7Risk Axes

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

How we calculate
SeverityWatch

61th national percentile — 4.8% high-severity citations

ChronicityModerate

44th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

17 citations

Weekend staffing dropWatch

68th national percentile — 17.9%

Contract staff shareElevated

87th national percentile — 13.4%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 4.69 vs expected 2.03 · +2.67 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

21 citations on file
F-0695
G
Provide safe and appropriate respiratory care for a resident when needed…
Actual Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Mar 21, 2024 · Isolated — actual harm
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Aug 18, 2022 · Isolated — no actual harm with potential for more
F-0690
D
Provide appropriate care for residents who are continent or incontinent …
Minimal Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey date: Aug 18, 2022 · Isolated — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: Aug 18, 2022 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

17 citations on file
F-0211
D
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Minimal Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Aug 18, 2022 · Isolated — no actual harm with potential for more
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Aug 18, 2022 · Widespread — 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: Aug 18, 2022 · 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: Aug 18, 2022 · 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
THE GLEBE
11.6 km · DALEVILLE, VA
★★★★★
CMS
39th
Risk %ile
Lower risk
FRIENDSHIP HEALTH AND REHAB CENTER
22.8 km · ROANOKE, VA
★★★★
CMS
50th
Risk %ile
Similar risk
SPRINGTREE HEALTHCARE & REHAB CENTER
24.6 km · ROANOKE, VA
★★★
CMS
51th
Risk %ile
Similar risk