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

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropModerate

40th national percentile — 14.2%

Contract staff shareWatch

62th national percentile — 2.7%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 4.01 vs expected 4.63 · −0.62 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

10 citations on file
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 30, 2025 · 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, 2025 · Isolated — no actual harm with potential for more
F-0804
D
Ensure food and drink is palatable, attractive, and at a safe and appeti…
Minimal Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey date: Apr 30, 2025 · Isolated — no actual harm with potential for more
F-0812
D
Procure food from sources approved or considered satisfactory and store,…
Minimal Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Apr 30, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 citations on file
F-0161
E
Use approved construction type or materials
Potential Harm

Use approved construction type or materials.

Survey date: Apr 30, 2025 · Pattern — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Apr 30, 2025 · Pattern — no actual harm with potential for more
F-0754
E
Provide properly sized and located linen or trash receptacles
Potential Harm

Provide properly sized and located linen or trash receptacles.

Survey date: Apr 30, 2025 · Pattern — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm↻ Repeat

Inspect, test, and maintain automatic sprinkler systems.

Survey date: May 16, 2024 · 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
19.7 km · NEW OXFORD, PA
★★★★★
CMS
22th
Risk %ile
Lower risk