7Risk Axes

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

How we calculate
SeverityElevated

94th national percentile — 18.4% high-severity citations

ChronicityModerate

48th national percentile — 10 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

21 citations

Weekend staffing dropModerate

39th national percentile — 14.2%

Contract staff shareWatch

61th national percentile — 2.4%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.21 vs expected 3.67 · −0.46 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

49 citations on file
F-0644
D
Coordinate assessments with the pre-admission screening and resident rev…
Minimal Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey date: May 15, 2025 · Isolated — no actual harm with potential for more
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: May 15, 2025 · Isolated — no actual harm with potential for more
F-0812
F
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: May 15, 2025 · Widespread — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: May 15, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

21 citations on file
F-0911
D
Meet requirements for the installation and maintenance of electrical sys…
Minimal Harm

Meet requirements for the installation and maintenance of electrical systems.

Survey date: May 15, 2025 · Isolated — no actual harm with potential for more
F-0374
D
Install smoke barrier doors that can resist smoke for at least 20 minute…
Minimal Harm

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Survey date: Feb 1, 2024 · Isolated — no actual harm with potential for more
F-0918
D
Have generator or other power source capable of supplying service within…
Minimal Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Feb 1, 2024 · Isolated — no actual harm with potential for more
F-0923
D
Have proper medical gas storage and administration areas
Minimal Harm

Have proper medical gas storage and administration areas.

Survey date: Feb 1, 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 Gardens of Taylor Glen Retirement Community
22.9 km · Concord, NC
★★★★
CMS
32th
Risk %ile
Lower risk
Autumn Care of Cornelius
11.5 km · Cornelius, NC
★★
CMS
35th
Risk %ile
Lower risk
Huntersville Oaks
19.9 km · Huntersville, NC
★★★
CMS
47th
Risk %ile
Similar risk