7Risk Axes

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

How we calculate
SeverityModerate

48th national percentile — 2.4% high-severity citations

ChronicityElevated

71th national percentile — 12 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

21 citations

Weekend staffing dropModerate

40th national percentile — 14.3%

Contract staff shareElevated

77th national percentile — 7.4%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 3.84 vs expected 3.60 · +0.24 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

42 citations on file
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: Nov 19, 2025 · Isolated — no actual harm with potential for more
F-0686
D
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Minimal Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Nov 19, 2025 · Isolated — no actual harm with potential for more
F-0921
D
Make sure that the nursing home area is safe, easy to use, clean and com…
Minimal Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey date: Dec 12, 2024 · Isolated — no actual harm with potential for more
F-0684
E
Provide appropriate treatment and care according to orders, resident’s p…
Potential Harm

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

Survey date: Dec 12, 2024 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

21 citations on file
F-0200
D
Meet other general requirements
Minimal Harm

Meet other general requirements.

Survey date: Jan 27, 2022 · Isolated — no actual harm with potential for more
F-0223
D
Provide exit doors that are held open by devices that will automatically…
Minimal Harm

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Survey date: Jan 27, 2022 · Isolated — no actual harm with potential for more
F-0341
D
Install a fire alarm system that can be heard throughout the facility
Minimal Harm

Install a fire alarm system that can be heard throughout the facility.

Survey date: Jan 27, 2022 · 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: Jan 27, 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
FALLS RUN NURSING AND REHABILITATION
9.4 km · FREDERICKSBURG, VA
★★★★
CMS
41th
Risk %ile
Similar risk