7Risk Axes

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

How we calculate
SeverityElevated

96th national percentile — 23.1% high-severity citations

ChronicityLow

16th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

14 citations

Weekend staffing dropModerate

49th national percentile — 15.4%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.37 vs expected 3.63 · −0.26 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

13 citations on file
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: Nov 18, 2025 · Isolated — no actual harm with potential for more
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: Nov 18, 2025 · Widespread — no actual harm with potential for more
F-0554
D
Allow residents to self-administer drugs if determined clinically approp…
Minimal Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey date: Nov 18, 2025 · Isolated — no actual harm with potential for more
F-0760
J
Ensure that residents are free from significant medication errors
Actual Harm

Ensure that residents are free from significant medication errors.

Survey date: May 23, 2024 · Isolated — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

14 citations on file
F-0232
D
Have corridors or aisles that are unobstructed and are at least 8 feet i…
Minimal Harm

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Survey date: Nov 18, 2025 · Isolated — no actual harm with potential for more
F-0281
D
Install proper backup exit lighting
Minimal Harm

Install proper backup exit lighting.

Survey date: Nov 18, 2025 · Isolated — no actual harm with potential for more
F-0311
D
Have an enclosure around a vertical opening shaft
Minimal Harm

Have an enclosure around a vertical opening shaft.

Survey date: Nov 18, 2025 · Isolated — no actual harm with potential for more
F-0324
D
Provide properly protected cooking facilities
Minimal Harm

Provide properly protected cooking facilities.

Survey date: Nov 18, 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
COMFORT CREEK NURSING AND REHABILITATION CENTER
15.4 km · WADLEY, GA
★★
CMS
40th
Risk %ile
Similar risk