7Risk Axes

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

How we calculate
SeverityElevated

86th national percentile — 12.5% high-severity citations

ChronicityWatch

54th national percentile — 9 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropLow

28th national percentile — 12.7%

Contract staff shareWatch

50th national percentile — 0.8%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 4.32 vs expected 5.17 · −0.85 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

40 citations on file
F-0565
E
Honor the resident's right to organize and participate in resident/famil…
Potential Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey date: Mar 21, 2025 · Pattern — no actual harm with potential for more
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Mar 21, 2025 · Isolated — no actual harm with potential for more
F-0730
D
Observe each nurse aide's job performance and give regular training
Minimal Harm

Observe each nurse aide's job performance and give regular training.

Survey date: Mar 21, 2025 · Isolated — no actual harm with potential for more
F-0842
E
Safeguard resident-identifiable information and/or maintain medical reco…
Potential Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: Mar 21, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

9 citations on file
F-0222
D
Add doors in an exit area that do not require the use of a key from the …
Minimal Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Mar 21, 2025 · Isolated — 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: Mar 21, 2025 · Isolated — no actual harm with potential for more
F-0511
D
Have properly installed electrical wiring and gas equipment
Minimal Harm

Have properly installed electrical wiring and gas equipment.

Survey date: Mar 21, 2025 · Isolated — no actual harm with potential for more
F-0013
J
Develop Emergency Preparedness policies and procedures
Actual Harm

Develop Emergency Preparedness policies and procedures.

Survey date: Apr 23, 2024 · Isolated — immediate jeopardy

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
The Sharon at Southpark
19.5 km · Charlotte, NC
★★★★
CMS
13th
Risk %ile
Lower risk
Willowbrooke Court SC Ctr at Matthews Glen
12.1 km · Matthews, NC
★★★★★
CMS
20th
Risk %ile
Lower risk
NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER-SNU
17.1 km · CHARLOTTE, NC
★★★★★
CMS
30th
Risk %ile
Lower risk