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

ChronicityWatch

53th national percentile — 6 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

6 citations

Weekend staffing dropElevated

81th national percentile — 20.2%

Contract staff shareElevated

73th national percentile — 5.9%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapAligned

Reported 3.07 vs expected 2.62 · +0.46 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

27 citations on file
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Jun 18, 2024 · Isolated — no actual harm with potential for more
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: Jun 18, 2024 · Isolated — no actual harm with potential for more
F-0732
B
Post nurse staffing information every day
No Harm

Post nurse staffing information every day.

Survey date: Jun 18, 2024 · Pattern — no actual harm
F-0755
D
Provide pharmaceutical services to meet the needs of each resident and e…
Minimal Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

6 citations on file
F-0293
D
Have properly located and lighted "Exit" signs
Minimal Harm

Have properly located and lighted "Exit" signs.

Survey date: Aug 18, 2022 · Isolated — no actual harm with potential for more
F-0932
D
Meet other general requirements
Minimal Harm

Meet other general requirements.

Survey date: Aug 18, 2022 · Isolated — no actual harm with potential for more
F-0355
F
Properly select, install, inspect, or maintain portable fire extinguishe…
Potential Harm

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

Survey date: Jan 22, 2020 · Widespread — 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: Jan 22, 2020 · 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
SNYDER NURSING HOME
15.6 km · SALEM, VA
★★★★★
CMS
36th
Risk %ile
Lower risk
SOUTH ROANOKE NURSING AND REHABILITATION
8.8 km · ROANOKE, VA
★★★
CMS
38th
Risk %ile
Lower risk
Davis and McDaniel Veterans Care Center
11.4 km · ROANOKE, VA
★★★★★
CMS
38th
Risk %ile
Lower risk