7Risk Axes

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

How we calculate
SeverityElevated

92th national percentile — 16.7% high-severity citations

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropModerate

37th national percentile — 13.9%

Contract staff shareElevated

89th national percentile — 15.9%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.51 vs expected 3.35 · +0.17 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

6 citations on file
F-0689
G
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: Sep 16, 2025 · Isolated — actual harm
F-0812
D
Procure food from sources approved or considered satisfactory and store,…
Minimal Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Sep 16, 2025 · Isolated — no actual harm with potential for more
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: Sep 16, 2025 · 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: Sep 16, 2025 · 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-0321
D
Ensure that special areas are constructed so that walls can resist fire …
Minimal Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Sep 26, 2024 · Isolated — no actual harm with potential for more
F-0344
D
Have an alternate power supply for its alarm system
Minimal Harm

Have an alternate power supply for its alarm system.

Survey date: Sep 26, 2024 · Isolated — no actual harm with potential for more
F-0345
D
Have approved installation, maintenance and testing program for fire ala…
Minimal Harm

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

Survey date: Sep 26, 2024 · Isolated — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Sep 26, 2024 · 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
Bladen East Health And Rehab
495 m · Elizabethtown, NC
★★★
CMS
49th
Risk %ile
Similar risk