7Risk Axes

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

How we calculate
SeverityElevated

99th national percentile — 33.3% high-severity citations

ChronicityLow

23th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropElevated

72th national percentile — 18.5%

Contract staff shareModerate

41th national percentile — 0.2%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.87 vs expected 4.66 · −0.79 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

18 citations on file
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: Jun 3, 2024 · Isolated — no actual harm with potential for more
F-0835
J
Administer the facility in a manner that enables it to use its resources…
Actual Harm

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Survey date: Jun 3, 2024 · Isolated — immediate jeopardy
F-0926
K
Have policies on smoking
Actual Harm

Have policies on smoking.

Survey date: Jun 3, 2024 · Pattern — immediate jeopardy
F-0867
L
Set up an ongoing quality assessment and assurance group to review quali…
Actual Harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey date: Jun 3, 2024 · Widespread — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Jun 3, 2024 · Widespread — no actual harm with potential for more
F-0324
D
Provide properly protected cooking facilities
Minimal Harm

Provide properly protected cooking facilities.

Survey date: Aug 29, 2019 · Isolated — no actual harm with potential for more
F-0351
D
Install an approved automatic sprinkler system
Minimal Harm

Install an approved automatic sprinkler system.

Survey date: Aug 29, 2019 · Isolated — no actual harm with potential for more
F-0751
E
Have restrictions on the use of flammable curtains
Potential Harm

Have restrictions on the use of flammable curtains.

Survey date: Aug 29, 2019 · 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
DADE HEALTH AND REHAB
18.6 km · TRENTON, GA
★★★★
CMS
33th
Risk %ile
Lower risk
SIGNATURE HEALTHCARE OF SOUTH PITTSBURG REHAB & WE
6.2 km · SOUTH PITTSBURG, TN
★★★
CMS
54th
Risk %ile
Similar risk