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

8 citations

Weekend staffing dropLow

0th national percentile — -17.0%

Contract staff shareWatch

57th national percentile — 1.8%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 6.17 vs expected 6.48 · −0.31 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

6 citations on file
F-0851
F
Electronically submit to CMS complete and accurate direct care staffing …
Potential Harm

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Survey date: Mar 12, 2025 · Widespread — no actual harm with potential for more
F-0641
B
Ensure each resident receives an accurate assessment
No Harm

Ensure each resident receives an accurate assessment.

Survey date: Jan 10, 2024 · Pattern — no actual harm
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Jan 10, 2024 · Isolated — no actual harm with potential for more
F-0760
E
Ensure that residents are free from significant medication errors
Potential Harm

Ensure that residents are free from significant medication errors.

Survey date: Jan 10, 2024 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0511
D
Have properly installed electrical wiring and gas equipment
Minimal Harm

Have properly installed electrical wiring and gas equipment.

Survey date: Mar 12, 2025 · Isolated — no actual harm with potential for more
F-0916
D
Have a battery powered remote alarm panel in a location accessible by op…
Minimal Harm

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Survey date: Mar 12, 2025 · Isolated — no actual harm with potential for more
F-0001
F
Establish an Emergency Preparedness Program (EP)
Potential Harm

Establish an Emergency Preparedness Program (EP).

Survey date: Jan 10, 2024 · Widespread — 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: Jan 10, 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
The Cedars of Chapel Hill
15.2 km · Chapel Hill, NC
★★★★
CMS
13th
Risk %ile
Lower risk
UNC Rex Rehab & Nursing Care Center of Apex
24.0 km · Apex, NC
★★★★★
CMS
18th
Risk %ile
Lower risk
Carol Woods
19.7 km · Chapel Hill, NC
★★★★★
CMS
19th
Risk %ile
Lower risk