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

43th national percentile — 9 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

24 citations

Weekend staffing dropLow

29th national percentile — 12.9%

Contract staff shareWatch

58th national percentile — 1.8%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapWatch

Reported 3.96 vs expected 4.13 · −0.18 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

48 citations on file
F-0565
E
Honor the resident's right to organize and participate in resident/famil…
Potential Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey date: Feb 7, 2023 · Pattern — 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: Feb 7, 2023 · Isolated — no actual harm with potential for more
F-0575
C
Post a list of names, addresses, and telephone numbers of all pertinent …
Minimal Harm

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

Survey date: Feb 7, 2023 · Widespread — no actual harm
F-0868
D
Have the Quality Assessment and Assurance group have the required member…
Minimal Harm

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Survey date: Feb 7, 2023 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

24 citations on file
F-0918
D
Have generator or other power source capable of supplying service within…
Minimal Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Feb 7, 2023 · Isolated — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Apr 30, 2019 · Pattern — 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: Apr 30, 2019 · Pattern — no actual harm with potential for more
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Apr 30, 2019 · 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
VCU HEALTH CHILDREN'S SERVICES AT BROOK ROAD
21.5 km · RICHMOND, VA
★★★★★
CMS
26th
Risk %ile
Lower risk