7Risk Axes

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

How we calculate
SeverityElevated

79th national percentile — 9.5% high-severity citations

ChronicityModerate

44th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

3 citations

Weekend staffing dropElevated

80th national percentile — 20.1%

Contract staff shareElevated

78th national percentile — 7.8%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 3.04 vs expected 3.69 · −0.64 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

21 citations on file
F-0552
F
Ensure that residents are fully informed and understand their health sta…
Potential Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey date: Mar 19, 2026 · Widespread — no actual harm with potential for more
F-0605
E
Prevent the use of unnecessary psychotropic medications or use medicatio…
Potential Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey date: Mar 19, 2026 · Pattern — no actual harm with potential for more
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Mar 19, 2026 · Isolated — no actual harm with potential for more
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: Mar 19, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

3 citations on file
F-0911
F
Meet requirements for the installation and maintenance of electrical sys…
Potential Harm

Meet requirements for the installation and maintenance of electrical systems.

Survey date: Oct 30, 2024 · Widespread — no actual harm with potential for more
F-0911
F
Meet requirements for the installation and maintenance of electrical sys…
Potential Harm↻ Repeat

Meet requirements for the installation and maintenance of electrical systems.

Survey date: Aug 17, 2023 · Widespread — no actual harm with potential for more
F-0918
F
Have generator or other power source capable of supplying service within…
Potential Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Aug 17, 2023 · Widespread — 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
KIRBY PINES MANOR
20.8 km · MEMPHIS, TN
★★★★★
CMS
22th
Risk %ile
Lower risk
ALLEN MORGAN HEALTH AND REHABILITATION CENTER
20.3 km · MEMPHIS, TN
★★★★★
CMS
25th
Risk %ile
Lower risk
SIGNATURE HEALTHCARE OF PRIMACY
23.4 km · MEMPHIS, TN
★★★★★
CMS
35th
Risk %ile
Lower risk