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

ChronicityWatch

66th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

10 citations

Weekend staffing dropElevated

86th national percentile — 21.3%

Contract staff shareElevated

81th national percentile — 9.5%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.57 vs expected 3.52 · +0.05 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

15 citations on file
F-0578
D
Honor the resident's right to request, refuse, and/or discontinue treatm…
Minimal Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey date: Mar 7, 2025 · Isolated — no actual harm with potential for more
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Mar 7, 2025 · Isolated — no actual harm with potential for more
F-0727
D
Have a registered nurse on duty 8 hours a day; and select a registered …
Minimal 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: Mar 7, 2025 · Isolated — no actual harm with potential for more
F-0732
B
Post nurse staffing information every day
No Harm

Post nurse staffing information every day.

Survey date: Mar 7, 2025 · Pattern — no actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

10 citations on file
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Mar 7, 2025 · Isolated — no actual harm with potential for more
F-0923
E
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Mar 7, 2025 · Pattern — no actual harm with potential for more
F-0374
F
Install smoke barrier doors that can resist smoke for at least 20 minute…
Potential Harm

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Survey date: Apr 18, 2024 · Widespread — 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: Apr 18, 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
The Cedars of Chapel Hill
13.3 km · Chapel Hill, NC
★★★★
CMS
13th
Risk %ile
Lower risk
Carol Woods
11.8 km · Chapel Hill, NC
★★★★★
CMS
19th
Risk %ile
Lower risk
The Forest At Duke Inc
4.3 km · Durham, NC
★★★★
CMS
23th
Risk %ile
Lower risk