7Risk Axes

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

How we calculate
SeverityWatch

50th national percentile — 2.7% high-severity citations

ChronicityModerate

43th national percentile — 7 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

3 citations

Weekend staffing dropLow

22th national percentile — 12.0%

Contract staff shareElevated

76th national percentile — 7.2%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapModerate

Reported 3.51 vs expected 3.59 · −0.09 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

37 citations on file
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal 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 12, 2026 · Isolated — no actual harm with potential for more
F-0584
E
Honor the resident's right to a safe, clean, comfortable and homelike en…
Potential Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey date: Jan 21, 2026 · Pattern — no actual harm with potential for more
F-0636
E
Assess the resident completely in a timely manner when first admitted, …
Potential Harm

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey date: Nov 20, 2025 · Pattern — no actual harm with potential for more
F-0645
D
PASARR screening for Mental disorders or Intellectual Disabilities
Minimal Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey date: Nov 20, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

3 citations on file
F-0007
B
Address patient/client population and determine types of services needed…
No Harm

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

Survey date: Jan 24, 2025 · Pattern — no actual harm
F-0034
B
Provide a means of sharing information on occupancy/needs
No Harm

Provide a means of sharing information on occupancy/needs.

Survey date: Jan 24, 2025 · Pattern — no actual harm
F-0004
C
Develop and maintain an Emergency Preparedness Program (EP)
Minimal Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Mar 8, 2024 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
WILLOWBROOKE COURT-SOUTHAMPTON
9.7 km · SOUTHAMPTON, PA
★★★★★
CMS
17th
Risk %ile
Lower risk
WILLOWBROOKE CTSKDCARECTR AT FORTWASHINGTONESTATES
16.6 km · FORT WASHINGTON, PA
★★★★★
CMS
17th
Risk %ile
Lower risk
HRH TRANSITIONAL CARE UNIT(A D/B/A ENTITY OF HRHS)
5.9 km · MEADOWBROOK, PA
★★★★★
CMS
20th
Risk %ile
Lower risk