7Risk Axes

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

How we calculate
SeverityElevated

94th national percentile — 19.0% high-severity citations

ChronicityElevated

97th national percentile — 19 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropModerate

42th national percentile — 14.5%

Contract staff shareModerate

44th national percentile — 0.3%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.50 vs expected 4.03 · −0.53 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

42 citations on file
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: Apr 23, 2026 · Isolated — no actual harm with potential for more
F-0760
D
Ensure that residents are free from significant medication errors
Minimal Harm

Ensure that residents are free from significant medication errors.

Survey date: Feb 20, 2026 · Isolated — no actual harm with potential for more
F-0689
J
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: Feb 20, 2026 · Isolated — immediate jeopardy
F-0689
G
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm↻ Repeat

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

Survey date: Mar 26, 2025 · Isolated — actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

4 citations on file
F-0341
F
Install a fire alarm system that can be heard throughout the facility
Potential Harm

Install a fire alarm system that can be heard throughout the facility.

Survey date: Nov 2, 2023 · Widespread — no actual harm with potential for more
F-0211
F
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Potential Harm

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

Survey date: Jul 27, 2022 · Widespread — no actual harm with potential for more
F-0341
F
Install a fire alarm system that can be heard throughout the facility
Potential Harm↻ Repeat

Install a fire alarm system that can be heard throughout the facility.

Survey date: Jul 27, 2022 · Widespread — no actual harm with potential for more
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Jul 27, 2022 · Widespread — 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
KIRBY PINES MANOR
17.6 km · MEMPHIS, TN
★★★★★
CMS
22th
Risk %ile
Lower risk
ALLEN MORGAN HEALTH AND REHABILITATION CENTER
17.2 km · MEMPHIS, TN
★★★★★
CMS
25th
Risk %ile
Lower risk
SIGNATURE HEALTHCARE OF PRIMACY
20.1 km · MEMPHIS, TN
★★★★★
CMS
35th
Risk %ile
Lower risk