7Risk Axes

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

How we calculate
SeverityElevated

91th national percentile — 15.4% high-severity citations

ChronicityLow

16th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

13 citations

Weekend staffing dropWatch

58th national percentile — 16.5%

Contract staff shareModerate

39th national percentile — 0.1%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapWatch

Reported 4.82 vs expected 5.01 · −0.20 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

13 citations on file
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: Nov 17, 2025 · Isolated — no actual harm with potential for more
F-0580
J
Immediately tell the resident, the resident's doctor, and a family membe…
Actual Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey date: Jul 24, 2024 · Isolated — immediate jeopardy
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Jul 24, 2024 · Isolated — no actual harm with potential for more
F-0842
D
Safeguard resident-identifiable information and/or maintain medical reco…
Minimal Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: Jul 24, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

13 citations on file
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: Jul 24, 2024 · Pattern — no actual harm with potential for more
F-0291
D
Install emergency lighting that can last at least 1 1/2 hours
Minimal Harm

Install emergency lighting that can last at least 1 1/2 hours.

Survey date: Jul 24, 2024 · Isolated — no actual harm with potential for more
F-0321
D
Ensure that special areas are constructed so that walls can resist fire …
Minimal Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Jul 24, 2024 · Isolated — no actual harm with potential for more
F-0324
D
Provide properly protected cooking facilities
Minimal Harm

Provide properly protected cooking facilities.

Survey date: Jul 24, 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
Davis Health and Wellness Center at Cambridge Vill
20.9 km · Wilmington, NC
★★
CMS
39th
Risk %ile
Lower risk
Northchase Nursing and Rehabilitation Center
23.4 km · Wilmington, NC
★★
CMS
41th
Risk %ile
Similar risk