7Risk Axes

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

How we calculate
SeverityElevated

98th national percentile — 26.7% high-severity citations

ChronicityModerate

46th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropWatch

66th national percentile — 17.6%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 4.21 vs expected 4.70 · −0.49 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

15 citations on file
F-0565
E
Honor the resident's right to organize and participate in resident/famil…
Potential Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey date: Sep 18, 2025 · Pattern — no actual harm with potential for more
F-0585
B
Honor the resident's right to voice grievances without discrimination or…
No Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey date: Sep 18, 2025 · Pattern — no actual harm
F-0732
C
Post nurse staffing information every day
Minimal Harm

Post nurse staffing information every day.

Survey date: Sep 18, 2025 · Widespread — no actual harm
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Sep 18, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0321
D
Ensure that special areas are constructed so that walls can resist fire …
Minimal 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: Oct 10, 2024 · Isolated — 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: Oct 10, 2024 · Isolated — no actual harm with potential for more
F-0521
D
Ensure heating and ventilation systems that have been properly installed…
Minimal Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Oct 10, 2024 · Isolated — no actual harm with potential for more
F-0914
E
Ensure receptacles at patient bed locations and where general anesthesia…
Potential Harm

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

Survey date: Oct 10, 2024 · Pattern — 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
Cypress Pointe Rehabilitation Center
8.1 km · Wilmington, NC
★★★★★
CMS
24th
Risk %ile
Lower risk
Bradley Creek Health Center
10.9 km · Wilmington, NC
★★★★★
CMS
26th
Risk %ile
Lower risk
Davis Health and Wellness Center at Cambridge Vill
16.5 km · Wilmington, NC
★★
CMS
39th
Risk %ile
Lower risk