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

ChronicityElevated

71th national percentile — 8 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

15 citations

Weekend staffing dropClean

No PBJ staffing data

Contract staff shareClean

No PBJ staffing data

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapN/A

Not on file

Recent Health Violations

Health inspection citations from official Medicare records

28 citations on file
F-0689
D
Ensure that a nursing home area is free from accident hazards and provid…
Minimal Harm

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

Survey date: Oct 9, 2025 · Isolated — no actual harm with potential for more
F-0684
J
Provide appropriate treatment and care according to orders, resident’s p…
Actual Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Feb 7, 2025 · Isolated — immediate jeopardy
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: Feb 7, 2025 · Isolated — immediate jeopardy
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: Feb 7, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

15 citations on file
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Dec 16, 2024 · Isolated — no actual harm with potential for more
F-0511
D
Have properly installed electrical wiring and gas equipment
Minimal Harm

Have properly installed electrical wiring and gas equipment.

Survey date: Dec 16, 2024 · Isolated — no actual harm with potential for more
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: Dec 16, 2024 · Isolated — no actual harm with potential for more
F-0345
D
Have approved installation, maintenance and testing program for fire ala…
Minimal Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Dec 16, 2024 · 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
Goldsboro Rehabilitation and Healthcare Center
5.8 km · Goldsboro, NC
★★★
CMS
32th
Risk %ile
Lower risk
Willow Creek Nursing and Rehabilitation Center
6.8 km · Goldsboro, NC
★★
CMS
54th
Risk %ile
Similar risk