7Risk Axes

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

How we calculate
SeverityElevated

81th national percentile — 10.0% high-severity citations

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropLow

16th national percentile — 10.8%

Contract staff shareModerate

41th national percentile — 0.1%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 4.19 vs expected 4.44 · −0.26 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

10 citations on file
F-0623
D
Provide timely notification to the resident, and if applicable to the re…
Minimal Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey date: Feb 27, 2025 · Isolated — no actual harm with potential for more
F-0804
G
Ensure food and drink is palatable, attractive, and at a safe and appeti…
Actual Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey date: Feb 27, 2025 · Isolated — actual harm
F-0610
E
Respond appropriately to all alleged violations
Potential Harm

Respond appropriately to all alleged violations.

Survey date: Aug 30, 2024 · Pattern — no actual harm with potential for more
F-0580
E
Immediately tell the resident, the resident's doctor, and a family membe…
Potential 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 17, 2024 · 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-0761
F
To conduct inspection, testing and maintenance of fire doors by qualifie…
Potential Harm

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Survey date: Feb 27, 2025 · Widespread — no actual harm with potential for more
F-0923
E
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Feb 27, 2025 · Pattern — no actual harm with potential for more
F-0343
E
Have a fire alarm with audible and visual signals that transmits the ala…
Potential Harm

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Survey date: Dec 28, 2023 · Pattern — no actual harm with potential for more
F-0004
C
Develop and maintain an Emergency Preparedness Program (EP)
Minimal Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Sep 14, 2022 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
SOUTHBROOK HEALTHCARE, INC
1.7 km · ARDMORE, OK
★★★★★
CMS
35th
Risk %ile
Lower risk