7Risk Axes

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

How we calculate
SeverityWatch

66th national percentile — 5.9% high-severity citations

ChronicityElevated

86th national percentile — 12 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

3 citations

Weekend staffing dropWatch

58th national percentile — 16.5%

Contract staff shareElevated

98th national percentile — 33.3%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 5.41 vs expected 4.68 · +0.73 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

34 citations on file
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: Aug 14, 2024 · Isolated — no actual harm with potential for more
F-0756
D
Ensure a licensed pharmacist perform a monthly drug regimen review, incl…
Minimal Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey date: Aug 14, 2024 · Isolated — no actual harm with potential for more
F-0610
D
Respond appropriately to all alleged violations
Minimal Harm

Respond appropriately to all alleged violations.

Survey date: Aug 14, 2024 · Isolated — no actual harm with potential for more
F-0740
J
Ensure each resident must receive and the facility must provide necessar…
Actual Harm

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

Survey date: Feb 6, 2024 · Isolated — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

3 citations on file
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Apr 23, 2021 · Pattern — no actual harm with potential for more
F-0918
F
Have generator or other power source capable of supplying service within…
Potential Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Apr 23, 2021 · Widespread — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm↻ Repeat

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Sep 13, 2019 · Widespread — 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
STERLING CARE HILLHAVEN
17.4 km · ADELPHI, MD
★★★★★
CMS
19th
Risk %ile
Lower risk
AUTUMN LAKE HEALTHCARE AT SILVER SPRING
19.6 km · SILVER SPRING, MD
★★★
CMS
23th
Risk %ile
Lower risk
JEANNE JUGAN RESIDENCE
9.2 km · WASHINGTON, DC
★★★★★
CMS
24th
Risk %ile
Lower risk