7Risk Axes

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

How we calculate
SeverityWatch

54th national percentile — 3.4% high-severity citations

ChronicityLow

29th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropModerate

32th national percentile — 13.3%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.37 vs expected 3.64 · −0.27 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

29 citations on file
F-0807
D
Ensure each resident receives and the facility provides drinks consisten…
Minimal Harm

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Survey date: Apr 25, 2024 · Isolated — no actual harm with potential for more
F-0755
D
Provide pharmaceutical services to meet the needs of each resident and e…
Minimal Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey date: Apr 25, 2024 · Isolated — no actual harm with potential for more
F-0760
D
Ensure that residents are free from significant medication errors
Minimal Harm

Ensure that residents are free from significant medication errors.

Survey date: Apr 25, 2024 · Isolated — no actual harm with potential for more
F-0697
D
Provide safe, appropriate pain management for a resident who requires su…
Minimal Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey date: Apr 25, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0291
D
Install emergency lighting that can last at least 1 1/2 hours
Minimal Harm

Install emergency lighting that can last at least 1 1/2 hours.

Survey date: Apr 25, 2024 · Isolated — no actual harm with potential for more
F-0345
E
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

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

Survey date: Apr 25, 2024 · Pattern — no actual harm with potential for more
F-0712
E
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Apr 25, 2024 · Pattern — no actual harm with potential for more
F-0761
E
To conduct inspection, testing and maintenance of fire doors by qualifie…
Potential Harm

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Survey date: Apr 25, 2024 · 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
WINDSORMEADE OF WILLIAMSBURG
9.7 km · WILLIAMSBURG, VA
★★★★★
CMS
28th
Risk %ile
Lower risk
Woodhaven Hall at Williamsburg Landing
3.2 km · WILLIAMSBURG, VA
★★
CMS
38th
Risk %ile
Lower risk