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

ChronicityModerate

46th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

10 citations

Weekend staffing dropWatch

68th national percentile — 17.9%

Contract staff shareModerate

35th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapModerate

Reported 3.59 vs expected 3.63 · −0.04 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

10 citations on file
F-0600
D
Protect each resident from all types of abuse such as physical, mental, …
Minimal Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey date: Dec 3, 2025 · Isolated — no actual harm with potential for more
F-0644
D
Coordinate assessments with the pre-admission screening and resident rev…
Minimal Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey date: Dec 3, 2025 · Isolated — no actual harm with potential for more
F-0689
D
Ensure that a nursing home area is free from accident hazards and provid…
Minimal Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Mar 5, 2025 · Isolated — no actual harm with potential for more
F-0559
D
Honor the resident's right to share a room with spouse or roommate of ch…
Minimal Harm

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Survey date: Sep 8, 2023 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

10 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: Dec 3, 2025 · Isolated — no actual harm with potential for more
F-0511
D
Have properly installed electrical wiring and gas equipment
Minimal Harm

Have properly installed electrical wiring and gas equipment.

Survey date: Jun 11, 2024 · Isolated — no actual harm with potential for more
F-0211
D
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Minimal Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Oct 26, 2023 · Isolated — no actual harm with potential for more
F-0363
F
Install corridor and hallway doors that block smoke
Potential Harm↻ Repeat

Install corridor and hallway doors that block smoke.

Survey date: Oct 26, 2023 · 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
AGAPE REHABILITATION & NURSING CENTER, A WATERS CM
11.9 km · JOHNSON CITY, TN
★★★
CMS
30th
Risk %ile
Lower risk
LAKEBRIDGE, A WATERS COMMUNITY, LLC
8.6 km · JOHNSON CITY, TN
★★★
CMS
32th
Risk %ile
Lower risk
THE WATERS OF JOHNSON CITY, LLC
9.8 km · JOHNSON CITY, TN
★★
CMS
33th
Risk %ile
Lower risk