mar 23, 2023 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

14 citations on file
F-0007
F
Address patient/client population and determine types of services needed…
Potential Harm

Address patient/client population and determine types of services needed.

Survey date: Mar 23, 2023 · Widespread — no actual harm with potential for more
F-0035
C
Provide family notifications of emergency plan
Minimal Harm

Provide family notifications of emergency plan.

Survey date: Mar 23, 2023 · Widespread — no actual harm
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Mar 23, 2023 · Isolated — no actual harm with potential for more
F-0293
D
Have properly located and lighted "Exit" signs
Minimal Harm

Have properly located and lighted "Exit" signs.

Survey date: Sep 23, 2021 · Isolated — 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
THE VILLAGE AT ORCHARD RIDGE
3.1 km · WINCHESTER, VA
★★★★★
CMS
19th
Risk %ile
Lower risk