7Risk Axes

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

How we calculate
SeverityElevated

99th national percentile — 35.3% high-severity citations

ChronicityLow

24th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

10 citations

Weekend staffing dropModerate

36th national percentile — 13.8%

Contract staff shareModerate

45th national percentile — 0.3%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapWatch

Reported 3.20 vs expected 3.45 · −0.25 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

17 citations on file
F-0600
G
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: Oct 17, 2024 · Isolated — actual harm
F-0835
L
Administer the facility in a manner that enables it to use its resources…
Actual Harm

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Survey date: Sep 1, 2024 · Widespread — immediate jeopardy
F-0607
J
Develop and implement policies and procedures to prevent abuse, neglect,…
Actual Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey date: Sep 1, 2024 · Isolated — immediate jeopardy
F-0867
L
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: Sep 1, 2024 · Widespread — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

10 citations on file
F-0321
D
Ensure that special areas are constructed so that walls can resist fire …
Minimal Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Sep 1, 2024 · 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: Sep 1, 2024 · Widespread — no actual harm with potential for more
F-0352
D
Properly install and monitor supervisory attachments on automatic sprink…
Minimal Harm

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Survey date: Sep 1, 2024 · Isolated — no actual harm with potential for more
F-0361
D
Ensure that waiting areas, nurse’s stations, gift shops, and cooking fac…
Minimal Harm

Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

Survey date: Sep 1, 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
MONTGOMERY CHILDREN'S SPECIALTY CENTER
15.3 km · MONTGOMERY, AL
★★★
CMS
30th
Risk %ile
Lower risk
CAPITOL HILL HEALTHCARE CENTER
20.8 km · MONTGOMERY, AL
★★★★
CMS
30th
Risk %ile
Lower risk
PRATTVILLE HEALTH AND REHABILITATION, LLC
13.2 km · PRATTVILLE, AL
CMS
37th
Risk %ile
Lower risk