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

ChronicityLow

23th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropElevated

86th national percentile — 21.4%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapElevated

Reported 5.70 vs expected 6.84 · −1.14 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

9 citations on file
F-0727
F
Have a registered nurse on duty 8 hours a day; and select a registered …
Potential Harm

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey date: Jan 9, 2025 · Widespread — no actual harm with potential for more
F-0812
F
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: Jan 9, 2025 · Widespread — no actual harm with potential for more
F-0609
D
Timely report suspected abuse, neglect, or theft and report the results …
Minimal Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey date: Nov 17, 2023 · Isolated — no actual harm with potential for more
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal 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: Nov 17, 2023 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

11 citations on file
F-0024
F
Establish policies and procedures for volunteers
Potential Harm

Establish policies and procedures for volunteers.

Survey date: Jan 9, 2025 · Widespread — no actual harm with potential for more
F-0131
F
Meet requirements for sections of health care facilities separated by fi…
Potential Harm

Meet requirements for sections of health care facilities separated by fire resistive construction.

Survey date: Jan 9, 2025 · Widespread — no actual harm with potential for more
F-0293
D
Have properly located and lighted "Exit" signs
Minimal Harm

Have properly located and lighted "Exit" signs.

Survey date: Jan 9, 2025 · Isolated — no actual harm with potential for more
F-0342
E
Have a complete alarm system manually initiated and initiated by fire sp…
Potential Harm

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Survey date: Jan 9, 2025 · 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
Greenville Nursing and Rehabilitation
2.2 km · Greenville, KY
★★★★★
CMS
34th
Risk %ile
Lower risk
Maple Health and Rehabilitation
2.2 km · Greenville, KY
★★★★
CMS
35th
Risk %ile
Lower risk