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

ChronicityLow

12th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

16 citations

Weekend staffing dropElevated

95th national percentile — 24.5%

Contract staff shareElevated

91th national percentile — 17.5%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 4.43 vs expected 3.99 · +0.44 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

26 citations on file
F-0568
E
Properly hold, secure, and manage each resident's personal money which i…
Potential Harm

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Survey date: Dec 13, 2024 · Pattern — no actual harm with potential for more
F-0758
E
Implement gradual dose reductions(GDR) and non-pharmacological intervent…
Potential Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey date: Dec 13, 2024 · Pattern — no actual harm with potential for more
F-0582
D
Give residents notice of Medicaid/Medicare coverage and potential liabil…
Minimal Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey date: Dec 13, 2024 · Isolated — no actual harm with potential for more
F-0887
E
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 …
Potential Harm

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Survey date: Dec 13, 2024 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

16 citations on file
F-0225
E
Have stairways and smokeproof enclosures used as exits that meet safety …
Potential Harm

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Survey date: Dec 13, 2024 · Pattern — no actual harm with potential for more
F-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Dec 13, 2024 · Pattern — 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: Dec 13, 2024 · 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: Dec 13, 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
BROAD ACRES HEALTH AND REHABILITATION
2.4 km · WELLSBORO, PA
★★★★
CMS
42th
Risk %ile
Similar risk