7Risk Axes

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

How we calculate
SeverityElevated

79th national percentile — 9.5% high-severity citations

ChronicityModerate

44th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

20 citations

Weekend staffing dropElevated

89th national percentile — 22.1%

Contract staff shareWatch

55th national percentile — 1.5%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapAligned

Reported 3.49 vs expected 3.14 · +0.34 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

21 citations on file
F-0645
D
PASARR screening for Mental disorders or Intellectual Disabilities
Minimal Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey date: Dec 11, 2025 · Isolated — no actual harm with potential for more
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: Dec 11, 2025 · Widespread — no actual harm with potential for more
F-0940
G
Develop, implement, and/or maintain an effective training program for al…
Actual Harm

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Survey date: Aug 11, 2024 · Isolated — actual harm
F-0880
F
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Aug 11, 2024 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

20 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: Dec 11, 2025 · Widespread — no actual harm with potential for more
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Dec 11, 2025 · Widespread — 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: Dec 11, 2025 · Isolated — no actual harm with potential for more
F-0372
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Minimal Harm

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Dec 11, 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
SPARTA HEALTH AND REHABILITATION
8.5 km · SPARTA, GA
★★★★★
CMS
28th
Risk %ile
Lower risk