7Risk Axes

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

How we calculate
SeverityElevated

95th national percentile — 21.1% high-severity citations

ChronicityElevated

78th national percentile — 6 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

6 citations

Weekend staffing dropElevated

97th national percentile — 26.2%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.69 vs expected 3.25 · +0.44 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

19 citations on file
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: Jun 12, 2025 · Isolated — no actual harm with potential for more
F-0656
G
Develop and implement a complete care plan that meets all the resident's…
Actual 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: Jun 12, 2025 · Isolated — actual harm
F-0686
G
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Jun 12, 2025 · Isolated — actual harm
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: Jun 12, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

6 citations on file
F-0311
D
Have an enclosure around a vertical opening shaft
Minimal Harm

Have an enclosure around a vertical opening shaft.

Survey date: Jan 4, 2024 · Isolated — no actual harm with potential for more
F-0511
D
Have properly installed electrical wiring and gas equipment
Minimal Harm

Have properly installed electrical wiring and gas equipment.

Survey date: Jan 4, 2024 · 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: Jun 16, 2022 · 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 16, 2022 · 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
TERRACES AT PEACHTREE HILLS PLACE, THE
5.2 km · ATLANTA, GA
★★★★
CMS
16th
Risk %ile
Lower risk
Healthcare at College Park, LLC
16.9 km · COLLEGE PARK, GA
CMS
19th
Risk %ile
Lower risk
HARBORVIEW DECATUR
6.1 km · DECATUR, GA
★★
CMS
21th
Risk %ile
Lower risk