7Risk Axes

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

How we calculate
SeverityElevated

74th national percentile — 7.9% high-severity citations

ChronicityElevated

95th national percentile — 33 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

21 citations

Weekend staffing dropLow

19th national percentile — 11.4%

Contract staff shareElevated

71th national percentile — 5.3%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.59 vs expected 3.31 · +0.27 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

76 citations on file
F-0842
E
Safeguard resident-identifiable information and/or maintain medical reco…
Potential Harm

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

Survey date: Sep 7, 2025 · Pattern — no actual harm with potential for more
F-0755
E
Provide pharmaceutical services to meet the needs of each resident and e…
Potential Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey date: Sep 7, 2025 · Pattern — no actual harm with potential for more
F-0760
J
Ensure that residents are free from significant medication errors
Actual Harm

Ensure that residents are free from significant medication errors.

Survey date: Sep 7, 2025 · Isolated — immediate jeopardy
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Jul 31, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

21 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: Jul 31, 2025 · Widespread — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Jul 31, 2025 · Pattern — no actual harm with potential for more
F-0032
F
Provide primary/alternate means for communication
Potential Harm

Provide primary/alternate means for communication.

Survey date: Jul 31, 2025 · Widespread — no actual harm with potential for more
F-0741
F
Have posted "No-smoking" signs in areas where smoking is not permitted o…
Potential Harm

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Survey date: Jul 31, 2025 · Widespread — 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
Avir at Comfort
23.4 km · COMFORT, TX
★★★★★
CMS
42th
Risk %ile
Similar risk
Avir at Kerrville
1.5 km · Kerrville, TX
CMS
49th
Risk %ile
Similar risk
HILLTOP VILLAGE NURSING AND REHABILITATION
4.4 km · KERRVILLE, TX
★★★
CMS
56th
Risk %ile
Similar risk