7Risk Axes

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

How we calculate
SeverityWatch

62th national percentile — 4.9% high-severity citations

ChronicityElevated

73th national percentile — 12 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

17 citations

Weekend staffing dropElevated

86th national percentile — 21.4%

Contract staff shareElevated

84th national percentile — 11.3%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapWatch

Reported 2.58 vs expected 2.71 · −0.12 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

41 citations on file
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: Mar 25, 2026 · Isolated — no actual harm with potential for more
F-0919
D
Make sure that a working call system is available in each resident's ba…
Minimal Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey date: Mar 25, 2026 · Isolated — no actual harm with potential for more
F-0605
D
Prevent the use of unnecessary psychotropic medications or use medicatio…
Minimal Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey date: Mar 25, 2026 · Isolated — no actual harm with potential for more
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Mar 25, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

17 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: Dec 19, 2024 · Isolated — no actual harm with potential for more
F-0914
D
Ensure receptacles at patient bed locations and where general anesthesia…
Minimal Harm

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Survey date: Dec 19, 2024 · Isolated — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Nov 2, 2023 · Widespread — no actual harm with potential for more
F-0923
E
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Nov 2, 2023 · 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
Cypress Glen Retirement Community
6.1 km · Greenville, NC
★★★★★
CMS
24th
Risk %ile
Lower risk
PruittHealth-Farmville
16.8 km · Farmville, NC
★★★★
CMS
39th
Risk %ile
Lower risk
Macgregor Downs Health Center by Harborview
1.1 km · Greenville, NC
★★
CMS
57th
Risk %ile
Similar risk