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

14 citations

Weekend staffing dropElevated

77th national percentile — 19.5%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 4.00 vs expected 4.87 · −0.87 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

9 citations on file
F-0636
D
Assess the resident completely in a timely manner when first admitted, …
Minimal Harm

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey date: Feb 25, 2022 · Isolated — no actual harm with potential for more
F-0638
E
Assure that each resident’s assessment is updated at least once every 3 …
Potential Harm

Assure that each resident’s assessment is updated at least once every 3 months.

Survey date: Feb 25, 2022 · Pattern — no actual harm with potential for more
F-0640
E
Encode each resident’s assessment data and transmit these data to the St…
Potential Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey date: Feb 25, 2022 · Pattern — no actual harm with potential for more
F-0758
E
Implement gradual dose reductions(GDR) and non-pharmacological intervent…
Potential Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey date: Feb 25, 2022 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

14 citations on file
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Feb 25, 2022 · Isolated — no actual harm with potential for more
F-0521
E
Ensure heating and ventilation systems that have been properly installed…
Potential Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Feb 25, 2022 · Pattern — no actual harm with potential for more
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: May 23, 2019 · 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: May 23, 2019 · 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
WILLOWBROOKE CT SKILLED CARE CTR WESTMINSTER VLG
16.2 km · SPANISH FORT, AL
★★★★★
CMS
29th
Risk %ile
Lower risk
ALTERA HEALTH AND REHABILITATION CENTER
3.7 km · FAIRHOPE, AL
★★★★
CMS
30th
Risk %ile
Lower risk
LITTLE SISTERS OF THE POOR SACRED HEART RESIDENCE
24.5 km · MOBILE, AL
★★★★★
CMS
31th
Risk %ile
Lower risk