7Risk Axes

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

How we calculate
SeverityElevated

93th national percentile — 18.2% high-severity citations

ChronicityModerate

33th national percentile — 5 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

27 citations

Weekend staffing dropElevated

73th national percentile — 18.7%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapWatch

Reported 3.44 vs expected 3.69 · −0.25 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

33 citations on file
F-0580
G
Immediately tell the resident, the resident's doctor, and a family membe…
Actual Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey date: Jun 13, 2025 · Isolated — actual harm
F-0607
D
Develop and implement policies and procedures to prevent abuse, neglect,…
Minimal Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey date: Jun 13, 2025 · Isolated — no actual harm with potential for more
F-0684
G
Provide appropriate treatment and care according to orders, resident’s p…
Actual Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Jun 13, 2025 · Isolated — actual harm
F-0842
E
Safeguard resident-identifiable information and/or maintain medical reco…
Potential Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: Jun 13, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

27 citations on file
F-0001
F
Establish an Emergency Preparedness Program (EP)
Potential Harm

Establish an Emergency Preparedness Program (EP).

Survey date: Apr 4, 2025 · Widespread — no actual harm with potential for more
F-0211
D
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Minimal Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Apr 4, 2025 · Isolated — 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: Apr 4, 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 4, 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
The Cedars of Chapel Hill
11.8 km · Chapel Hill, NC
★★★★
CMS
13th
Risk %ile
Lower risk
Carol Woods
9.3 km · Chapel Hill, NC
★★★★★
CMS
19th
Risk %ile
Lower risk
The Forest At Duke Inc
3.2 km · Durham, NC
★★★★
CMS
23th
Risk %ile
Lower risk