7Risk Axes

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

How we calculate
SeverityWatch

53th national percentile — 3.2% high-severity citations

ChronicityElevated

72th national percentile — 9 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

14 citations

Weekend staffing dropElevated

75th national percentile — 19.0%

Contract staff shareElevated

75th national percentile — 6.8%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.20 vs expected 3.49 · −0.29 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

31 citations on file
F-0550
D
Honor the resident's right to a dignified existence, self-determination,…
Minimal Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey date: Apr 24, 2025 · 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: Apr 24, 2025 · Isolated — no actual harm with potential for more
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Apr 24, 2025 · Isolated — no actual harm with potential for more
F-0700
D
Try different approaches before using a bed rail
Minimal Harm

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Survey date: Apr 24, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

14 citations on file
F-0161
D
Use approved construction type or materials
Minimal Harm

Use approved construction type or materials.

Survey date: Apr 24, 2025 · Isolated — no actual harm with potential for more
F-0200
D
Meet other general requirements
Minimal Harm

Meet other general requirements.

Survey date: Apr 24, 2025 · Isolated — no actual harm with potential for more
F-0321
D
Ensure that special areas are constructed so that walls can resist fire …
Minimal 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: Apr 24, 2025 · Isolated — no actual harm with potential for more
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Apr 24, 2025 · 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
Carolina Rivers Nursing and Rehabilitation Center
4.2 km · Jacksonville, NC
★★★★★
CMS
43th
Risk %ile
Similar risk