7Risk Axes

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

How we calculate
SeverityElevated

92th national percentile — 16.7% high-severity citations

ChronicityWatch

53th national percentile — 8 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

20 citations

Weekend staffing dropLow

23th national percentile — 12.1%

Contract staff shareElevated

97th national percentile — 30.4%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapWatch

Reported 3.15 vs expected 3.29 · −0.14 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

36 citations on file
F-0658
D
Ensure services provided by the nursing facility meet professional stand…
Minimal Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey date: May 5, 2025 · Isolated — no actual harm with potential for more
F-0760
E
Ensure that residents are free from significant medication errors
Potential Harm

Ensure that residents are free from significant medication errors.

Survey date: May 5, 2025 · Pattern — no actual harm with potential for more
F-0561
D
Honor the resident's right to and the facility must promote and facilita…
Minimal Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey date: Apr 4, 2024 · Isolated — no actual harm with potential for more
F-0623
B
Provide timely notification to the resident, and if applicable to the re…
No Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey date: Apr 4, 2024 · Pattern — no actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

20 citations on file
F-0321
D
Ensure that special areas are constructed so that walls can resist fire …
Minimal Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: May 5, 2025 · Isolated — no actual harm with potential for more
F-0363
F
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: May 5, 2025 · Widespread — no actual harm with potential for more
F-0511
F
Have properly installed electrical wiring and gas equipment
Potential Harm

Have properly installed electrical wiring and gas equipment.

Survey date: May 5, 2025 · Widespread — no actual harm with potential for more
F-0741
D
Have posted "No-smoking" signs in areas where smoking is not permitted o…
Minimal Harm

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Survey date: May 5, 2025 · 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
Sanford Health & Rehabilitation Co
16.4 km · Sanford, NC
★★★★
CMS
48th
Risk %ile
Similar risk
Westfield Rehabilitation and Health Center
6.1 km · Sanford, NC
★★★★
CMS
52th
Risk %ile
Similar risk