7Risk Axes

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

How we calculate
SeverityElevated

71th national percentile — 7.0% high-severity citations

ChronicityElevated

94th national percentile — 18 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropModerate

43th national percentile — 14.6%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.32 vs expected 3.77 · −0.45 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

43 citations on file
F-0755
D
Provide pharmaceutical services to meet the needs of each resident and e…
Minimal Harm

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

Survey date: Dec 11, 2025 · Isolated — no actual harm with potential for more
F-0727
E
Have a registered nurse on duty 8 hours a day; and select a registered …
Potential Harm

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey date: Dec 11, 2025 · Pattern — no actual harm with potential for more
F-0914
D
Provide bedrooms that don't allow residents to see each other when priva…
Minimal Harm

Provide bedrooms that don't allow residents to see each other when privacy is needed.

Survey date: Dec 11, 2025 · 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: Dec 11, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

9 citations on file
F-0347
D
Properly provide smoke detection systems in areas open to corridors
Minimal Harm

Properly provide smoke detection systems in areas open to corridors.

Survey date: Sep 26, 2024 · Isolated — no actual harm with potential for more
F-0916
F
Have a battery powered remote alarm panel in a location accessible by op…
Potential Harm

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Survey date: Sep 26, 2024 · Widespread — no actual harm with potential for more
F-0918
F
Have generator or other power source capable of supplying service within…
Potential Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Sep 26, 2024 · Widespread — no actual harm with potential for more
F-0039
F
Conduct testing and exercise requirements
Potential Harm

Conduct testing and exercise requirements.

Survey date: Aug 22, 2023 · 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
Tuskegee Airmen Texas State Veterans Home
10.8 km · FORT WORTH, TX
NR
CMS
29th
Risk %ile
Lower risk
ALLEGIANT WELLNESS AND REHAB
17.3 km · CROWLEY, TX
★★★★★
CMS
31th
Risk %ile
Lower risk
IMMANUEL'S HEALTHCARE
13.8 km · FORT WORTH, TX
★★★
CMS
34th
Risk %ile
Lower risk