7Risk Axes

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

How we calculate
SeverityElevated

90th national percentile — 15.0% high-severity citations

ChronicityModerate

46th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

12 citations

Weekend staffing dropWatch

62th national percentile — 17.1%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 3.92 vs expected 3.45 · +0.46 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

20 citations on file
F-0600
G
Protect each resident from all types of abuse such as physical, mental, …
Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey date: Apr 23, 2026 · Isolated — actual harm
F-0604
G
Ensure that each resident is free from the use of physical restraints, u…
Actual Harm

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Survey date: Apr 23, 2026 · Isolated — actual harm
F-0607
G
Develop and implement policies and procedures to prevent abuse, neglect,…
Actual Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey date: Apr 23, 2026 · Isolated — actual harm
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: May 7, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

12 citations on file
F-0161
D
Use approved construction type or materials
Minimal Harm

Use approved construction type or materials.

Survey date: May 7, 2025 · Isolated — no actual harm with potential for more
F-0344
D
Have an alternate power supply for its alarm system
Minimal Harm

Have an alternate power supply for its alarm system.

Survey date: May 7, 2025 · Isolated — no actual harm with potential for more
F-0223
D
Provide exit doors that are held open by devices that will automatically…
Minimal Harm

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Survey date: Jan 25, 2024 · Isolated — no actual harm with potential for more
F-0923
D
Have proper medical gas storage and administration areas
Minimal Harm

Have proper medical gas storage and administration areas.

Survey date: Jan 25, 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
NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER-SNU
21.4 km · CHARLOTTE, NC
★★★★★
CMS
30th
Risk %ile
Lower risk
The Gardens of Taylor Glen Retirement Community
19.9 km · Concord, NC
★★★★
CMS
32th
Risk %ile
Lower risk
Wilora Lake Healthcare
23.9 km · Charlotte, NC
CMS
34th
Risk %ile
Lower risk