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

ChronicityModerate

30th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

6 citations

Weekend staffing dropWatch

51th national percentile — 15.7%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.30 vs expected 2.68 · +0.61 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

7 citations on file
F-0812
F
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: Jul 25, 2023 · Widespread — no actual harm with potential for more
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Nov 5, 2019 · Isolated — no actual harm with potential for more
F-0689
D
Ensure that a nursing home area is free from accident hazards and provid…
Minimal Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Nov 5, 2019 · Isolated — no actual harm with potential for more
F-0812
F
Procure food from sources approved or considered satisfactory and store,…
Potential Harm↻ Repeat

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

Survey date: Nov 5, 2019 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

6 citations on file
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Jul 25, 2023 · Isolated — no actual harm with potential for more
F-0781
D
Have restrictions on the use of portable space heaters
Minimal Harm

Have restrictions on the use of portable space heaters.

Survey date: Nov 5, 2019 · Isolated — no actual harm with potential for more
F-0211
D
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Minimal Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Nov 7, 2018 · Isolated — no actual harm with potential for more
F-0761
D
To conduct inspection, testing and maintenance of fire doors by qualifie…
Minimal Harm

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

Survey date: Nov 7, 2018 · 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
AGAPE REHABILITATION & NURSING CENTER, A WATERS CM
4.2 km · JOHNSON CITY, TN
★★★
CMS
30th
Risk %ile
Lower risk