7Risk Axes

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

How we calculate
SeverityElevated

98th national percentile — 27.3% high-severity citations

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyMinor

2 citations

Weekend staffing dropElevated

93th national percentile — 23.5%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.37 vs expected 3.69 · −0.32 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

11 citations on file
F-0684
J
Provide appropriate treatment and care according to orders, resident’s p…
Actual Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Feb 29, 2024 · Isolated — immediate jeopardy
F-0711
J
Ensure the resident's doctor reviews the resident's care, writes, signs …
Actual Harm

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Survey date: Feb 29, 2024 · Isolated — immediate jeopardy
F-0756
J
Ensure a licensed pharmacist perform a monthly drug regimen review, incl…
Actual Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey date: Feb 29, 2024 · Isolated — immediate jeopardy
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: Nov 14, 2023 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

2 citations on file
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Dec 10, 2019 · Isolated — 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: Nov 15, 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
THE WATERS OF ROAN HIGHLANDS,LLC
24.5 km · ROAN MOUNTAIN, TN
★★★★★
CMS
26th
Risk %ile
Lower risk
AGAPE REHABILITATION & NURSING CENTER, A WATERS CM
13.3 km · JOHNSON CITY, TN
★★★
CMS
30th
Risk %ile
Lower risk
LAKEBRIDGE, A WATERS COMMUNITY, LLC
15.9 km · JOHNSON CITY, TN
★★★
CMS
32th
Risk %ile
Lower risk