7Risk Axes

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

How we calculate
SeverityElevated

78th national percentile — 9.1% high-severity citations

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropModerate

46th national percentile — 15.0%

Contract staff shareElevated

90th national percentile — 17.0%

Clinical trendElevated

99th national percentile — 4/5 measures worsened

Staffing gapElevated

Reported 4.26 vs expected 4.89 · −0.63 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

11 citations on file
F-0689
J
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 4, 2026 · Isolated — immediate jeopardy
F-0554
D
Allow residents to self-administer drugs if determined clinically approp…
Minimal Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey date: Jul 24, 2025 · Isolated — no actual harm with potential for more
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Jul 24, 2025 · Isolated — no actual harm with potential for more
F-0727
C
Have a registered nurse on duty 8 hours a day; and select a registered …
Minimal Harm

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey date: Jul 24, 2025 · Widespread — no actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

4 citations on file
F-0918
D
Have generator or other power source capable of supplying service within…
Minimal Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Jul 10, 2024 · Isolated — no actual harm with potential for more
F-0211
D
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Minimal Harm

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

Survey date: Mar 17, 2023 · Isolated — no actual harm with potential for more
F-0223
D
Provide exit doors that are held open by devices that will automatically…
Minimal 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: Mar 17, 2023 · Isolated — no actual harm with potential for more
F-0918
D
Have generator or other power source capable of supplying service within…
Minimal Harm↻ Repeat

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Mar 17, 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
Willowbrooke Court SC Ctr at Tryon Estates
4.3 km · Columbus, NC
★★★★★
CMS
17th
Risk %ile
Lower risk
Carolina Village Inc
23.9 km · Hendersonville, NC
★★★★★
CMS
26th
Risk %ile
Lower risk
Inman Healthcare
22.1 km · Inman, SC
★★★★
CMS
34th
Risk %ile
Lower risk