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

39th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

15 citations

Weekend staffing dropElevated

95th national percentile — 24.4%

Contract staff shareElevated

93th national percentile — 21.3%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapModerate

Reported 3.25 vs expected 3.28 · −0.03 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

17 citations on file
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 21, 2025 · Isolated — no actual harm with potential for more
F-0803
E
Ensure menus must meet the nutritional needs of residents, be prepared i…
Potential Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey date: Nov 21, 2025 · Pattern — 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: Nov 21, 2025 · Widespread — no actual harm with potential for more
F-0582
D
Give residents notice of Medicaid/Medicare coverage and potential liabil…
Minimal Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey date: Nov 21, 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-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Jul 3, 2024 · Widespread — no actual harm with potential for more
F-0111
D
Satisfy building requirements after a repair, renovation, modification, …
Minimal Harm

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Survey date: Jul 3, 2024 · Isolated — no actual harm with potential for more
F-0200
D
Meet other general requirements
Minimal Harm

Meet other general requirements.

Survey date: Jul 3, 2024 · Isolated — no actual harm with potential for more
F-0321
F
Ensure that special areas are constructed so that walls can resist fire …
Potential 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: Jul 3, 2024 · 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
Kerr Lake Nursing and Rehabilitation Center
16.3 km · Henderson, NC
★★★★
CMS
40th
Risk %ile
Similar risk
Brantwood Nh & Retirement Center
379 m · Oxford, NC
★★★★
CMS
47th
Risk %ile
Similar risk
Camellia Gardens Center for Nursing and Rehab
16.3 km · Henderson, NC
CMS
51th
Risk %ile
Similar risk