7Risk Axes

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

How we calculate
SeverityModerate

45th national percentile — 1.6% high-severity citations

ChronicityElevated

96th national percentile — 27 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropModerate

34th national percentile — 13.5%

Contract staff shareElevated

95th national percentile — 25.8%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.43 vs expected 2.93 · +0.51 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

61 citations on file
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Nov 13, 2025 · Isolated — no actual harm with potential for more
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

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

Survey date: Nov 13, 2025 · Isolated — no actual harm with potential for more
F-0842
D
Safeguard resident-identifiable information and/or maintain medical reco…
Minimal Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: Nov 13, 2025 · Isolated — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: Nov 13, 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-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: Sep 12, 2024 · Isolated — no actual harm with potential for more
F-0345
D
Have approved installation, maintenance and testing program for fire ala…
Minimal Harm

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

Survey date: Sep 12, 2024 · Isolated — no actual harm with potential for more
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Sep 12, 2024 · Isolated — no actual harm with potential for more
F-0761
D
To conduct inspection, testing and maintenance of fire doors by qualifie…
Minimal Harm

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Survey date: Sep 12, 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
WESTMINSTER-CANTERBURY OF LYNCHBURG INC
9.3 km · LYNCHBURG, VA
★★★★★
CMS
24th
Risk %ile
Lower risk
TATE SPRINGS HEALTH & REHAB
4.9 km · LYNCHBURG, VA
★★★★
CMS
40th
Risk %ile
Similar risk
LIBERTY RIDGE HEALTH & REHAB
3.8 km · LYNCHBURG, VA
★★★
CMS
56th
Risk %ile
Similar risk