7Risk Axes

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

How we calculate
SeverityElevated

86th national percentile — 12.5% high-severity citations

ChronicityLow

26th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

6 citations

Weekend staffing dropWatch

63th national percentile — 17.2%

Contract staff shareModerate

43th national percentile — 0.2%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.64 vs expected 3.43 · +0.21 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

16 citations on file
F-0658
G
Ensure services provided by the nursing facility meet professional stand…
Actual Harm

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

Survey date: Jun 5, 2024 · Isolated — actual harm
F-0585
C
Honor the resident's right to voice grievances without discrimination or…
Minimal Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey date: Jun 5, 2024 · Widespread — no actual harm
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: Jun 5, 2024 · Isolated — no actual harm with potential for more
F-0760
G
Ensure that residents are free from significant medication errors
Actual Harm

Ensure that residents are free from significant medication errors.

Survey date: Jun 5, 2024 · Isolated — actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

6 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: Jun 5, 2024 · Isolated — no actual harm with potential for more
F-0324
D
Provide properly protected cooking facilities
Minimal Harm

Provide properly protected cooking facilities.

Survey date: Feb 10, 2022 · Isolated — no actual harm with potential for more
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Feb 10, 2022 · Widespread — no actual harm with potential for more
F-0211
E
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Potential Harm

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

Survey date: Feb 17, 2021 · Pattern — 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
WESTMINSTER-CANTERBURY OF LYNCHBURG INC
13.1 km · LYNCHBURG, VA
★★★★★
CMS
24th
Risk %ile
Lower risk
TATE SPRINGS HEALTH & REHAB
8.7 km · LYNCHBURG, VA
★★★★
CMS
40th
Risk %ile
Similar risk