7Risk Axes

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

How we calculate
SeverityElevated

72th national percentile — 7.3% high-severity citations

ChronicityElevated

84th national percentile — 14 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

14 citations

Weekend staffing dropWatch

68th national percentile — 17.9%

Contract staff shareElevated

79th national percentile — 8.6%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 3.32 vs expected 3.02 · +0.31 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

41 citations on file
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Jun 11, 2025 · Isolated — no actual harm with potential for more
F-0584
D
Honor the resident's right to a safe, clean, comfortable and homelike en…
Minimal Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey date: Jun 11, 2025 · Isolated — no actual harm with potential for more
F-0700
D
Try different approaches before using a bed rail
Minimal Harm

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Survey date: Jun 11, 2025 · Isolated — no actual harm with potential for more
F-0585
D
Honor the resident's right to voice grievances without discrimination or…
Minimal Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey date: Jun 11, 2025 · 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-0161
D
Use approved construction type or materials
Minimal Harm

Use approved construction type or materials.

Survey date: Aug 14, 2024 · Isolated — no actual harm with potential for more
F-0161
D
Use approved construction type or materials
Minimal Harm↻ Repeat

Use approved construction type or materials.

Survey date: May 31, 2024 · Isolated — no actual harm with potential for more
F-0345
D
Have approved installation, maintenance and testing program for fire ala…
Minimal Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: May 31, 2024 · Isolated — no actual harm with potential for more
F-0351
D
Install an approved automatic sprinkler system
Minimal Harm

Install an approved automatic sprinkler system.

Survey date: May 31, 2024 · 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
Cypress Glen Retirement Community
5.9 km · Greenville, NC
★★★★★
CMS
24th
Risk %ile
Lower risk
PruittHealth-Farmville
17.0 km · Farmville, NC
★★★★
CMS
39th
Risk %ile
Lower risk
Macgregor Downs Health Center by Harborview
1.1 km · Greenville, NC
★★
CMS
57th
Risk %ile
Similar risk