7Risk Axes

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

How we calculate
SeverityWatch

62th national percentile — 5.0% high-severity citations

ChronicityWatch

61th national percentile — 10 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

26 citations

Weekend staffing dropWatch

67th national percentile — 17.7%

Contract staff shareWatch

58th national percentile — 1.9%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 3.44 vs expected 3.73 · −0.29 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

40 citations on file
F-0757
D
Ensure each resident’s drug regimen must be free from unnecessary drugs
Minimal Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey date: May 30, 2025 · Isolated — no actual harm with potential for more
F-0760
E
Ensure that residents are free from significant medication errors
Potential Harm

Ensure that residents are free from significant medication errors.

Survey date: May 30, 2025 · Pattern — no actual harm with potential for more
F-0842
D
Safeguard resident-identifiable information and/or maintain medical reco…
Minimal Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: May 30, 2025 · Isolated — no actual harm with potential for more
F-0689
J
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm

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

Survey date: Jul 19, 2024 · Isolated — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

26 citations on file
F-0200
D
Meet other general requirements
Minimal Harm

Meet other general requirements.

Survey date: May 30, 2025 · Isolated — no actual harm with potential for more
F-0351
D
Install an approved automatic sprinkler system
Minimal Harm

Install an approved automatic sprinkler system.

Survey date: May 30, 2025 · Isolated — no actual harm with potential for more
F-0372
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Minimal Harm

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: May 30, 2025 · Isolated — no actual harm with potential for more
F-0374
E
Install smoke barrier doors that can resist smoke for at least 20 minute…
Potential Harm

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Survey date: May 30, 2025 · Pattern — 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
Cypress Pointe Rehabilitation Center
3.5 km · Wilmington, NC
★★★★★
CMS
24th
Risk %ile
Lower risk
Bradley Creek Health Center
9.0 km · Wilmington, NC
★★★★★
CMS
26th
Risk %ile
Lower risk
Davis Health and Wellness Center at Cambridge Vill
14.5 km · Wilmington, NC
★★
CMS
39th
Risk %ile
Lower risk