7Risk Axes

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

How we calculate
SeverityElevated

81th national percentile — 10.3% high-severity citations

ChronicityElevated

77th national percentile — 12 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

6 citations

Weekend staffing dropLow

10th national percentile — 9.6%

Contract staff shareWatch

59th national percentile — 2.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.53 vs expected 3.25 · +0.28 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

39 citations on file
F-0657
E
Develop the complete care plan within 7 days of the comprehensive assess…
Potential 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: Feb 27, 2025 · Pattern — no actual harm with potential for more
F-0757
D
Ensure each resident’s drug regimen must be free from unnecessary drugs
Minimal Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey date: Oct 3, 2024 · Isolated — 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: Oct 3, 2024 · Isolated — no actual harm with potential for more
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Oct 3, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

6 citations on file
F-0761
C
To conduct inspection, testing and maintenance of fire doors by qualifie…
Minimal Harm

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

Survey date: Oct 3, 2024 · Widespread — no actual harm
F-0100
C
Meet other general requirements
Minimal Harm

Meet other general requirements.

Survey date: May 6, 2024 · Widespread — no actual harm
F-0291
F
Install emergency lighting that can last at least 1 1/2 hours
Potential Harm

Install emergency lighting that can last at least 1 1/2 hours.

Survey date: May 6, 2024 · Widespread — no actual harm with potential for more
F-0353
C
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: May 6, 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 SKD CARE CENTER AT LIMA ESTATES
15.7 km · LIMA, PA
★★★★★
CMS
13th
Risk %ile
Lower risk
WILLOWBROOKE COURT-GRANITE
15.0 km · MEDIA, PA
★★★★★
CMS
16th
Risk %ile
Lower risk
WILLOWBROOKE COURT AT COUNTRY HOUSE
16.9 km · WILMINGTON, DE
★★★★★
CMS
16th
Risk %ile
Lower risk