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

ChronicityElevated

93th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropWatch

67th national percentile — 17.9%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 3.60 vs expected 2.94 · +0.66 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

10 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: Feb 19, 2026 · Isolated — no actual harm with potential for more
F-0761
E
Ensure drugs and biologicals used in the facility are labeled in accorda…
Potential Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: Feb 19, 2026 · Pattern — no actual harm with potential for more
F-0880
F
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Feb 19, 2026 · Widespread — no actual harm with potential for more
F-0584
E
Honor the resident's right to a safe, clean, comfortable and homelike en…
Potential Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey date: Feb 19, 2026 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

11 citations on file
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Feb 19, 2026 · Pattern — no actual harm with potential for more
F-0321
D
Ensure that special areas are constructed so that walls can resist fire …
Minimal Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: May 8, 2025 · 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 8, 2025 · Widespread — no actual harm with potential for more
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm↻ Repeat

Install corridor and hallway doors that block smoke.

Survey date: May 8, 2025 · 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
6.6 km · Lexington, KY
★★★★
CMS
20th
Risk %ile
Lower risk
The Willows at Fritz Farm
8.8 km · Lexington, KY
★★★★
CMS
23th
Risk %ile
Lower risk
Cardinal Hill Skilled Rehabilitation Unit
874 m · Lexington, KY
★★★★
CMS
24th
Risk %ile
Lower risk