7Risk Axes

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

How we calculate

Read our full scoring methodology

SeverityElevated

80th national percentile — 9.6% high-severity citations

ChronicityElevated

88th national percentile — 19 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

14 citations

Weekend staffing dropElevated

86th national percentile — 21.3%

Contract staff shareElevated

94th national percentile — 22.3%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 2.98 vs expected 2.73 · +0.25 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

52 citations on file
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Jan 13, 2026 · Pattern — 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: Jan 13, 2026 · Isolated — no actual harm with potential for more
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Jan 13, 2026 · Isolated — no actual harm with potential for more
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: Jan 13, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

14 citations on file
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Jan 13, 2026 · Widespread — 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: Oct 15, 2024 · Isolated — no actual harm with potential for more
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: Oct 15, 2024 · Isolated — no actual harm with potential for more
F-0111
D
Satisfy building requirements after a repair, renovation, modification, …
Minimal Harm

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Survey date: Aug 10, 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
Three Rivers Health and Rehabilitation Center
209 m · Windsor, NC
★★★★
CMS
46th
Risk %ile
Similar risk
View
The Carrolton of Plymouth
22.1 km · Plymouth, NC
★★
CMS
49th
Risk %ile
Similar risk
View
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