7Risk Axes

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

How we calculate
SeverityElevated

74th national percentile — 7.7% high-severity citations

ChronicityElevated

87th national percentile — 14 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropLow

29th national percentile — 12.9%

Contract staff shareElevated

94th national percentile — 22.0%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapElevated

Reported 3.42 vs expected 3.69 · −0.27 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

39 citations on file
F-0550
D
Honor the resident's right to a dignified existence, self-determination,…
Minimal Harm

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

Survey date: May 5, 2026 · Isolated — no actual harm with potential for more
F-0760
D
Ensure that residents are free from significant medication errors
Minimal Harm

Ensure that residents are free from significant medication errors.

Survey date: May 5, 2026 · Isolated — no actual harm with potential for more
F-0658
D
Ensure services provided by the nursing facility meet professional stand…
Minimal Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey date: May 5, 2026 · 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: May 5, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
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: Mar 5, 2025 · Isolated — no actual harm with potential for more
F-0161
D
Use approved construction type or materials
Minimal Harm

Use approved construction type or materials.

Survey date: Sep 5, 2024 · Isolated — no actual harm with potential for more
F-0222
D
Add doors in an exit area that do not require the use of a key from the …
Minimal Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Sep 5, 2024 · Isolated — no actual harm with potential for more
F-0342
F
Have a complete alarm system manually initiated and initiated by fire sp…
Potential Harm

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Survey date: Sep 5, 2024 · 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
Liberty Commons Nursing & Rehab Center of Southpor
23.5 km · Southport, NC
★★★
CMS
36th
Risk %ile
Lower risk
Autumn Care of Shallotte
15.4 km · Shallotte, NC
★★★
CMS
66th
Risk %ile
Higher risk