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

ChronicityElevated

85th national percentile — 15 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

14 citations

Weekend staffing dropWatch

55th national percentile — 16.1%

Contract staff shareElevated

85th national percentile — 11.9%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.60 vs expected 3.48 · +0.12 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

43 citations on file
F-0580
D
Immediately tell the resident, the resident's doctor, and a family membe…
Minimal Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey date: Dec 9, 2025 · Isolated — no actual harm with potential for more
F-0686
D
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Minimal Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Dec 9, 2025 · Isolated — no actual harm with potential for more
F-0558
D
Reasonably accommodate the needs and preferences of each resident
Minimal Harm

Reasonably accommodate the needs and preferences of each resident.

Survey date: May 1, 2025 · Isolated — no actual harm with potential for more
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: May 1, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

14 citations on file
F-0761
D
To conduct inspection, testing and maintenance of fire doors by qualifie…
Minimal Harm

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Survey date: May 1, 2025 · Isolated — no actual harm with potential for more
F-0345
E
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Apr 21, 2022 · Pattern — no actual harm with potential for more
F-0352
F
Properly install and monitor supervisory attachments on automatic sprink…
Potential Harm

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Survey date: Apr 21, 2022 · Widespread — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Apr 21, 2022 · 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
WESTMINSTER-CANTERBURY OF LYNCHBURG INC
11.7 km · LYNCHBURG, VA
★★★★★
CMS
24th
Risk %ile
Lower risk
TATE SPRINGS HEALTH & REHAB
8.6 km · LYNCHBURG, VA
★★★★
CMS
40th
Risk %ile
Similar risk
LIBERTY RIDGE HEALTH & REHAB
6.2 km · LYNCHBURG, VA
★★★
CMS
56th
Risk %ile
Similar risk