7Risk Axes

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

How we calculate
SeverityElevated

99th national percentile — 33.3% high-severity citations

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

12 citations

Weekend staffing dropElevated

89th national percentile — 22.1%

Contract staff shareWatch

59th national percentile — 2.1%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 4.21 vs expected 4.15 · +0.06 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

3 citations on file
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: Feb 16, 2024 · Isolated — no actual harm with potential for more
F-0689
G
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Feb 16, 2024 · Isolated — actual harm
F-0636
D
Assess the resident completely in a timely manner when first admitted, …
Minimal Harm

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey date: Oct 14, 2022 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

12 citations on file
F-0341
D
Install a fire alarm system that can be heard throughout the facility
Minimal Harm

Install a fire alarm system that can be heard throughout the facility.

Survey date: Apr 17, 2025 · Isolated — no actual harm with potential for more
F-0351
D
Install an approved automatic sprinkler system
Minimal Harm

Install an approved automatic sprinkler system.

Survey date: Apr 17, 2025 · Isolated — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Apr 17, 2025 · Pattern — 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: Apr 17, 2025 · 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
Bethesda Health Care Facility
6.7 km · Eastover, NC
★★★★
CMS
34th
Risk %ile
Lower risk
Haymount Rehabilitation & Nursing Center, Inc.
4.8 km · Fayetteville, NC
★★★★★
CMS
35th
Risk %ile
Lower risk
Woodlands Nursing & Rehabilitation Center
3.0 km · Fayetteville, NC
★★★★
CMS
36th
Risk %ile
Lower risk