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

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

6 citations

Weekend staffing dropWatch

54th national percentile — 16.0%

Contract staff shareModerate

45th national percentile — 0.4%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.32 vs expected 2.80 · +0.53 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

6 citations on file
F-0584
D
Honor the resident's right to a safe, clean, comfortable and homelike en…
Minimal Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey date: Jul 9, 2024 · Isolated — no actual harm with potential for more
F-0604
D
Ensure that each resident is free from the use of physical restraints, u…
Minimal Harm

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Survey date: Jul 9, 2024 · Isolated — no actual harm with potential for more
F-0561
D
Honor the resident's right to and the facility must promote and facilita…
Minimal Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey date: Oct 6, 2021 · Isolated — no actual harm with potential for more
F-0578
D
Honor the resident's right to request, refuse, and/or discontinue treatm…
Minimal Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey date: Jun 12, 2019 · 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-0781
D
Have restrictions on the use of portable space heaters
Minimal Harm

Have restrictions on the use of portable space heaters.

Survey date: Jul 9, 2024 · Isolated — no actual harm with potential for more
F-0039
F
Conduct testing and exercise requirements
Potential Harm

Conduct testing and exercise requirements.

Survey date: Jun 12, 2019 · Widespread — no actual harm with potential for more
F-0131
D
Meet requirements for sections of health care facilities separated by fi…
Minimal Harm

Meet requirements for sections of health care facilities separated by fire resistive construction.

Survey date: Jun 12, 2019 · Isolated — no actual harm with potential for more
F-0222
D
Add doors in an exit area that do not require the use of a key from the …
Minimal Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Jun 12, 2019 · 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
AGAPE REHABILITATION & NURSING CENTER, A WATERS CM
272 m · JOHNSON CITY, TN
★★★
CMS
30th
Risk %ile
Lower risk
LAKEBRIDGE, A WATERS COMMUNITY, LLC
4.3 km · JOHNSON CITY, TN
★★★
CMS
32th
Risk %ile
Lower risk
THE WATERS OF JOHNSON CITY, LLC
2.4 km · JOHNSON CITY, TN
★★
CMS
33th
Risk %ile
Lower risk