7Risk Axes

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

How we calculate
SeverityWatch

55th national percentile — 3.7% high-severity citations

ChronicityElevated

82th national percentile — 9 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

18 citations

Weekend staffing dropElevated

80th national percentile — 20.0%

Contract staff shareElevated

98th national percentile — 37.6%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 3.79 vs expected 3.73 · +0.06 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

27 citations on file
F-0689
J
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm

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

Survey date: Aug 11, 2025 · Isolated — immediate jeopardy
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: Jul 18, 2024 · Isolated — no actual harm with potential for more
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Jul 18, 2024 · 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↻ Repeat

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

Survey date: Jul 18, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

18 citations on file
F-0015
D
Address subsistence needs for staff and patients
Minimal Harm

Address subsistence needs for staff and patients.

Survey date: Jul 18, 2024 · Isolated — no actual harm with potential for more
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Jul 18, 2024 · Isolated — no actual harm with potential for more
F-0920
D
Ensure proper usage of power strips and extension cords
Minimal Harm

Ensure proper usage of power strips and extension cords.

Survey date: Jul 18, 2024 · Isolated — no actual harm with potential for more
F-0232
D
Have corridors or aisles that are unobstructed and are at least 8 feet i…
Minimal Harm

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Survey date: Jul 18, 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
KNOLLWOOD MANOR
18.1 km · LAFAYETTE, TN
CMS
39th
Risk %ile
Lower risk
LEBANON CENTER FOR REHABILITATION AND HEALING, LLC
24.6 km · LEBANON, TN
★★★★★
CMS
40th
Risk %ile
Similar risk
WESTMORELAND CARE & REHAB CTR
21.5 km · WESTMORELAND, TN
★★★★
CMS
41th
Risk %ile
Similar risk