7Risk Axes

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

How we calculate
SeverityElevated

88th national percentile — 13.3% high-severity citations

ChronicityModerate

46th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

19 citations

Weekend staffing dropLow

17th national percentile — 11.1%

Contract staff shareElevated

73th national percentile — 6.1%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 4.89 vs expected 5.88 · −0.99 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

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

Ensure each resident receives an accurate assessment.

Survey date: Mar 23, 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: Mar 23, 2024 · Pattern — no actual harm
F-0655
D
Create and put into place a plan for meeting the resident's most immedia…
Minimal Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey date: Mar 23, 2024 · Isolated — no actual harm with potential for more
F-0656
J
Develop and implement a complete care plan that meets all the resident's…
Actual 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: Mar 23, 2024 · Isolated — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

19 citations on file
F-0131
D
Meet requirements for sections of health care facilities separated by fi…
Minimal Harm

Meet requirements for sections of health care facilities separated by fire resistive construction.

Survey date: Mar 23, 2024 · Isolated — no actual harm with potential for more
F-0355
E
Properly select, install, inspect, or maintain portable fire extinguishe…
Potential Harm

Properly select, install, inspect, or maintain portable fire extinguishes.

Survey date: Mar 23, 2024 · Pattern — no actual harm with potential for more
F-0211
E
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Potential Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Mar 23, 2024 · Pattern — no actual harm with potential for more
F-0372
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Minimal Harm

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Mar 23, 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
EXTENDICARE HEALTH AND REHAB
4.4 km · DOTHAN, AL
★★
CMS
40th
Risk %ile
Similar risk
WESTSIDE TERRACE HEALTH & REHABILITATION CENTER
3.0 km · DOTHAN, AL
★★★★
CMS
53th
Risk %ile
Similar risk