7Risk Axes

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

How we calculate
SeverityElevated

72th national percentile — 7.2% high-severity citations

ChronicityElevated

95th national percentile — 35 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

13 citations

Weekend staffing dropElevated

74th national percentile — 18.8%

Contract staff shareElevated

76th national percentile — 7.3%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapModerate

Reported 3.45 vs expected 3.50 · −0.05 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

83 citations on file
F-0697
E
Provide safe, appropriate pain management for a resident who requires su…
Potential Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey date: Apr 30, 2026 · Pattern — no actual harm with potential for more
F-0607
D
Develop and implement policies and procedures to prevent abuse, neglect,…
Minimal Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey date: Apr 30, 2026 · Isolated — no actual harm with potential for more
F-0610
J
Respond appropriately to all alleged violations
Actual Harm

Respond appropriately to all alleged violations.

Survey date: Apr 30, 2026 · Isolated — immediate jeopardy
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal 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: Apr 30, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

13 citations on file
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: Aug 2, 2023 · Isolated — no actual harm with potential for more
F-0300
D
Meet other general requirements that are deficient
Minimal Harm

Meet other general requirements that are deficient.

Survey date: Aug 2, 2023 · Isolated — no actual harm with potential for more
F-0324
E
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Aug 2, 2023 · Pattern — no actual harm with potential for more
F-0325
D
Have properly installed hallway dispensers for alcohol-based hand rub
Minimal Harm

Have properly installed hallway dispensers for alcohol-based hand rub.

Survey date: Aug 2, 2023 · 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
WESTMINSTER-CANTERBURY OF LYNCHBURG INC
4.3 km · LYNCHBURG, VA
★★★★★
CMS
24th
Risk %ile
Lower risk
TATE SPRINGS HEALTH & REHAB
374 m · LYNCHBURG, VA
★★★★
CMS
40th
Risk %ile
Similar risk
LIBERTY RIDGE HEALTH & REHAB
8.8 km · LYNCHBURG, VA
★★★
CMS
56th
Risk %ile
Similar risk