7Risk Axes

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

How we calculate
SeverityLow

22th national percentile — 0.0% high-severity citations

ChronicityModerate

41th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropElevated

86th national percentile — 21.3%

Contract staff shareWatch

60th national percentile — 2.3%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.08 vs expected 2.67 · +0.41 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

22 citations on file
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

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

Survey date: Sep 7, 2023 · Isolated — no actual harm with potential for more
F-0744
D
Provide the appropriate treatment and services to a resident who display…
Minimal Harm

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Survey date: Sep 7, 2023 · Isolated — no actual harm with potential for more
F-0756
D
Ensure a licensed pharmacist perform a monthly drug regimen review, incl…
Minimal Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey date: Sep 7, 2023 · Isolated — no actual harm with potential for more
F-0757
D
Ensure each resident’s drug regimen must be free from unnecessary drugs
Minimal Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey date: Sep 7, 2023 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

9 citations on file
F-0932
D
Meet other general requirements
Minimal Harm

Meet other general requirements.

Survey date: Sep 7, 2023 · Isolated — 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: Mar 11, 2021 · Isolated — no actual harm with potential for more
F-0291
D
Install emergency lighting that can last at least 1 1/2 hours
Minimal Harm

Install emergency lighting that can last at least 1 1/2 hours.

Survey date: Mar 11, 2021 · Isolated — no actual harm with potential for more
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Mar 11, 2021 · Pattern — 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
Yanceyville Rehabilitation and Healthcare Center
20.9 km · Yanceyville, NC
★★
CMS
22th
Risk %ile
Lower risk
PINEY FOREST HEALTH AND REHABILITATION CENTER
1.2 km · DANVILLE, VA
★★
CMS
37th
Risk %ile
Lower risk
STRATFORD HEALTHCARE CENTER
1.9 km · DANVILLE, VA
★★★
CMS
43th
Risk %ile
Similar risk