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

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

26 citations

Weekend staffing dropElevated

83th national percentile — 20.6%

Contract staff shareElevated

84th national percentile — 11.6%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.82 vs expected 3.48 · +0.34 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

9 citations on file
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Jul 30, 2025 · Isolated — no actual harm with potential for more
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: Jul 30, 2025 · Isolated — no actual harm with potential for more
F-0609
D
Timely report suspected abuse, neglect, or theft and report the results …
Minimal Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey date: Jul 30, 2025 · Isolated — no actual harm with potential for more
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Apr 3, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

26 citations on file
F-0004
D
Develop and maintain an Emergency Preparedness Program (EP)
Minimal Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Jul 30, 2025 · Isolated — no actual harm with potential for more
F-0039
D
Conduct testing and exercise requirements
Minimal Harm

Conduct testing and exercise requirements.

Survey date: Jul 30, 2025 · Isolated — no actual harm with potential for more
F-0921
D
Ensure that testing and maintenance of electrical equipment is performed…
Minimal Harm

Ensure that testing and maintenance of electrical equipment is performed.

Survey date: Jul 30, 2025 · Isolated — no actual harm with potential for more
F-0918
D
Have generator or other power source capable of supplying service within…
Minimal Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Jul 30, 2025 · 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
THE WATERS OF WINCHESTER, LLC
1.2 km · WINCHESTER, TN
★★★★
CMS
23th
Risk %ile
Lower risk
SOUTHERN TENN MEDICAL CENTER SNF
545 m · WINCHESTER, TN
★★★
CMS
38th
Risk %ile
Lower risk