7Risk Axes

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

How we calculate
SeverityWatch

59th national percentile — 4.3% high-severity citations

ChronicityWatch

52th national percentile — 5 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

7 citations

Weekend staffing dropWatch

52th national percentile — 15.8%

Contract staff shareElevated

72th national percentile — 5.5%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 4.55 vs expected 5.18 · −0.64 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

23 citations on file
F-0558
D
Reasonably accommodate the needs and preferences of each resident
Minimal Harm

Reasonably accommodate the needs and preferences of each resident.

Survey date: Apr 24, 2024 · Isolated — no actual harm with potential for more
F-0758
D
Implement gradual dose reductions(GDR) and non-pharmacological intervent…
Minimal Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey date: Apr 24, 2024 · Isolated — no actual harm with potential for more
F-0887
D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 …
Minimal Harm

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Survey date: Apr 24, 2024 · Isolated — no actual harm with potential for more
F-0881
E
Implement a program that monitors antibiotic use
Potential Harm

Implement a program that monitors antibiotic use.

Survey date: Apr 24, 2024 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

7 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 24, 2024 · Isolated — no actual harm with potential for more
F-0341
D
Install a fire alarm system that can be heard throughout the facility
Minimal Harm

Install a fire alarm system that can be heard throughout the facility.

Survey date: Apr 24, 2024 · Isolated — no actual harm with potential for more
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Apr 24, 2024 · Isolated — no actual harm with potential for more
F-0712
D
Have simulated fire drills held at unexpected times
Minimal Harm

Have simulated fire drills held at unexpected times.

Survey date: Apr 24, 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
HERITAGE HALL LEXINGTON
1.7 km · EAST LEXINGTON, VA
★★★★
CMS
46th
Risk %ile
Similar risk