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 safetyElevated

8 citations

Weekend staffing dropModerate

33th national percentile — 13.4%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 4.13 vs expected 4.84 · −0.71 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

10 citations on file
F-0812
F
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Apr 8, 2021 · Widespread — no actual harm with potential for more
F-0812
F
Procure food from sources approved or considered satisfactory and store,…
Potential Harm↻ Repeat

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Feb 14, 2019 · Widespread — no actual harm with potential for more
F-0607
E
Develop and implement policies and procedures to prevent abuse, neglect,…
Potential Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey date: Mar 1, 2018 · Pattern — no actual harm with potential for more
F-0609
E
Timely report suspected abuse, neglect, or theft and report the results …
Potential Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey date: Mar 1, 2018 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0222
D
Add doors in an exit area that do not require the use of a key from the …
Minimal Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Feb 14, 2019 · Isolated — no actual harm with potential for more
F-0232
E
Have corridors or aisles that are unobstructed and are at least 8 feet i…
Potential Harm

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Survey date: Feb 14, 2019 · Pattern — no actual harm with potential for more
F-0293
F
Have properly located and lighted "Exit" signs
Potential Harm

Have properly located and lighted "Exit" signs.

Survey date: Feb 14, 2019 · Widespread — no actual harm with potential for more
F-0325
E
Have properly installed hallway dispensers for alcohol-based hand rub
Potential Harm

Have properly installed hallway dispensers for alcohol-based hand rub.

Survey date: Feb 14, 2019 · Pattern — 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
PINE HAVEN REHABILITATION AND WELLNESS CENTER
22.8 km · EIGHT MILE, AL
★★
CMS
22th
Risk %ile
Lower risk