7Risk Axes

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

How we calculate
SeverityElevated

76th national percentile — 8.3% high-severity citations

ChronicityWatch

69th national percentile — 10 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

3 citations

Weekend staffing dropLow

15th national percentile — 10.7%

Contract staff shareElevated

76th national percentile — 7.2%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.17 vs expected 3.47 · −0.31 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

36 citations on file
F-0760
G
Ensure that residents are free from significant medication errors
Actual Harm

Ensure that residents are free from significant medication errors.

Survey date: Mar 31, 2026 · Isolated — actual harm
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: Jul 25, 2025 · Isolated — no actual harm with potential for more
F-0692
D
Provide enough food/fluids to maintain a resident's health
Minimal Harm

Provide enough food/fluids to maintain a resident's health.

Survey date: Jul 25, 2025 · 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: Jul 25, 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-0004
C
Develop and maintain an Emergency Preparedness Program (EP)
Minimal Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Jul 25, 2025 · Widespread — no actual harm
F-0006
F
Conduct risk assessment and an All-Hazards approach
Potential Harm

Conduct risk assessment and an All-Hazards approach.

Survey date: Jul 25, 2025 · Widespread — no actual harm with potential for more
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Dec 17, 2024 · 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
18.5 km · LANCASTER, PA
★★★★★
CMS
23th
Risk %ile
Lower risk
GLEN AT WILLOW VALLEY
19.6 km · LANCASTER, PA
★★★★★
CMS
23th
Risk %ile
Lower risk
LAKESIDE AT WILLOW VALLEY
21.0 km · WILLOW STREET, PA
★★★★★
CMS
27th
Risk %ile
Lower risk