7Risk Axes

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

How we calculate
SeverityElevated

100th national percentile — 44.2% high-severity citations

ChronicityWatch

69th national percentile — 12 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

19 citations

Weekend staffing dropElevated

71th national percentile — 18.4%

Contract staff shareWatch

59th national percentile — 2.1%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 5.82 vs expected 6.12 · −0.31 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

43 citations on file
F-0580
J
Immediately tell the resident, the resident's doctor, and a family membe…
Actual Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey date: Jun 5, 2025 · Isolated — immediate jeopardy
F-0740
J
Ensure each resident must receive and the facility must provide necessar…
Actual Harm

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Survey date: Jun 5, 2025 · Isolated — immediate jeopardy
F-0600
J
Protect each resident from all types of abuse such as physical, mental, …
Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey date: Jun 5, 2025 · Isolated — immediate jeopardy
F-0867
J
Set up an ongoing quality assessment and assurance group to review quali…
Actual Harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey date: Jun 5, 2025 · Isolated — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

19 citations on file
F-0223
F
Provide exit doors that are held open by devices that will automatically…
Potential Harm

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Survey date: Mar 19, 2025 · Widespread — 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: Mar 19, 2025 · Isolated — no actual harm with potential for more
F-0351
D
Install an approved automatic sprinkler system
Minimal Harm

Install an approved automatic sprinkler system.

Survey date: Mar 19, 2025 · Isolated — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Mar 19, 2025 · 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
FAIR HAVEN
15.5 km · BIRMINGHAM, AL
★★★
CMS
30th
Risk %ile
Lower risk
PINE HILL REHABILITATION AND WELLNESS CENTER
4.8 km · BIRMINGHAM, AL
CMS
33th
Risk %ile
Lower risk
CAVALIER HEALTHCARE OF TRUSSVILLE
18.0 km · TRUSSVILLE, AL
★★
CMS
34th
Risk %ile
Lower risk