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

ChronicityModerate

36th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropElevated

78th national percentile — 19.5%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.47 vs expected 4.04 · −0.57 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

18 citations on file
F-0610
D
Respond appropriately to all alleged violations
Minimal Harm

Respond appropriately to all alleged violations.

Survey date: Mar 31, 2026 · Isolated — no actual harm with potential for more
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: Aug 21, 2025 · Isolated — no actual harm with potential for more
F-0727
F
Have a registered nurse on duty 8 hours a day; and select a registered …
Potential Harm

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey date: Aug 21, 2025 · Widespread — no actual harm with potential for more
F-0698
D
Provide safe, appropriate dialysis care/services for a resident who requ…
Minimal Harm

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Survey date: Apr 18, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

11 citations on file
F-0311
D
Have an enclosure around a vertical opening shaft
Minimal Harm

Have an enclosure around a vertical opening shaft.

Survey date: Aug 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: Aug 21, 2025 · 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: Apr 18, 2024 · Isolated — no actual harm with potential for more
F-0324
D
Provide properly protected cooking facilities
Minimal Harm

Provide properly protected cooking facilities.

Survey date: Apr 18, 2024 · 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
CEDAR VALLEY NSG & REHAB CTR
24.7 km · CEDARTOWN, GA
★★★★
CMS
24th
Risk %ile
Lower risk