7Risk Axes

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

How we calculate
SeverityElevated

96th national percentile — 21.4% high-severity citations

ChronicityElevated

71th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyMinor

1 citation

Weekend staffing dropElevated

84th national percentile — 20.9%

Contract staff shareElevated

100th national percentile — 69.6%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 5.20 vs expected 5.63 · −0.43 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

14 citations on file
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Nov 13, 2025 · 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: Nov 13, 2025 · Isolated — no actual harm with potential for more
F-0677
D
Provide care and assistance to perform activities of daily living for an…
Minimal Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey date: Nov 13, 2025 · Isolated — no actual harm with potential for more
F-0686
G
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Nov 13, 2025 · Isolated — actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

1 citations on file
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Dec 8, 2022 · 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
DELTA REHABILITATION AND HEALTHCARE CENTER
15.2 km · CLEVELAND, MS
★★
CMS
17th
Risk %ile
Lower risk
BOLIVAR MEDICAL CENTER LTC
15.1 km · CLEVELAND, MS
★★★
CMS
29th
Risk %ile
Lower risk
CLEVELAND COMMUNITY CARE CENTER
14.1 km · CLEVELAND, MS
CMS
54th
Risk %ile
Similar risk