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

ChronicityElevated

75th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

14 citations

Weekend staffing dropElevated

94th national percentile — 24.0%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.65 vs expected 4.42 · −0.77 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

10 citations on file
F-0812
F
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

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

Survey date: Jan 14, 2020 · Widespread — 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: Jan 14, 2020 · Isolated — no actual harm with potential for more
F-0655
D
Create and put into place a plan for meeting the resident's most immedia…
Minimal Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey date: Oct 24, 2018 · Isolated — no actual harm with potential for more
F-0658
D
Ensure services provided by the nursing facility meet professional stand…
Minimal Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey date: Oct 24, 2018 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

14 citations on file
F-0325
D
Have properly installed hallway dispensers for alcohol-based hand rub
Minimal Harm

Have properly installed hallway dispensers for alcohol-based hand rub.

Survey date: Jan 14, 2020 · Isolated — no actual harm with potential for more
F-0351
E
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: Jan 14, 2020 · Pattern — no actual harm with potential for more
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: Jan 14, 2020 · Isolated — no actual harm with potential for more
F-0741
D
Have posted "No-smoking" signs in areas where smoking is not permitted o…
Minimal Harm

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Survey date: Jan 14, 2020 · 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
EL REPOSO NURSING FACILITY
4.8 km · FLORENCE, AL
★★★★
CMS
34th
Risk %ile
Lower risk
MITCHELL-HOLLINGSWORTH NURSING & REHABILITATION
4.7 km · FLORENCE, AL
★★★
CMS
37th
Risk %ile
Lower risk
GLENWOOD CENTER
1.6 km · FLORENCE, AL
CMS
44th
Risk %ile
Similar risk