7Risk Axes

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

How we calculate
SeverityElevated

99th national percentile — 37.9% high-severity citations

ChronicityLow

29th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

21 citations

Weekend staffing dropElevated

86th national percentile — 21.3%

Contract staff shareElevated

85th national percentile — 12.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 4.54 vs expected 4.96 · −0.42 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

29 citations on file
F-0867
L
Set up an ongoing quality assessment and assurance group to review quali…
Actual Harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey date: Nov 22, 2024 · Widespread — immediate jeopardy
F-0582
D
Give residents notice of Medicaid/Medicare coverage and potential liabil…
Minimal Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey date: Nov 22, 2024 · Isolated — no actual harm with potential for more
F-0550
F
Honor the resident's right to a dignified existence, self-determination,…
Potential Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey date: Nov 22, 2024 · Widespread — no actual harm with potential for more
F-0838
F
Conduct and document a facility-wide assessment to determine what resour…
Potential Harm

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Survey date: Nov 22, 2024 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

21 citations on file
F-0291
F
Install emergency lighting that can last at least 1 1/2 hours
Potential Harm

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

Survey date: Nov 22, 2024 · Widespread — no actual harm with potential for more
F-0351
E
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: Nov 22, 2024 · Pattern — 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: Nov 22, 2024 · Isolated — no actual harm with potential for more
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Nov 22, 2024 · 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
The Willows at Citation
22.8 km · Lexington, KY
★★★★
CMS
20th
Risk %ile
Lower risk
Willowbrook Healthcare
23.3 km · Carlisle, KY
NR
CMS
21th
Risk %ile
Lower risk
Cedar Ridge Health Campus
20.0 km · Cynthiana, KY
★★★★★
CMS
31th
Risk %ile
Lower risk