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

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropLow

1th national percentile — 3.7%

Contract staff shareWatch

60th national percentile — 2.3%

Clinical trendElevated

99th national percentile — 4/5 measures worsened

Staffing gapAligned

Reported 3.59 vs expected 3.56 · +0.03 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

5 citations on file
F-0580
D
Immediately tell the resident, the resident's doctor, and a family membe…
Minimal Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey date: Aug 14, 2025 · Isolated — no actual harm with potential for more
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Aug 14, 2025 · Isolated — no actual harm with potential for more
F-0645
D
PASARR screening for Mental disorders or Intellectual Disabilities
Minimal Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey date: Dec 15, 2022 · Isolated — no actual harm with potential for more
F-0732
B
Post nurse staffing information every day
No Harm

Post nurse staffing information every day.

Survey date: Dec 15, 2022 · Pattern — no actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

4 citations on file
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: May 9, 2024 · Isolated — no actual harm with potential for more
F-0271
D
Have exits that are accessible at all times
Minimal Harm

Have exits that are accessible at all times.

Survey date: Dec 15, 2022 · Isolated — no actual harm with potential for more
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm↻ Repeat

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Dec 15, 2022 · Isolated — no actual harm with potential for more
F-0111
D
Satisfy building requirements after a repair, renovation, modification, …
Minimal Harm

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Survey date: Jun 10, 2021 · 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
Willowbrooke Court SC Ctr at Matthews Glen
21.8 km · Matthews, NC
★★★★★
CMS
20th
Risk %ile
Lower risk
White Oak of Waxhaw
20.0 km · Waxhaw, NC
★★★★★
CMS
30th
Risk %ile
Lower risk