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 — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropLow

16th national percentile — 10.9%

Contract staff shareElevated

84th national percentile — 11.2%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapWatch

Reported 3.68 vs expected 3.78 · −0.10 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

10 citations on file
F-0641
E
Ensure each resident receives an accurate assessment
Potential Harm

Ensure each resident receives an accurate assessment.

Survey date: May 22, 2025 · Pattern — no actual harm with potential for more
F-0761
D
Ensure drugs and biologicals used in the facility are labeled in accorda…
Minimal Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: May 22, 2025 · Isolated — no actual harm with potential for more
F-0812
E
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: May 22, 2025 · Pattern — no actual harm with potential for more
F-0842
D
Safeguard resident-identifiable information and/or maintain medical reco…
Minimal Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: May 22, 2025 · 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-0761
E
To conduct inspection, testing and maintenance of fire doors by qualifie…
Potential Harm

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Survey date: May 22, 2025 · Pattern — no actual harm with potential for more
F-0293
B
Have properly located and lighted "Exit" signs
No Harm

Have properly located and lighted "Exit" signs.

Survey date: Jun 28, 2024 · Pattern — no actual harm
F-0324
F
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Jun 28, 2024 · Widespread — 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: Jun 28, 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
LECOM AT ELMWOOD GARDENS, LLC
3.7 km · ERIE, PA
★★★★★
CMS
33th
Risk %ile
Lower risk
LECOM at Asbury Ridge dba Saint Mary's Asbury Ridg
5.3 km · ERIE, PA
★★★★★
CMS
37th
Risk %ile
Lower risk