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

ChronicityElevated

82th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

6 citations

Weekend staffing dropModerate

48th national percentile — 15.3%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

99th national percentile — 4/5 measures worsened

Staffing gapElevated

Reported 3.62 vs expected 3.95 · −0.33 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

6 citations on file
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: Nov 3, 2021 · Isolated — no actual harm with potential for more
F-0690
E
Provide appropriate care for residents who are continent or incontinent …
Potential Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey date: Nov 3, 2021 · Pattern — no actual harm with potential for more
F-0761
E
Ensure drugs and biologicals used in the facility are labeled in accorda…
Potential Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: Nov 3, 2021 · Pattern — no actual harm with potential for more
F-0880
F
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Nov 3, 2021 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

6 citations on file
F-0321
D
Ensure that special areas are constructed so that walls can resist fire …
Minimal Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Jan 8, 2020 · 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: Jan 8, 2020 · 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: Jan 8, 2020 · 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: Jan 8, 2020 · 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
NHC-MAURY REGIONAL TRANSITIONAL CARE CENTER
1.9 km · COLUMBIA, TN
★★★★★
CMS
32th
Risk %ile
Lower risk
THE RESERVE AT SPRING HILL
22.0 km · SPRING HILL, TN
★★★★★
CMS
34th
Risk %ile
Lower risk
MT PLEASANT HEALTHCARE AND REHABILITATION
14.0 km · MOUNT PLEASANT, TN
★★★
CMS
37th
Risk %ile
Lower risk