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

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

10 citations

Weekend staffing dropElevated

98th national percentile — 27.0%

Contract staff shareElevated

73th national percentile — 5.8%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 3.98 vs expected 4.38 · −0.41 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

11 citations on file
F-0887
E
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 …
Potential Harm

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Survey date: Sep 4, 2025 · Pattern — no actual harm with potential for more
F-0578
F
Honor the resident's right to request, refuse, and/or discontinue treatm…
Potential Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey date: Sep 4, 2025 · Widespread — no actual harm with potential for more
F-0582
F
Give residents notice of Medicaid/Medicare coverage and potential liabil…
Potential Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey date: Sep 4, 2025 · Widespread — no actual harm with potential for more
F-0690
D
Provide appropriate care for residents who are continent or incontinent …
Minimal Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

10 citations on file
F-0031
D
Provide emergency officials' contact information
Minimal Harm

Provide emergency officials' contact information.

Survey date: Sep 4, 2025 · Isolated — no actual harm with potential for more
F-0035
D
Provide family notifications of emergency plan
Minimal Harm

Provide family notifications of emergency plan.

Survey date: Sep 4, 2025 · Isolated — no actual harm with potential for more
F-0037
D
Establish staff and initial training requirements
Minimal Harm

Establish staff and initial training requirements.

Survey date: Sep 4, 2025 · Isolated — no actual harm with potential for more
F-0042
D
Meet the requirements of an integrated health system
Minimal Harm

Meet the requirements of an integrated health system.

Survey date: Sep 4, 2025 · 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
THE WATERS OF WINCHESTER, LLC
744 m · WINCHESTER, TN
★★★★
CMS
23th
Risk %ile
Lower risk