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

ChronicityElevated

88th national percentile — 26 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

16 citations

Weekend staffing dropWatch

67th national percentile — 17.9%

Contract staff shareElevated

80th national percentile — 9.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapModerate

Reported 3.30 vs expected 3.32 · −0.02 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

71 citations on file
F-0755
E
Provide pharmaceutical services to meet the needs of each resident and e…
Potential Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey date: Sep 11, 2025 · Pattern — no actual harm with potential for more
F-0580
E
Immediately tell the resident, the resident's doctor, and a family membe…
Potential 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: Sep 11, 2025 · Pattern — no actual harm with potential for more
F-0558
D
Reasonably accommodate the needs and preferences of each resident
Minimal Harm

Reasonably accommodate the needs and preferences of each resident.

Survey date: Sep 11, 2025 · 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: Sep 11, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

16 citations on file
F-0037
D
Establish staff and initial training requirements
Minimal Harm

Establish staff and initial training requirements.

Survey date: Apr 12, 2023 · Isolated — no actual harm with potential for more
F-0352
D
Properly install and monitor supervisory attachments on automatic sprink…
Minimal Harm

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Survey date: Apr 12, 2023 · Isolated — no actual harm with potential for more
F-0914
D
Ensure receptacles at patient bed locations and where general anesthesia…
Minimal Harm

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Survey date: Apr 12, 2023 · Isolated — no actual harm with potential for more
F-0916
D
Have a battery powered remote alarm panel in a location accessible by op…
Minimal Harm

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Survey date: Apr 12, 2023 · Isolated — 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
THE VILLAGE AT ORCHARD RIDGE
3.8 km · WINCHESTER, VA
★★★★★
CMS
19th
Risk %ile
Lower risk
SHENANDOAH VALLEY WESTMINSTER CANTERBURY
756 m · WINCHESTER, VA
★★★
CMS
37th
Risk %ile
Lower risk
EVERGREEN HEALTH AND REHABILITATION CENTER
3.9 km · WINCHESTER, VA
★★
CMS
53th
Risk %ile
Similar risk