7Risk Axes

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

How we calculate
SeverityElevated

99th national percentile — 35.7% high-severity citations

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropModerate

44th national percentile — 14.7%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 2.52 vs expected 3.03 · −0.51 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

14 citations on file
F-0554
D
Allow residents to self-administer drugs if determined clinically approp…
Minimal Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey date: May 13, 2024 · Isolated — no actual harm with potential for more
F-0578
J
Honor the resident's right to request, refuse, and/or discontinue treatm…
Actual Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey date: May 13, 2024 · Isolated — immediate jeopardy
F-0678
J
Provide basic life support, including CPR, prior to the arrival of emerg…
Actual Harm

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Survey date: May 13, 2024 · Isolated — immediate jeopardy
F-0725
J
Provide enough nursing staff every day to meet the needs of every reside…
Actual Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey date: May 13, 2024 · Isolated — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

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

Provide properly protected cooking facilities.

Survey date: May 13, 2024 · Isolated — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: May 13, 2024 · Widespread — no actual harm with potential for more
F-0918
D
Have generator or other power source capable of supplying service within…
Minimal Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: May 13, 2024 · Isolated — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm↻ Repeat

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Mar 13, 2019 · 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
FAIR HAVEN
13.6 km · BIRMINGHAM, AL
★★★
CMS
30th
Risk %ile
Lower risk
PINE HILL REHABILITATION AND WELLNESS CENTER
9.8 km · BIRMINGHAM, AL
CMS
33th
Risk %ile
Lower risk
CAVALIER HEALTHCARE OF TRUSSVILLE
5.7 km · TRUSSVILLE, AL
★★
CMS
34th
Risk %ile
Lower risk