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

26th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

15 citations

Weekend staffing dropElevated

85th national percentile — 21.2%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.69 vs expected 4.02 · −0.33 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

8 citations on file
F-0609
D
Timely report suspected abuse, neglect, or theft and report the results …
Minimal Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey date: May 16, 2024 · Isolated — no actual harm with potential for more
F-0582
D
Give residents notice of Medicaid/Medicare coverage and potential liabil…
Minimal Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey date: Sep 13, 2023 · Isolated — no actual harm with potential for more
F-0640
E
Encode each resident’s assessment data and transmit these data to the St…
Potential Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey date: Sep 13, 2023 · Pattern — no actual harm with potential for more
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Sep 13, 2023 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

15 citations on file
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Sep 13, 2023 · Widespread — no actual harm with potential for more
F-0232
F
Have corridors or aisles that are unobstructed and are at least 8 feet i…
Potential Harm

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Survey date: Sep 13, 2023 · Widespread — no actual harm with potential for more
F-0324
D
Provide properly protected cooking facilities
Minimal Harm

Provide properly protected cooking facilities.

Survey date: Sep 13, 2023 · Isolated — no actual harm with potential for more
F-0325
D
Have properly installed hallway dispensers for alcohol-based hand rub
Minimal Harm

Have properly installed hallway dispensers for alcohol-based hand rub.

Survey date: Sep 13, 2023 · 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
FAIR HAVEN
4.0 km · BIRMINGHAM, AL
★★★
CMS
30th
Risk %ile
Lower risk
PINE HILL REHABILITATION AND WELLNESS CENTER
7.4 km · BIRMINGHAM, AL
CMS
33th
Risk %ile
Lower risk
GALLERIA WOODS SKILLED NURSING FACILITY
23.0 km · BIRMINGHAM, AL
★★★
CMS
33th
Risk %ile
Lower risk