7Risk Axes

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

How we calculate
SeverityElevated

86th national percentile — 12.5% high-severity citations

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropLow

20th national percentile — 11.5%

Contract staff shareWatch

58th national percentile — 1.8%

Clinical trendElevated

99th national percentile — 4/5 measures worsened

Staffing gapElevated

Reported 3.40 vs expected 3.94 · −0.54 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

8 citations on file
F-0687
D
Provide appropriate foot care
Minimal Harm

Provide appropriate foot care.

Survey date: Sep 18, 2024 · Isolated — no actual harm with potential for more
F-0695
E
Provide safe and appropriate respiratory care for a resident when needed…
Potential Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Sep 18, 2024 · Pattern — no actual harm with potential for more
F-0812
E
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Sep 18, 2024 · Pattern — no actual harm with potential for more
F-0600
J
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: Sep 18, 2024 · Isolated — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

9 citations on file
F-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Sep 18, 2024 · Pattern — no actual harm with potential for more
F-0324
D
Provide properly protected cooking facilities
Minimal Harm

Provide properly protected cooking facilities.

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

Install corridor and hallway doors that block smoke.

Survey date: Sep 18, 2024 · Widespread — no actual harm with potential for more
F-0372
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Minimal Harm

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Sep 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
UNC Rockingham Rehab & Nursing Care Center
20.9 km · Eden, NC
★★★★★
CMS
31th
Risk %ile
Lower risk
Penn Nursing Center
21.4 km · Reidsville, NC
★★★★★
CMS
33th
Risk %ile
Lower risk
Countryside
15.1 km · Stokesdale, NC
★★★★
CMS
37th
Risk %ile
Lower risk