7Risk Axes

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

How we calculate
SeverityLow

22th national percentile — 0.0% high-severity citations

ChronicityLow

18th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

13 citations

Weekend staffing dropElevated

75th national percentile — 19.1%

Contract staff shareModerate

39th national percentile — 0.1%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.73 vs expected 3.48 · +0.25 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

11 citations on file
F-0842
D
Safeguard resident-identifiable information and/or maintain medical reco…
Minimal Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: Nov 15, 2024 · 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: Aug 21, 2024 · Isolated — no actual harm with potential for more
F-0757
D
Ensure each resident’s drug regimen must be free from unnecessary drugs
Minimal Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey date: May 9, 2024 · Isolated — no actual harm with potential for more
F-0584
D
Honor the resident's right to a safe, clean, comfortable and homelike en…
Minimal Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey date: Dec 5, 2022 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

13 citations on file
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: May 9, 2024 · Isolated — no actual harm with potential for more
F-0761
E
To conduct inspection, testing and maintenance of fire doors by qualifie…
Potential Harm

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Survey date: May 9, 2024 · Pattern — no actual harm with potential for more
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: Dec 5, 2022 · Isolated — no actual harm with potential for more
F-0324
E
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Dec 5, 2022 · 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
KING'S GRANT LACY HEALTH CENTER
6.0 km · MARTINSVILLE, VA
★★★★★
CMS
26th
Risk %ile
Lower risk
UNC Rockingham Rehab & Nursing Care Center
23.6 km · Eden, NC
★★★★★
CMS
31th
Risk %ile
Lower risk