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

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropLow

25th national percentile — 12.3%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 6.21 vs expected 6.85 · −0.64 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

7 citations on file
F-0640
B
Encode each resident’s assessment data and transmit these data to the St…
No Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey date: Jun 6, 2024 · Pattern — no actual harm
F-0657
B
Develop the complete care plan within 7 days of the comprehensive assess…
No Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: Jun 6, 2024 · Pattern — no actual harm
F-0812
E
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Jun 6, 2024 · Pattern — no actual harm with potential for more
F-0851
F
Electronically submit to CMS complete and accurate direct care staffing …
Potential Harm

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Survey date: Jun 6, 2024 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0324
D
Provide properly protected cooking facilities
Minimal Harm

Provide properly protected cooking facilities.

Survey date: Jun 6, 2024 · Isolated — no actual harm with potential for more
F-0345
D
Have approved installation, maintenance and testing program for fire ala…
Minimal Harm

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

Survey date: Jun 6, 2024 · Isolated — no actual harm with potential for more
F-0351
D
Install an approved automatic sprinkler system
Minimal Harm

Install an approved automatic sprinkler system.

Survey date: Jun 6, 2024 · Isolated — 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: Jun 6, 2024 · 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
The Cedars of Chapel Hill
6.8 km · Chapel Hill, NC
★★★★
CMS
13th
Risk %ile
Lower risk