7Risk Axes

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

How we calculate
SeverityModerate

46th national percentile — 1.9% high-severity citations

ChronicityModerate

48th national percentile — 11 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

14 citations

Weekend staffing dropWatch

69th national percentile — 18.1%

Contract staff shareElevated

89th national percentile — 16.1%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 2.98 vs expected 2.95 · +0.02 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

54 citations on file
F-0658
D
Ensure services provided by the nursing facility meet professional stand…
Minimal Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey date: Aug 25, 2023 · Isolated — no actual harm with potential for more
F-0552
D
Ensure that residents are fully informed and understand their health sta…
Minimal Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey date: Aug 25, 2023 · Isolated — no actual harm with potential for more
F-0919
D
Make sure that a working call system is available in each resident's ba…
Minimal Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey date: Aug 25, 2023 · Isolated — no actual harm with potential for more
F-0576
E
Ensure residents have reasonable access to and privacy in their use of c…
Potential Harm

Ensure residents have reasonable access to and privacy in their use of communication methods.

Survey date: Aug 25, 2023 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

14 citations on file
F-0223
E
Provide exit doors that are held open by devices that will automatically…
Potential Harm

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Survey date: Aug 25, 2023 · Pattern — no actual harm with potential for more
F-0291
D
Install emergency lighting that can last at least 1 1/2 hours
Minimal Harm

Install emergency lighting that can last at least 1 1/2 hours.

Survey date: Aug 25, 2023 · Isolated — no actual harm with potential for more
F-0347
D
Properly provide smoke detection systems in areas open to corridors
Minimal Harm

Properly provide smoke detection systems in areas open to corridors.

Survey date: Aug 25, 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: Aug 25, 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
RIVERSIDE LIFELONG HEALTH & REHAB SMITHFIELD
21.8 km · SMITHFIELD, VA
★★★★
CMS
28th
Risk %ile
Lower risk
THE CHESAPEAKE
11.6 km · NEWPORT NEWS, VA
★★★★★
CMS
39th
Risk %ile
Lower risk
Marcella Post Acute
5.0 km · HAMPTON, VA
★★★
CMS
42th
Risk %ile
Similar risk