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

8 citations

Weekend staffing dropElevated

93th national percentile — 23.5%

Contract staff shareModerate

37th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 4.13 vs expected 3.86 · +0.28 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

6 citations on file
F-0645
D
PASARR screening for Mental disorders or Intellectual Disabilities
Minimal Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey date: May 13, 2026 · Isolated — no actual harm with potential for more
F-0744
D
Provide the appropriate treatment and services to a resident who display…
Minimal Harm

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Survey date: Feb 20, 2026 · Isolated — no actual harm with potential for more
F-0842
D
Safeguard resident-identifiable information and/or maintain medical reco…
Minimal Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: Feb 20, 2026 · Isolated — no actual harm with potential for more
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: Feb 20, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0200
E
Meet other general requirements
Potential Harm

Meet other general requirements.

Survey date: Feb 20, 2025 · Pattern — no actual harm with potential for more
F-0341
E
Install a fire alarm system that can be heard throughout the facility
Potential Harm

Install a fire alarm system that can be heard throughout the facility.

Survey date: Feb 20, 2025 · Pattern — no actual harm with potential for more
F-0521
E
Ensure heating and ventilation systems that have been properly installed…
Potential Harm

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

Survey date: Feb 20, 2025 · Pattern — no actual harm with potential for more
F-0161
D
Use approved construction type or materials
Minimal Harm

Use approved construction type or materials.

Survey date: Jan 19, 2024 · 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
Bethesda Health Care Facility
8.7 km · Eastover, NC
★★★★
CMS
34th
Risk %ile
Lower risk
Haymount Rehabilitation & Nursing Center, Inc.
3.3 km · Fayetteville, NC
★★★★★
CMS
35th
Risk %ile
Lower risk
Woodlands Nursing & Rehabilitation Center
5.2 km · Fayetteville, NC
★★★★
CMS
36th
Risk %ile
Lower risk