7Risk Axes

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

How we calculate
SeverityElevated

92th national percentile — 16.7% high-severity citations

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropElevated

83th national percentile — 20.7%

Contract staff shareModerate

40th national percentile — 0.1%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 4.40 vs expected 3.80 · +0.60 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

6 citations on file
F-0732
B
Post nurse staffing information every day
No Harm

Post nurse staffing information every day.

Survey date: Jun 3, 2025 · Pattern — no actual harm
F-0554
D
Allow residents to self-administer drugs if determined clinically approp…
Minimal Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey date: Dec 1, 2022 · Isolated — no actual harm with potential for more
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Dec 1, 2022 · Isolated — no actual harm with potential for more
F-0689
J
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Dec 1, 2022 · Isolated — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0345
D
Have approved installation, maintenance and testing program for fire ala…
Minimal Harm

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

Survey date: Mar 14, 2024 · Isolated — no actual harm with potential for more
F-0700
F
Meet requirements for operating features, such as evacuation plans, fire…
Potential Harm

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Survey date: Mar 14, 2024 · Widespread — no actual harm with potential for more
F-0211
F
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Potential Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Dec 1, 2022 · Widespread — no actual harm with potential for more
F-0291
D
Install emergency lighting that can last at least 1 1/2 hours
Minimal Harm

Install emergency lighting that can last at least 1 1/2 hours.

Survey date: Dec 1, 2022 · 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
Carolina Village Inc
15.0 km · Hendersonville, NC
★★★★★
CMS
26th
Risk %ile
Lower risk
TRANSYLVANIA REGIONAL HOSPITAL
22.7 km · BREVARD, NC
★★★★★
CMS
30th
Risk %ile
Lower risk
The Oaks-Brevard
22.2 km · Brevard, NC
★★★
CMS
32th
Risk %ile
Lower risk