7Risk Axes

National percentile · lower = less risk · staffing gap is context only (not in composite)

How we calculate
SeverityWatch

56th national percentile — 3.8% high-severity citations

ChronicityElevated

72th national percentile — 15 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

27 citations

Weekend staffing dropModerate

48th national percentile — 15.2%

Contract staff shareElevated

75th national percentile — 6.7%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.49 vs expected 3.32 · +0.17 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

52 citations on file
F-0684
E
Provide appropriate treatment and care according to orders, resident’s p…
Potential Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Sep 18, 2024 · Pattern — no actual harm with potential for more
F-0849
D
Arrange for the provision of hospice services or assist the resident in …
Minimal Harm

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Survey date: Sep 18, 2024 · Isolated — no actual harm with potential for more
F-0756
D
Ensure a licensed pharmacist perform a monthly drug regimen review, incl…
Minimal Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey date: Sep 18, 2024 · Isolated — no actual harm with potential for more
F-0645
D
PASARR screening for Mental disorders or Intellectual Disabilities
Minimal Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey date: Sep 18, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

27 citations on file
F-0291
D
Install emergency lighting that can last at least 1 1/2 hours
Minimal Harm

Install emergency lighting that can last at least 1 1/2 hours.

Survey date: Sep 18, 2024 · Isolated — no actual harm with potential for more
F-0761
D
To conduct inspection, testing and maintenance of fire doors by qualifie…
Minimal Harm

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Survey date: Sep 18, 2024 · Isolated — no actual harm with potential for more
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Sep 18, 2024 · Isolated — no actual harm with potential for more
F-0363
F
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Jun 21, 2021 · Widespread — 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
LAKE PRINCE WOODS, INC
3.1 km · SUFFOLK, VA
★★★★★
CMS
14th
Risk %ile
Lower risk
RIVERSIDE LIFELONG HEALTH & REHAB SMITHFIELD
24.3 km · SMITHFIELD, VA
★★★★
CMS
28th
Risk %ile
Lower risk
Deep Creek Health & Rehabilitation
23.2 km · CHESAPEAKE, VA
★★
CMS
52th
Risk %ile
Similar risk