7Risk Axes

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

How we calculate
SeverityElevated

99th national percentile — 40.0% high-severity citations

ChronicityModerate

46th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

7 citations

Weekend staffing dropElevated

87th national percentile — 21.5%

Contract staff shareElevated

73th national percentile — 6.1%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.89 vs expected 4.36 · −0.47 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

5 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: Mar 31, 2022 · Isolated — no actual harm with potential for more
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Mar 31, 2022 · Pattern — no actual harm with potential for more
F-0656
G
Develop and implement a complete care plan that meets all the resident's…
Actual Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Jun 14, 2018 · Isolated — actual harm
F-0689
G
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Jun 14, 2018 · Isolated — actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

7 citations on file
F-0293
D
Have properly located and lighted "Exit" signs
Minimal Harm

Have properly located and lighted "Exit" signs.

Survey date: Mar 31, 2022 · Isolated — no actual harm with potential for more
F-0374
D
Install smoke barrier doors that can resist smoke for at least 20 minute…
Minimal Harm

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Survey date: Mar 31, 2022 · 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: Aug 8, 2019 · Isolated — no actual harm with potential for more
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Jun 14, 2018 · Pattern — 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
HIGHLANDS HEALTH AND REHAB
471 m · SCOTTSBORO, AL
★★★★★
CMS
52th
Risk %ile
Similar risk