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

ChronicityWatch

56th national percentile — 6 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

7 citations

Weekend staffing dropLow

24th national percentile — 12.2%

Contract staff shareElevated

83th national percentile — 10.9%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.55 vs expected 3.44 · +0.10 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

26 citations on file
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Apr 17, 2026 · 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: Apr 17, 2026 · Isolated — no actual harm with potential for more
F-0698
D
Provide safe, appropriate dialysis care/services for a resident who requ…
Minimal Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey date: Apr 17, 2026 · Isolated — no actual harm with potential for more
F-0759
E
Ensure medication error rates are not 5 percent or greater
Potential Harm

Ensure medication error rates are not 5 percent or greater.

Survey date: Apr 17, 2026 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

7 citations on file
F-0918
F
Have generator or other power source capable of supplying service within…
Potential Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Apr 17, 2026 · Widespread — no actual harm with potential for more
F-0362
E
Ensure that corridors are separated from use areas by walls constructed …
Potential Harm

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Survey date: May 9, 2025 · 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: May 9, 2025 · Pattern — no actual harm with potential for more
F-0929
E
Ensure precautions for handling oxygen cylinders and equipment are corre…
Potential Harm

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Survey date: May 9, 2025 · 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
BROOKLINE NURSING AND REHAB
17.8 km · MIFFLINTOWN, PA
★★★★
CMS
32th
Risk %ile
Lower risk