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

16th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

18 citations

Weekend staffing dropWatch

69th national percentile — 18.0%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.53 vs expected 4.00 · −0.47 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

27 citations on file
F-0552
E
Ensure that residents are fully informed and understand their health sta…
Potential Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey date: Mar 5, 2026 · Pattern — 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: Mar 5, 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: Mar 5, 2026 · Isolated — no actual harm with potential for more
F-0578
D
Honor the resident's right to request, refuse, and/or discontinue treatm…
Minimal Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey date: Mar 5, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

18 citations on file
F-0222
F
Add doors in an exit area that do not require the use of a key from the …
Potential Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Dec 18, 2024 · Widespread — no actual harm with potential for more
F-0345
E
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: Dec 18, 2024 · Pattern — no actual harm with potential for more
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Dec 18, 2024 · Isolated — 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: Dec 18, 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
TRANSYLVANIA REGIONAL HOSPITAL
589 m · BREVARD, NC
★★★★★
CMS
30th
Risk %ile
Lower risk