7Risk Axes

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

How we calculate
SeverityElevated

95th national percentile — 21.1% high-severity citations

ChronicityLow

22th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropElevated

77th national percentile — 19.5%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapModerate

Reported 3.15 vs expected 3.22 · −0.07 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

19 citations on file
F-0837
J
Establish a governing body that is legally responsible for establishing …
Actual Harm

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Survey date: Dec 13, 2024 · 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: Dec 13, 2024 · Isolated — immediate jeopardy
F-0609
J
Timely report suspected abuse, neglect, or theft and report the results …
Actual Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey date: Dec 13, 2024 · Isolated — immediate jeopardy
F-0835
J
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: Dec 13, 2024 · Isolated — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

9 citations on file
F-0222
E
Add doors in an exit area that do not require the use of a key from the …
Potential 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 6, 2024 · Pattern — no actual harm with potential for more
F-0293
F
Have properly located and lighted "Exit" signs
Potential Harm

Have properly located and lighted "Exit" signs.

Survey date: Sep 6, 2024 · Widespread — no actual harm with potential for more
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Sep 6, 2024 · Pattern — no actual harm with potential for more
F-0741
E
Have posted "No-smoking" signs in areas where smoking is not permitted o…
Potential Harm

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Survey date: Sep 6, 2024 · 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
Clinton County Care and Rehabilitation Center
24.2 km · Albany, KY
★★★★
CMS
25th
Risk %ile
Lower risk
Fair Oaks Health and Rehabilitation
24.9 km · Jamestown, KY
★★★★
CMS
34th
Risk %ile
Lower risk