7Risk Axes

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

How we calculate
SeverityElevated

92th national percentile — 16.7% high-severity citations

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

7 citations

Weekend staffing dropElevated

89th national percentile — 22.0%

Contract staff shareElevated

86th national percentile — 13.2%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapModerate

Reported 3.40 vs expected 3.45 · −0.05 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

12 citations on file
F-0812
E
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

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

Survey date: Jan 8, 2026 · Pattern — no actual harm with potential for more
F-0685
E
Assist a resident in gaining access to vision and hearing services
Potential Harm

Assist a resident in gaining access to vision and hearing services.

Survey date: Oct 24, 2024 · Pattern — no actual harm with potential for more
F-0583
D
Keep residents' personal and medical records private and confidential
Minimal Harm

Keep residents' personal and medical records private and confidential.

Survey date: Oct 24, 2024 · Isolated — no actual harm with potential for more
F-0684
J
Provide appropriate treatment and care according to orders, resident’s p…
Actual Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Oct 24, 2024 · Isolated — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

7 citations on file
F-0211
D
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Minimal Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Oct 24, 2024 · Isolated — no actual harm with potential for more
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: Oct 24, 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: Oct 24, 2024 · Isolated — no actual harm with potential for more
F-0522
D
Have an externally vented heating system
Minimal Harm

Have an externally vented heating system.

Survey date: Oct 24, 2024 · 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
Forrest Oakes Healthcare
6.1 km · Albemarle, NC
CMS
40th
Risk %ile
Similar risk
Trinity Place
3.8 km · Albemarle, NC
★★★★★
CMS
47th
Risk %ile
Similar risk
Bethany Woods Nursing and Rehabilitation Center
5.1 km · Albemarle, NC
★★★★
CMS
47th
Risk %ile
Similar risk