7Risk Axes

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

How we calculate
SeverityElevated

84th national percentile — 11.5% high-severity citations

ChronicityLow

24th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

17 citations

Weekend staffing dropElevated

96th national percentile — 25.1%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 4.17 vs expected 4.69 · −0.53 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

26 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 4, 2025 · Isolated — no actual harm with potential for more
F-0640
D
Encode each resident’s assessment data and transmit these data to the St…
Minimal Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey date: Jun 4, 2025 · Isolated — no actual harm with potential for more
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: Jun 4, 2025 · Isolated — no actual harm with potential for more
F-0689
D
Ensure that a nursing home area is free from accident hazards and provid…
Minimal Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Jun 4, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

17 citations on file
F-0001
D
Establish an Emergency Preparedness Program (EP)
Minimal Harm

Establish an Emergency Preparedness Program (EP).

Survey date: Jun 4, 2025 · Isolated — no actual harm with potential for more
F-0372
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Minimal Harm

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Jun 4, 2025 · 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 4, 2025 · Isolated — no actual harm with potential for more
F-0341
D
Install a fire alarm system that can be heard throughout the facility
Minimal Harm

Install a fire alarm system that can be heard throughout the facility.

Survey date: Feb 12, 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
BERRIEN OAKS NURSING AND REHAB CENTER
23.2 km · NASHVILLE, GA
CMS
42th
Risk %ile
Similar risk