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

ChronicityLow

12th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropElevated

89th national percentile — 22.2%

Contract staff shareWatch

50th national percentile — 0.8%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapWatch

Reported 3.41 vs expected 3.66 · −0.25 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

20 citations on file
F-0761
E
Ensure drugs and biologicals used in the facility are labeled in accorda…
Potential Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: Jun 19, 2025 · Pattern — no actual harm with potential for more
F-0584
D
Honor the resident's right to a safe, clean, comfortable and homelike en…
Minimal Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey date: Jun 19, 2025 · Isolated — no actual harm with potential for more
F-0842
B
Safeguard resident-identifiable information and/or maintain medical reco…
No Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: Jun 19, 2025 · Pattern — no actual harm
F-0812
D
Procure food from sources approved or considered satisfactory and store,…
Minimal Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Jun 19, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

11 citations on file
F-0321
F
Ensure that special areas are constructed so that walls can resist fire …
Potential 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: Apr 11, 2024 · Widespread — no actual harm with potential for more
F-0352
D
Properly install and monitor supervisory attachments on automatic sprink…
Minimal Harm

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Survey date: Apr 11, 2024 · 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: Apr 11, 2024 · Isolated — no actual harm with potential for more
F-0363
F
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Apr 11, 2024 · 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
The Cedars of Chapel Hill
3.4 km · Chapel Hill, NC
★★★★
CMS
13th
Risk %ile
Lower risk
Carol Woods
3.5 km · Chapel Hill, NC
★★★★★
CMS
19th
Risk %ile
Lower risk
The Arbor
16.7 km · Pittsboro, NC
★★★★★
CMS
21th
Risk %ile
Lower risk