7Risk Axes

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

How we calculate
SeverityElevated

78th national percentile — 9.1% high-severity citations

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

25 citations

Weekend staffing dropElevated

97th national percentile — 26.1%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.52 vs expected 3.15 · +0.37 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

11 citations on file
F-0645
D
PASARR screening for Mental disorders or Intellectual Disabilities
Minimal Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey date: Jun 5, 2025 · Isolated — no actual harm with potential for more
F-0880
K
Provide and implement an infection prevention and control program
Actual Harm

Provide and implement an infection prevention and control program.

Survey date: Jul 5, 2024 · Pattern — immediate jeopardy
F-0575
C
Post a list of names, addresses, and telephone numbers of all pertinent …
Minimal Harm

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

Survey date: Mar 14, 2024 · Widespread — no actual harm
F-0689
D
Ensure that a nursing home area is free from accident hazards and provid…
Minimal Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Mar 14, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

25 citations on file
F-0100
D
Meet other general requirements
Minimal Harm

Meet other general requirements.

Survey date: Jun 5, 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: Jun 5, 2025 · Isolated — no actual harm with potential for more
F-0345
D
Have approved installation, maintenance and testing program for fire ala…
Minimal Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Jun 5, 2025 · Isolated — no actual harm with potential for more
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Jun 5, 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
Willowbrook Rehabilitation and Care
22.1 km · Yadkinville, NC
★★★★
CMS
27th
Risk %ile
Lower risk
Chatham Nursing & Rehabilitation
6.0 km · Elkin, NC
★★★★★
CMS
33th
Risk %ile
Lower risk