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

ChronicityModerate

36th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

19 citations

Weekend staffing dropWatch

55th national percentile — 16.1%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.71 vs expected 4.24 · −0.53 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

6 citations on file
F-0758
D
Implement gradual dose reductions(GDR) and non-pharmacological intervent…
Minimal Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey date: Jan 7, 2022 · Isolated — 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: Jan 7, 2022 · Widespread — no actual harm with potential for more
F-0655
D
Create and put into place a plan for meeting the resident's most immedia…
Minimal Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey date: May 2, 2019 · Isolated — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm↻ Repeat

Provide and implement an infection prevention and control program.

Survey date: May 2, 2019 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

19 citations on file
F-0161
F
Use approved construction type or materials
Potential Harm

Use approved construction type or materials.

Survey date: Jan 7, 2022 · Widespread — no actual harm with potential for more
F-0325
D
Have properly installed hallway dispensers for alcohol-based hand rub
Minimal Harm

Have properly installed hallway dispensers for alcohol-based hand rub.

Survey date: Jan 7, 2022 · Isolated — no actual harm with potential for more
F-0362
E
Ensure that corridors are separated from use areas by walls constructed …
Potential Harm

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Survey date: Jan 7, 2022 · Pattern — no actual harm with potential for more
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Jan 7, 2022 · Isolated — 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
PINE HAVEN REHABILITATION AND WELLNESS CENTER
9.0 km · EIGHT MILE, AL
★★
CMS
22th
Risk %ile
Lower risk
ASHLAND PLACE HEALTH AND REHABILITATION, LLC
493 m · MOBILE, AL
★★★
CMS
29th
Risk %ile
Lower risk
WILLOWBROOKE CT SKILLED CARE CTR WESTMINSTER VLG
16.1 km · SPANISH FORT, AL
★★★★★
CMS
29th
Risk %ile
Lower risk