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

43th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropWatch

69th national percentile — 18.1%

Contract staff shareElevated

76th national percentile — 7.2%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.52 vs expected 2.56 · +0.96 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

16 citations on file
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: Sep 5, 2025 · Widespread — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: Sep 5, 2025 · Isolated — no actual harm with potential for more
F-0644
D
Coordinate assessments with the pre-admission screening and resident rev…
Minimal Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey date: Nov 30, 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 30, 2023 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

9 citations on file
F-0920
E
Ensure proper usage of power strips and extension cords
Potential Harm

Ensure proper usage of power strips and extension cords.

Survey date: Sep 5, 2025 · Pattern — no actual harm with potential for more
F-0923
D
Have proper medical gas storage and administration areas
Minimal Harm

Have proper medical gas storage and administration areas.

Survey date: Sep 5, 2025 · Isolated — no actual harm with potential for more
F-0024
F
Establish policies and procedures for volunteers
Potential Harm

Establish policies and procedures for volunteers.

Survey date: Aug 12, 2022 · Widespread — no actual harm with potential for more
F-0026
F
Establish roles under a Waiver declared by secretary
Potential Harm

Establish roles under a Waiver declared by secretary.

Survey date: Aug 12, 2022 · 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
The Willows at Citation
5.9 km · Lexington, KY
★★★★
CMS
20th
Risk %ile
Lower risk
The Willows at Fritz Farm
7.9 km · Lexington, KY
★★★★
CMS
23th
Risk %ile
Lower risk
Cardinal Hill Skilled Rehabilitation Unit
705 m · Lexington, KY
★★★★
CMS
24th
Risk %ile
Lower risk