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

ChronicityLow

23th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

19 citations

Weekend staffing dropElevated

72th national percentile — 18.6%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.75 vs expected 3.65 · +0.10 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

18 citations on file
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Sep 4, 2025 · Isolated — no actual harm with potential for more
F-0921
D
Make sure that the nursing home area is safe, easy to use, clean and com…
Minimal Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey date: Sep 4, 2025 · 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: Sep 4, 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: Mar 20, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

19 citations on file
F-0222
D
Add doors in an exit area that do not require the use of a key from the …
Minimal Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Sep 4, 2025 · Isolated — no actual harm with potential for more
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Sep 4, 2025 · Isolated — 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: Sep 4, 2025 · 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 4, 2025 · 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
KIRBY PINES MANOR
16.8 km · MEMPHIS, TN
★★★★★
CMS
22th
Risk %ile
Lower risk
ALLEN MORGAN HEALTH AND REHABILITATION CENTER
5.3 km · MEMPHIS, TN
★★★★★
CMS
25th
Risk %ile
Lower risk
SIGNATURE HEALTHCARE OF PRIMACY
14.6 km · MEMPHIS, TN
★★★★★
CMS
35th
Risk %ile
Lower risk