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

ChronicityModerate

46th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropElevated

82th national percentile — 20.3%

Contract staff shareWatch

64th national percentile — 3.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.76 vs expected 4.17 · −0.41 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

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

Ensure each resident receives an accurate assessment.

Survey date: Aug 21, 2024 · Isolated — no actual harm with potential for more
F-0758
D
Implement gradual dose reductions(GDR) and non-pharmacological intervent…
Minimal Harm

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Survey date: Aug 21, 2024 · Isolated — no actual harm with potential for more
F-0851
F
Electronically submit to CMS complete and accurate direct care staffing …
Potential Harm

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Survey date: Aug 21, 2024 · Widespread — no actual harm with potential for more
F-0622
D
Not transfer or discharge a resident without an adequate reason; and mus…
Minimal Harm

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Survey date: Jul 1, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

4 citations on file
F-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential 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: Feb 9, 2023 · Pattern — no actual harm with potential for more
F-0712
D
Have simulated fire drills held at unexpected times
Minimal Harm

Have simulated fire drills held at unexpected times.

Survey date: Feb 9, 2023 · 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: Jan 9, 2020 · Isolated — no actual harm with potential for more
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm↻ Repeat

Have simulated fire drills held at unexpected times.

Survey date: Jan 9, 2020 · Widespread — 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
MS CARE CENTER OF GREENVILLE
2.1 km · GREENVILLE, MS
★★★★★
CMS
24th
Risk %ile
Lower risk