7Risk Axes

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

How we calculate
SeverityElevated

100th national percentile — 57.1% high-severity citations

ChronicityModerate

30th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

23 citations

Weekend staffing dropElevated

90th national percentile — 22.5%

Contract staff shareWatch

52th national percentile — 1.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapWatch

Reported 3.68 vs expected 3.91 · −0.23 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

7 citations on file
F-0600
J
Protect each resident from all types of abuse such as physical, mental, …
Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey date: Apr 3, 2025 · Isolated — immediate jeopardy
F-0740
J
Ensure each resident must receive and the facility must provide necessar…
Actual Harm

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Survey date: Apr 3, 2025 · Isolated — immediate jeopardy
F-0835
J
Administer the facility in a manner that enables it to use its resources…
Actual Harm

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Survey date: Apr 3, 2025 · Isolated — immediate jeopardy
F-0867
J
Set up an ongoing quality assessment and assurance group to review quali…
Actual Harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey date: Apr 3, 2025 · Isolated — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

23 citations on file
F-0026
F
Establish roles under a Waiver declared by secretary
Potential Harm

Establish roles under a Waiver declared by secretary.

Survey date: Apr 3, 2025 · Widespread — no actual harm with potential for more
F-0351
D
Install an approved automatic sprinkler system
Minimal Harm

Install an approved automatic sprinkler system.

Survey date: Apr 3, 2025 · Isolated — no actual harm with potential for more
F-0920
D
Ensure proper usage of power strips and extension cords
Minimal Harm

Ensure proper usage of power strips and extension cords.

Survey date: Apr 3, 2025 · Isolated — no actual harm with potential for more
F-0039
F
Conduct testing and exercise requirements
Potential Harm

Conduct testing and exercise requirements.

Survey date: Apr 3, 2025 · Widespread — 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
HERITAGE INN HEALTH AND REHABILITATION
19.9 km · STATESBORO, GA
★★★★
CMS
27th
Risk %ile
Lower risk
EAGLE HEALTH & REHABILITATION
17.3 km · STATESBORO, GA
★★★
CMS
29th
Risk %ile
Lower risk
WESTWOOD HEALTHCARE AND REHABILITATION
17.0 km · STATESBORO, GA
★★★
CMS
35th
Risk %ile
Lower risk