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

30th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropLow

22th national percentile — 12.0%

Contract staff shareElevated

89th national percentile — 16.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 3.38 vs expected 3.27 · +0.10 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

14 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, 2026 · 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: Apr 30, 2026 · Isolated — no actual harm with potential for more
F-0812
F
Procure food from sources approved or considered satisfactory and store,…
Potential 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, 2026 · Widespread — no actual harm with potential for more
F-0580
D
Immediately tell the resident, the resident's doctor, and a family membe…
Minimal Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

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

Use approved construction type or materials.

Survey date: Apr 30, 2026 · 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: Apr 30, 2026 · Pattern — no actual harm with potential for more
F-0100
C
Meet other general requirements
Minimal Harm

Meet other general requirements.

Survey date: Mar 7, 2025 · Widespread — no actual harm
F-0324
C
Provide properly protected cooking facilities
Minimal Harm

Provide properly protected cooking facilities.

Survey date: Mar 7, 2025 · 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 AT COUNTRY HOUSE
18.5 km · WILMINGTON, DE
★★★★★
CMS
16th
Risk %ile
Lower risk
WILLOWBROOKE COURT AT COKESBURY VILLAGE
15.5 km · HOCKESSIN, DE
★★★★★
CMS
21th
Risk %ile
Lower risk
BARCLAY FRIENDS
21.4 km · WEST CHESTER, PA
★★★★
CMS
24th
Risk %ile
Lower risk