7Risk Axes

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

How we calculate
SeverityElevated

99th national percentile — 33.3% high-severity citations

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropLow

21th national percentile — 11.7%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapElevated

Reported 4.53 vs expected 4.89 · −0.36 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

3 citations on file
F-0628
B
Provide the required documentation or notification related to the reside…
No Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey date: Nov 20, 2025 · Pattern — no actual harm
F-0689
G
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: Sep 19, 2025 · Isolated — actual harm
F-0761
E
Ensure drugs and biologicals used in the facility are labeled in accorda…
Potential 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 8, 2023 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

9 citations on file
F-0161
D
Use approved construction type or materials
Minimal Harm

Use approved construction type or materials.

Survey date: Oct 10, 2024 · Isolated — no actual harm with potential for more
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-0161
D
Use approved construction type or materials
Minimal Harm↻ Repeat

Use approved construction type or materials.

Survey date: Jun 8, 2023 · Isolated — no actual harm with potential for more
F-0321
D
Ensure that special areas are constructed so that walls can resist fire …
Minimal Harm↻ Repeat

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Jun 8, 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
Forrest Oakes Healthcare
2.3 km · Albemarle, NC
CMS
40th
Risk %ile
Similar risk