7Risk Axes

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

How we calculate
SeverityElevated

84th national percentile — 11.1% high-severity citations

ChronicityElevated

74th national percentile — 8 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropElevated

83th national percentile — 20.6%

Contract staff shareModerate

36th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapModerate

Reported 3.56 vs expected 3.56 · 0.00 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

27 citations on file
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: Feb 12, 2026 · Isolated — no actual harm with potential for more
F-0577
C
Allow residents to easily view the nursing home's survey results and com…
Minimal Harm

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Survey date: Feb 12, 2026 · Widespread — no actual harm
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: Feb 12, 2026 · Isolated — no actual harm with potential for more
F-0689
D
Ensure that a nursing home area is free from accident hazards and provid…
Minimal Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Feb 12, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

4 citations on file
F-0225
D
Have stairways and smokeproof enclosures used as exits that meet safety …
Minimal Harm

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Survey date: Jun 24, 2021 · Isolated — no actual harm with potential for more
F-0271
E
Have exits that are accessible at all times
Potential Harm

Have exits that are accessible at all times.

Survey date: Jun 24, 2021 · Pattern — no actual harm with potential for more
F-0781
D
Have restrictions on the use of portable space heaters
Minimal Harm

Have restrictions on the use of portable space heaters.

Survey date: Jun 24, 2021 · Isolated — no actual harm with potential for more
F-0923
D
Have proper medical gas storage and administration areas
Minimal Harm

Have proper medical gas storage and administration areas.

Survey date: Jun 24, 2021 · 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 Willows at Citation
9.5 km · Lexington, KY
★★★★
CMS
20th
Risk %ile
Lower risk
The Willows at Fritz Farm
3.8 km · Lexington, KY
★★★★
CMS
23th
Risk %ile
Lower risk
Cardinal Hill Skilled Rehabilitation Unit
6.8 km · Lexington, KY
★★★★
CMS
24th
Risk %ile
Lower risk