7Risk Axes

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

How we calculate
SeverityElevated

79th national percentile — 9.2% high-severity citations

ChronicityWatch

63th national percentile — 22 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

15 citations

Weekend staffing dropElevated

89th national percentile — 22.0%

Contract staff shareWatch

64th national percentile — 3.1%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapModerate

Reported 3.23 vs expected 3.31 · −0.08 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

87 citations on file
F-0679
D
Provide activities to meet all resident's needs
Minimal Harm

Provide activities to meet all resident's needs.

Survey date: Apr 8, 2025 · Isolated — no actual harm with potential for more
F-0557
D
Honor the resident's right to be treated with respect and dignity and to…
Minimal Harm

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Survey date: Apr 8, 2025 · Isolated — no actual harm with potential for more
F-0760
D
Ensure that residents are free from significant medication errors
Minimal Harm

Ensure that residents are free from significant medication errors.

Survey date: Apr 8, 2025 · Isolated — no actual harm with potential for more
F-0770
E
Provide timely, quality laboratory services/tests to meet the needs of r…
Potential Harm

Provide timely, quality laboratory services/tests to meet the needs of residents.

Survey date: Apr 8, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

15 citations on file
F-0037
D
Establish staff and initial training requirements
Minimal Harm

Establish staff and initial training requirements.

Survey date: Apr 8, 2025 · Isolated — no actual harm with potential for more
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: Apr 8, 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: Apr 8, 2025 · Isolated — no actual harm with potential for more
F-0355
D
Properly select, install, inspect, or maintain portable fire extinguishe…
Minimal Harm

Properly select, install, inspect, or maintain portable fire extinguishes.

Survey date: Apr 8, 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
SW VA M H INST GERI TRT CTR
22.3 km · MARION, VA
★★★★★
CMS
18th
Risk %ile
Lower risk
WYTHE CNTY COMMUNITY HOSP ECU
17.0 km · WYTHEVILLE, VA
★★★★
CMS
30th
Risk %ile
Lower risk
FRANCIS MARION MANOR HEALTH & REHABILITATION
21.5 km · MARION, VA
★★★★
CMS
35th
Risk %ile
Lower risk