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

ChronicityModerate

36th national percentile — 5 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

24 citations

Weekend staffing dropElevated

91th national percentile — 22.9%

Contract staff shareElevated

89th national percentile — 15.5%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.86 vs expected 2.93 · +0.93 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

30 citations on file
F-0637
D
Assess the resident when there is a significant change in condition
Minimal Harm

Assess the resident when there is a significant change in condition

Survey date: Mar 16, 2023 · Isolated — no actual harm with potential for more
F-0835
D
Administer the facility in a manner that enables it to use its resources…
Minimal Harm

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

Survey date: Mar 16, 2023 · Isolated — no actual harm with potential for more
F-0655
D
Create and put into place a plan for meeting the resident's most immedia…
Minimal Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey date: Mar 16, 2023 · Isolated — no actual harm with potential for more
F-0919
D
Make sure that a working call system is available in each resident's ba…
Minimal Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey date: Mar 16, 2023 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

24 citations on file
F-0032
D
Provide primary/alternate means for communication
Minimal Harm

Provide primary/alternate means for communication.

Survey date: Mar 16, 2023 · 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: Mar 16, 2023 · Isolated — no actual harm with potential for more
F-0923
D
Have proper medical gas storage and administration areas
Minimal Harm

Have proper medical gas storage and administration areas.

Survey date: Mar 16, 2023 · Isolated — 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: Mar 16, 2023 · 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
TREVECCA CENTER FOR REHABILITATION AND HEALING LLC
3.1 km · NASHVILLE, TN
★★★
CMS
36th
Risk %ile
Lower risk
THE MEADOWS
18.3 km · NASHVILLE, TN
★★★
CMS
36th
Risk %ile
Lower risk
LIFE CARE CENTER OF HICKORY WOODS
20.9 km · ANTIOCH, TN
★★★★★
CMS
36th
Risk %ile
Lower risk