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

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropLow

4th national percentile — 7.1%

Contract staff shareModerate

45th national percentile — 0.3%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 6.12 vs expected 7.34 · −1.22 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

4 citations on file
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: Jun 6, 2025 · Isolated — no actual harm with potential for more
F-0760
E
Ensure that residents are free from significant medication errors
Potential Harm

Ensure that residents are free from significant medication errors.

Survey date: Jun 6, 2025 · Pattern — no actual harm with potential for more
F-0761
D
Ensure drugs and biologicals used in the facility are labeled in accorda…
Minimal Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: Jun 6, 2025 · Isolated — no actual harm with potential for more
F-0880
F
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Feb 10, 2023 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 citations on file
F-0001
F
Establish an Emergency Preparedness Program (EP)
Potential Harm

Establish an Emergency Preparedness Program (EP).

Survey date: Jun 6, 2025 · Widespread — 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: Jun 6, 2025 · Isolated — no actual harm with potential for more
F-0914
D
Ensure receptacles at patient bed locations and where general anesthesia…
Minimal Harm

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Survey date: Jun 6, 2025 · Isolated — no actual harm with potential for more
F-0916
F
Have a battery powered remote alarm panel in a location accessible by op…
Potential Harm

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Survey date: Mar 8, 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
Bloomsbury at Hayes Barton Place
9.6 km · RALEIGH, NC
NR
CMS
8th
Risk %ile
Lower risk
Swift Creek Health Center
19.2 km · CARY, NC
★★★
CMS
11th
Risk %ile
Lower risk