7Risk Axes

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

How we calculate
SeverityElevated

92th national percentile — 16.7% high-severity citations

ChronicityWatch

56th national percentile — 7 repeat citations

Staffing integrityClean

None on file

Fire safetyMinor

2 citations

Weekend staffing dropElevated

96th national percentile — 25.5%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 4.02 vs expected 4.95 · −0.93 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

30 citations on file
F-0610
D
Respond appropriately to all alleged violations
Minimal Harm

Respond appropriately to all alleged violations.

Survey date: Aug 27, 2025 · Isolated — no actual harm with potential for more
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: Aug 27, 2025 · Isolated — no actual harm with potential for more
F-0558
D
Reasonably accommodate the needs and preferences of each resident
Minimal Harm

Reasonably accommodate the needs and preferences of each resident.

Survey date: Aug 27, 2025 · Isolated — no actual harm with potential for more
F-0565
D
Honor the resident's right to organize and participate in resident/famil…
Minimal Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey date: Aug 27, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

2 citations on file
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

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

Survey date: Aug 27, 2025 · Widespread — no actual harm with potential for more
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm↻ Repeat

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

Survey date: Jul 14, 2022 · Widespread — 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
DELTA REHABILITATION AND HEALTHCARE CENTER
15.5 km · CLEVELAND, MS
★★
CMS
17th
Risk %ile
Lower risk
BOLIVAR MEDICAL CENTER LTC
15.3 km · CLEVELAND, MS
★★★
CMS
29th
Risk %ile
Lower risk
CLEVELAND COMMUNITY CARE CENTER
14.4 km · CLEVELAND, MS
CMS
54th
Risk %ile
Similar risk