7Risk Axes

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

How we calculate
SeverityElevated

74th national percentile — 7.7% high-severity citations

ChronicityLow

16th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropElevated

89th national percentile — 22.1%

Contract staff shareElevated

79th national percentile — 8.3%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapModerate

Reported 3.31 vs expected 3.39 · −0.08 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

26 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: Mar 26, 2026 · Isolated — no actual harm with potential for more
F-0755
E
Provide pharmaceutical services to meet the needs of each resident and e…
Potential Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey date: Mar 26, 2026 · Pattern — no actual harm with potential for more
F-0842
E
Safeguard resident-identifiable information and/or maintain medical reco…
Potential Harm

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

Survey date: Mar 26, 2026 · Pattern — no actual harm with potential for more
F-0697
D
Provide safe, appropriate pain management for a resident who requires su…
Minimal Harm

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

Survey date: Mar 26, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0161
D
Use approved construction type or materials
Minimal Harm

Use approved construction type or materials.

Survey date: Jan 8, 2025 · Isolated — no actual harm with potential for more
F-0361
E
Ensure that waiting areas, nurse’s stations, gift shops, and cooking fac…
Potential Harm

Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

Survey date: Jan 8, 2025 · Pattern — no actual harm with potential for more
F-0521
D
Ensure heating and ventilation systems that have been properly installed…
Minimal Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Jan 8, 2025 · Isolated — no actual harm with potential for more
F-0351
D
Install an approved automatic sprinkler system
Minimal Harm

Install an approved automatic sprinkler system.

Survey date: Nov 9, 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
Liberty Commons Nursing and Rehabilitation Center
5.7 km · Weldon, NC
★★★★
CMS
31th
Risk %ile
Lower risk
Northampton Nursing and Rehabilitation Center
25.0 km · Jackson, NC
★★★
CMS
49th
Risk %ile
Similar risk