7Risk Axes

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

How we calculate
SeverityElevated

98th national percentile — 28.6% high-severity citations

ChronicityModerate

30th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyMinor

2 citations

Weekend staffing dropModerate

45th national percentile — 14.9%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.95 vs expected 3.58 · +0.37 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

7 citations on file
F-0656
G
Develop and implement a complete care plan that meets all the resident's…
Actual Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Oct 19, 2022 · Isolated — actual harm
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: Oct 19, 2022 · Isolated — no actual harm with potential for more
F-0689
G
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Oct 19, 2022 · Isolated — actual harm
F-0761
D
Ensure drugs and biologicals used in the facility are labeled in accorda…
Minimal 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: Oct 19, 2022 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

2 citations on file
F-0211
D
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Minimal Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Oct 9, 2019 · 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: Nov 28, 2018 · 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
Meadowbrook Healthcare and Rehabilitation Center
746 m · PULASKI, TN
★★★
CMS
40th
Risk %ile
Similar risk