7Risk Axes

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

How we calculate
SeverityElevated

94th national percentile — 18.4% high-severity citations

ChronicityElevated

81th national percentile — 16 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

23 citations

Weekend staffing dropWatch

57th national percentile — 16.4%

Contract staff shareElevated

98th national percentile — 33.9%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 3.46 vs expected 4.02 · −0.57 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

49 citations on file
F-0580
D
Immediately tell the resident, the resident's doctor, and a family membe…
Minimal Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey date: May 22, 2025 · Isolated — no actual harm with potential for more
F-0880
J
Provide and implement an infection prevention and control program
Actual Harm

Provide and implement an infection prevention and control program.

Survey date: May 22, 2025 · Isolated — immediate jeopardy
F-0761
D
Ensure drugs and biologicals used in the facility are labeled in accorda…
Minimal 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: May 22, 2025 · Isolated — no actual harm with potential for more
F-0711
D
Ensure the resident's doctor reviews the resident's care, writes, signs …
Minimal Harm

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Survey date: May 22, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

23 citations on file
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: Feb 7, 2025 · 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: Feb 7, 2025 · Isolated — no actual harm with potential for more
F-0712
D
Have simulated fire drills held at unexpected times
Minimal Harm

Have simulated fire drills held at unexpected times.

Survey date: Feb 7, 2025 · Isolated — no actual harm with potential for more
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: Feb 7, 2025 · 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
17.9 km · Chapel Hill, NC
★★★★
CMS
13th
Risk %ile
Lower risk
Carol Woods
15.7 km · Chapel Hill, NC
★★★★★
CMS
19th
Risk %ile
Lower risk
The Forest At Duke Inc
8.8 km · Durham, NC
★★★★
CMS
23th
Risk %ile
Lower risk