7Risk Axes

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

How we calculate
SeverityModerate

45th national percentile — 1.4% high-severity citations

ChronicityElevated

78th national percentile — 22 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

15 citations

Weekend staffing dropWatch

60th national percentile — 16.8%

Contract staff shareModerate

49th national percentile — 0.7%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapWatch

Reported 3.62 vs expected 3.72 · −0.10 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

70 citations on file
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: Mar 27, 2025 · Isolated — no actual harm with potential for more
F-0584
E
Honor the resident's right to a safe, clean, comfortable and homelike en…
Potential 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: Mar 27, 2025 · 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: Mar 27, 2025 · Isolated — no actual harm with potential for more
F-0761
E
Ensure drugs and biologicals used in the facility are labeled in accorda…
Potential Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: Mar 27, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

15 citations on file
F-0001
E
Establish an Emergency Preparedness Program (EP)
Potential Harm

Establish an Emergency Preparedness Program (EP).

Survey date: Aug 29, 2024 · Pattern — no actual harm with potential for more
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: Aug 29, 2024 · Isolated — no actual harm with potential for more
F-0341
D
Install a fire alarm system that can be heard throughout the facility
Minimal Harm

Install a fire alarm system that can be heard throughout the facility.

Survey date: Aug 29, 2024 · Isolated — no actual harm with potential for more
F-0347
D
Properly provide smoke detection systems in areas open to corridors
Minimal Harm

Properly provide smoke detection systems in areas open to corridors.

Survey date: Aug 29, 2024 · 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
RIVERSIDE LIFELONG HEALTH & REHAB SMITHFIELD
24.3 km · SMITHFIELD, VA
★★★★
CMS
28th
Risk %ile
Lower risk
THE CHESAPEAKE
5.7 km · NEWPORT NEWS, VA
★★★★★
CMS
39th
Risk %ile
Lower risk
Marcella Post Acute
8.9 km · HAMPTON, VA
★★★
CMS
42th
Risk %ile
Similar risk