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

26th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

13 citations

Weekend staffing dropWatch

54th national percentile — 16.0%

Contract staff shareWatch

55th national percentile — 1.5%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 4.15 vs expected 4.75 · −0.60 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

8 citations on file
F-0602
D
Protect each resident from the wrongful use of the resident's belongings…
Minimal Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey date: Jan 23, 2026 · Isolated — no actual harm with potential for more
F-0609
D
Timely report suspected abuse, neglect, or theft and report the results …
Minimal Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey date: Jan 23, 2026 · Isolated — no actual harm with potential for more
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: Oct 10, 2024 · Pattern — no actual harm with potential for more
F-0550
D
Honor the resident's right to a dignified existence, self-determination,…
Minimal Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey date: Oct 10, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

13 citations on file
F-0521
D
Ensure heating and ventilation systems that have been properly installed…
Minimal Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Oct 10, 2024 · 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: Oct 10, 2024 · Isolated — no actual harm with potential for more
F-0923
D
Have proper medical gas storage and administration areas
Minimal Harm

Have proper medical gas storage and administration areas.

Survey date: Oct 10, 2024 · Isolated — no actual harm with potential for more
F-0211
D
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Minimal Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Jul 28, 2023 · 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
Edgewood Place at the Village at Brookwood
15.9 km · Burlington, NC
★★★★★
CMS
18th
Risk %ile
Lower risk
Peak Resources - Brookshire, Inc
18.8 km · Hillsborough, NC
★★★★
CMS
27th
Risk %ile
Lower risk
Peak Resources - Alamance, Inc
10.8 km · Graham, NC
★★★★
CMS
34th
Risk %ile
Lower risk