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

46th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

3 citations

Weekend staffing dropWatch

50th national percentile — 15.5%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 6.43 vs expected 6.69 · −0.26 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

5 citations on file
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Aug 15, 2024 · Isolated — no actual harm with potential for more
F-0759
D
Ensure medication error rates are not 5 percent or greater
Minimal Harm

Ensure medication error rates are not 5 percent or greater.

Survey date: Aug 15, 2024 · Isolated — no actual harm with potential for more
F-0814
E
Dispose of garbage and refuse properly
Potential Harm

Dispose of garbage and refuse properly.

Survey date: Aug 15, 2024 · Pattern — no actual harm with potential for more
F-0812
E
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Apr 19, 2023 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

3 citations on file
F-0225
E
Have stairways and smokeproof enclosures used as exits that meet safety …
Potential Harm

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Survey date: Oct 31, 2019 · Pattern — no actual harm with potential for more
F-0271
D
Have exits that are accessible at all times
Minimal Harm

Have exits that are accessible at all times.

Survey date: Oct 31, 2019 · Isolated — no actual harm with potential for more
F-0372
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Minimal Harm

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Oct 31, 2019 · 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
The Sharon at Southpark
7.8 km · Charlotte, NC
★★★★
CMS
13th
Risk %ile
Lower risk
Willowbrooke Court SC Ctr at Matthews Glen
16.3 km · Matthews, NC
★★★★★
CMS
20th
Risk %ile
Lower risk