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

26th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

7 citations

Weekend staffing dropWatch

66th national percentile — 17.7%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 3.48 vs expected 4.02 · −0.54 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

8 citations on file
F-0550
D
Honor the resident's right to a dignified existence, self-determination,…
Minimal Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey date: Jun 8, 2023 · Isolated — no actual harm with potential for more
F-0732
C
Post nurse staffing information every day
Minimal Harm

Post nurse staffing information every day.

Survey date: Mar 10, 2023 · Widespread — no actual harm
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: Mar 10, 2023 · Widespread — no actual harm with potential for more
F-0914
D
Provide bedrooms that don't allow residents to see each other when priva…
Minimal Harm

Provide bedrooms that don't allow residents to see each other when privacy is needed.

Survey date: Mar 10, 2023 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

7 citations on file
F-0324
D
Provide properly protected cooking facilities
Minimal Harm

Provide properly protected cooking facilities.

Survey date: Mar 10, 2023 · Isolated — no actual harm with potential for more
F-0914
E
Ensure receptacles at patient bed locations and where general anesthesia…
Potential Harm

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

Survey date: Mar 10, 2023 · Pattern — 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: Sep 16, 2021 · Isolated — no actual harm with potential for more
F-0232
D
Have corridors or aisles that are unobstructed and are at least 8 feet i…
Minimal Harm

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Survey date: Sep 16, 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
WILLOWBROOKE CT SKILLED CARE CTR WESTMINSTER VLG
12.6 km · SPANISH FORT, AL
★★★★★
CMS
29th
Risk %ile
Lower risk
ASHLAND PLACE HEALTH AND REHABILITATION, LLC
23.5 km · MOBILE, AL
★★★
CMS
29th
Risk %ile
Lower risk