7Risk Axes

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

How we calculate
SeverityElevated

75th national percentile — 8.1% high-severity citations

ChronicityElevated

80th national percentile — 12 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropLow

26th national percentile — 12.4%

Contract staff shareElevated

88th national percentile — 14.5%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapElevated

Reported 3.25 vs expected 3.54 · −0.29 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

37 citations on file
F-0658
D
Ensure services provided by the nursing facility meet professional stand…
Minimal Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey date: Jan 23, 2025 · Isolated — no actual harm with potential for more
F-0760
D
Ensure that residents are free from significant medication errors
Minimal Harm

Ensure that residents are free from significant medication errors.

Survey date: Jan 23, 2025 · Isolated — no actual harm with potential for more
F-0940
F
Develop, implement, and/or maintain an effective training program for al…
Potential Harm

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Survey date: Jan 31, 2024 · Widespread — no actual harm with potential for more
F-0838
F
Conduct and document a facility-wide assessment to determine what resour…
Potential Harm

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Survey date: Jan 31, 2024 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 citations on file
F-0321
D
Ensure that special areas are constructed so that walls can resist fire …
Minimal Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: May 27, 2021 · Isolated — no actual harm with potential for more
F-0712
D
Have simulated fire drills held at unexpected times
Minimal Harm

Have simulated fire drills held at unexpected times.

Survey date: May 27, 2021 · Isolated — no actual harm with potential for more
F-0915
D
Have proper power supply for life support equipment
Minimal Harm

Have proper power supply for life support equipment.

Survey date: May 27, 2021 · Isolated — no actual harm with potential for more
F-0923
D
Have proper medical gas storage and administration areas
Minimal Harm

Have proper medical gas storage and administration areas.

Survey date: May 27, 2021 · 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
HERITAGE HALL LEXINGTON
8.6 km · EAST LEXINGTON, VA
★★★★
CMS
46th
Risk %ile
Similar risk
KENDAL AT LEXINGTON
10.2 km · LEXINGTON, VA
★★★
CMS
58th
Risk %ile
Similar risk