7Risk Axes

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

How we calculate
SeverityWatch

52th national percentile — 3.0% high-severity citations

ChronicityWatch

68th national percentile — 9 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropWatch

67th national percentile — 17.8%

Contract staff shareWatch

68th national percentile — 4.4%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapModerate

Reported 2.82 vs expected 2.90 · −0.08 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

33 citations on file
F-0604
G
Ensure that each resident is free from the use of physical restraints, u…
Actual Harm

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Survey date: May 21, 2025 · Isolated — actual harm
F-0553
D
Allow resident to participate in the development and implementation of h…
Minimal Harm

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Survey date: May 21, 2025 · Isolated — no actual harm with potential for more
F-0628
B
Provide the required documentation or notification related to the reside…
No Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey date: May 21, 2025 · Pattern — no actual harm
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: May 21, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

9 citations on file
F-0374
D
Install smoke barrier doors that can resist smoke for at least 20 minute…
Minimal Harm

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Survey date: May 22, 2024 · Isolated — no actual harm with potential for more
F-0511
D
Have properly installed electrical wiring and gas equipment
Minimal Harm

Have properly installed electrical wiring and gas equipment.

Survey date: May 22, 2024 · Isolated — no actual harm with potential for more
F-0521
D
Ensure heating and ventilation systems that have been properly installed…
Minimal Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: May 22, 2024 · Isolated — no actual harm with potential for more
F-0918
D
Have generator or other power source capable of supplying service within…
Minimal Harm

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

Survey date: May 22, 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
Elizabeth City Health and Rehabilitation
1.8 km · Elizabeth City, NC
★★
CMS
57th
Risk %ile
Similar risk