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

ChronicityModerate

46th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropElevated

90th national percentile — 22.3%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapAligned

Reported 5.07 vs expected 4.93 · +0.14 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

5 citations on file
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Dec 24, 2025 · Isolated — no actual harm with potential for more
F-0697
D
Provide safe, appropriate pain management for a resident who requires su…
Minimal Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey date: Dec 24, 2025 · Isolated — no actual harm with potential for more
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: Dec 24, 2025 · Isolated — no actual harm with potential for more
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: Dec 7, 2023 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

4 citations on file
F-0223
E
Provide exit doors that are held open by devices that will automatically…
Potential Harm

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Survey date: Nov 6, 2024 · Pattern — no actual harm with potential for more
F-0541
E
Install properly constructed and protected linen or trash chutes
Potential Harm

Install properly constructed and protected linen or trash chutes.

Survey date: Nov 6, 2024 · Pattern — no actual harm with potential for more
F-0912
E
Have power receptacles that are properly grounded
Potential Harm

Have power receptacles that are properly grounded.

Survey date: Feb 10, 2023 · Pattern — no actual harm with potential for more
F-0932
F
Meet other general requirements
Potential Harm

Meet other general requirements.

Survey date: Feb 10, 2023 · 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
REHABILITATION CENTER AT BRETHREN VILLAGE LLC
14.4 km · LANCASTER, PA
★★★★★
CMS
23th
Risk %ile
Lower risk
GLEN AT WILLOW VALLEY
14.6 km · LANCASTER, PA
★★★★★
CMS
23th
Risk %ile
Lower risk
MAPLE FARM
24.3 km · AKRON, PA
★★★★★
CMS
23th
Risk %ile
Lower risk