7Risk Axes

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

How we calculate
SeverityModerate

46th national percentile — 1.8% high-severity citations

ChronicityElevated

72th national percentile — 16 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropModerate

45th national percentile — 14.9%

Contract staff shareModerate

46th national percentile — 0.4%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.16 vs expected 3.14 · +0.02 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

55 citations on file
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: Feb 5, 2026 · Isolated — no actual harm with potential for more
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Feb 5, 2026 · Isolated — no actual harm with potential for more
F-0697
D
Provide safe, appropriate pain management for a resident who requires su…
Minimal Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey date: Jul 2, 2024 · Isolated — no actual harm with potential for more
F-0686
D
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Minimal Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Jul 2, 2024 · 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-0222
D
Add doors in an exit area that do not require the use of a key from the …
Minimal Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Oct 26, 2023 · Isolated — no actual harm with potential for more
F-0374
D
Install smoke barrier doors that can resist smoke for at least 20 minute…
Minimal Harm

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Survey date: Oct 26, 2023 · Isolated — no actual harm with potential for more
F-0761
D
To conduct inspection, testing and maintenance of fire doors by qualifie…
Minimal Harm

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Survey date: Oct 26, 2023 · Isolated — no actual harm with potential for more
F-0037
E
Establish staff and initial training requirements
Potential Harm

Establish staff and initial training requirements.

Survey date: Aug 31, 2022 · 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
FALLS RUN NURSING AND REHABILITATION
8.7 km · FREDERICKSBURG, VA
★★★★
CMS
41th
Risk %ile
Similar risk