7Risk Axes

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

How we calculate
SeverityElevated

77th national percentile — 8.8% high-severity citations

ChronicityWatch

57th national percentile — 8 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropLow

21th national percentile — 11.8%

Contract staff shareElevated

100th national percentile — 65.6%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.45 vs expected 3.87 · −0.42 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

34 citations on file
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Jan 16, 2026 · Isolated — no actual harm with potential for more
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: Jan 16, 2026 · Isolated — no actual harm with potential for more
F-0604
J
Ensure that each resident is free from the use of physical restraints, u…
Actual Harm

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Survey date: Feb 5, 2025 · Isolated — immediate jeopardy
F-0607
J
Develop and implement policies and procedures to prevent abuse, neglect,…
Actual Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey date: Feb 5, 2025 · Isolated — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

11 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: Nov 1, 2024 · Isolated — no actual harm with potential for more
F-0321
F
Ensure that special areas are constructed so that walls can resist fire …
Potential 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: Nov 1, 2024 · Widespread — no actual harm with potential for more
F-0345
F
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: Nov 1, 2024 · Widespread — no actual harm with potential for more
F-0363
F
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Nov 1, 2024 · 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
Carolina Village Inc
4.3 km · Hendersonville, NC
★★★★★
CMS
26th
Risk %ile
Lower risk
TRANSYLVANIA REGIONAL HOSPITAL
21.2 km · BREVARD, NC
★★★★★
CMS
30th
Risk %ile
Lower risk
The Oaks-Brevard
21.0 km · Brevard, NC
★★★
CMS
32th
Risk %ile
Lower risk