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

7 citations

Weekend staffing dropModerate

35th national percentile — 13.6%

Contract staff shareElevated

80th national percentile — 8.9%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapWatch

Reported 3.25 vs expected 3.43 · −0.19 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

5 citations on file
F-0577
C
Allow residents to easily view the nursing home's survey results and com…
Minimal Harm

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Survey date: Feb 8, 2024 · Widespread — no actual harm
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Feb 8, 2024 · Isolated — no actual harm with potential for more
F-0584
B
Honor the resident's right to a safe, clean, comfortable and homelike en…
No Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey date: Feb 8, 2024 · Pattern — no actual harm
F-0867
D
Set up an ongoing quality assessment and assurance group to review quali…
Minimal Harm

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Survey date: Sep 23, 2022 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

7 citations on file
F-0351
D
Install an approved automatic sprinkler system
Minimal Harm

Install an approved automatic sprinkler system.

Survey date: Feb 27, 2025 · Isolated — no actual harm with potential for more
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Feb 27, 2025 · 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: Feb 27, 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: Feb 8, 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
The Laurels of Pender
20.7 km · Burgaw, NC
★★★★
CMS
37th
Risk %ile
Lower risk