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

8 citations

Weekend staffing dropLow

21th national percentile — 11.8%

Contract staff shareWatch

61th national percentile — 2.5%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 7.71 vs expected 6.41 · +1.30 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

3 citations on file
F-0689
D
Ensure that a nursing home area is free from accident hazards and provid…
Minimal Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Feb 11, 2026 · Isolated — no actual harm with potential for more
F-0812
F
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Jul 14, 2021 · Widespread — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: Jul 14, 2021 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Feb 11, 2026 · Isolated — no actual harm with potential for more
F-0355
D
Properly select, install, inspect, or maintain portable fire extinguishe…
Minimal Harm

Properly select, install, inspect, or maintain portable fire extinguishes.

Survey date: Jul 14, 2021 · Isolated — no actual harm with potential for more
F-0712
D
Have simulated fire drills held at unexpected times
Minimal Harm

Have simulated fire drills held at unexpected times.

Survey date: Jul 14, 2021 · Isolated — no actual harm with potential for more
F-0920
D
Ensure proper usage of power strips and extension cords
Minimal Harm

Ensure proper usage of power strips and extension cords.

Survey date: Jul 14, 2021 · 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
KIRBY PINES MANOR
11.6 km · MEMPHIS, TN
★★★★★
CMS
22th
Risk %ile
Lower risk