7Risk Axes

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

How we calculate
SeverityElevated

80th national percentile — 9.8% high-severity citations

ChronicityElevated

79th national percentile — 13 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropLow

15th national percentile — 10.6%

Contract staff shareElevated

91th national percentile — 17.8%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.49 vs expected 3.27 · +0.22 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

41 citations on file
F-0610
D
Respond appropriately to all alleged violations
Minimal Harm

Respond appropriately to all alleged violations.

Survey date: Mar 18, 2026 · Isolated — no actual harm with potential for more
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: Mar 18, 2026 · 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: Nov 28, 2023 · Isolated — no actual harm with potential for more
F-0760
J
Ensure that residents are free from significant medication errors
Actual Harm

Ensure that residents are free from significant medication errors.

Survey date: Oct 26, 2023 · Isolated — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

11 citations on file
F-0325
E
Have properly installed hallway dispensers for alcohol-based hand rub
Potential Harm

Have properly installed hallway dispensers for alcohol-based hand rub.

Survey date: Jul 26, 2023 · Pattern — no actual harm with potential for more
F-0531
D
Have elevators that firefighters can control in the event of a fire
Minimal Harm

Have elevators that firefighters can control in the event of a fire.

Survey date: Jul 26, 2023 · Isolated — no actual harm with potential for more
F-0711
E
Provide a written emergency evacuation plan
Potential Harm

Provide a written emergency evacuation plan.

Survey date: Jul 26, 2023 · Pattern — 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: Jul 26, 2023 · 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
SUMMIT HEALTH AND REHAB CENTER
24.3 km · LYNCHBURG, VA
★★★
CMS
59th
Risk %ile
Similar risk