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

ChronicityLow

24th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

13 citations

Weekend staffing dropLow

18th national percentile — 11.3%

Contract staff shareElevated

70th national percentile — 4.9%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 4.02 vs expected 4.50 · −0.48 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

17 citations on file
F-0578
D
Honor the resident's right to request, refuse, and/or discontinue treatm…
Minimal Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey date: Apr 30, 2026 · Isolated — no actual harm with potential for more
F-0686
D
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Minimal Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Apr 30, 2026 · Isolated — no actual harm with potential for more
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Apr 30, 2026 · Isolated — no actual harm with potential for more
F-0803
D
Ensure menus must meet the nutritional needs of residents, be prepared i…
Minimal Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey date: Apr 30, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

13 citations on file
F-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Jun 12, 2025 · Pattern — no actual harm with potential for more
F-0341
E
Install a fire alarm system that can be heard throughout the facility
Potential Harm

Install a fire alarm system that can be heard throughout the facility.

Survey date: Jun 12, 2025 · Pattern — no actual harm with potential for more
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Jun 12, 2025 · Pattern — 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: Jun 12, 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
CROSS KEYS VILLAGE-BRETHREN HOME COMMUNITY, THE
12.7 km · NEW OXFORD, PA
★★★★★
CMS
22th
Risk %ile
Lower risk