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

28th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

17 citations

Weekend staffing dropElevated

77th national percentile — 19.4%

Contract staff shareModerate

45th national percentile — 0.4%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.12 vs expected 3.00 · +0.11 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

15 citations on file
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: Feb 28, 2024 · 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 28, 2024 · Isolated — no actual harm with potential for more
F-0803
E
Ensure menus must meet the nutritional needs of residents, be prepared i…
Potential Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey date: Feb 28, 2024 · Pattern — no actual harm with potential for more
F-0809
C
Ensure meals and snacks are served at times in accordance with resident’…
Minimal Harm

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Survey date: Feb 28, 2024 · Widespread — no actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

17 citations on file
F-0324
D
Provide properly protected cooking facilities
Minimal Harm

Provide properly protected cooking facilities.

Survey date: Feb 28, 2024 · Isolated — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Feb 28, 2024 · Widespread — no actual harm with potential for more
F-0355
E
Properly select, install, inspect, or maintain portable fire extinguishe…
Potential Harm

Properly select, install, inspect, or maintain portable fire extinguishes.

Survey date: Feb 28, 2024 · Pattern — no actual harm with potential for more
F-0741
F
Have posted "No-smoking" signs in areas where smoking is not permitted o…
Potential Harm

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

Survey date: Feb 28, 2024 · 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
EL REPOSO NURSING FACILITY
5.5 km · FLORENCE, AL
★★★★
CMS
34th
Risk %ile
Lower risk
MITCHELL-HOLLINGSWORTH NURSING & REHABILITATION
5.7 km · FLORENCE, AL
★★★
CMS
37th
Risk %ile
Lower risk