7Risk Axes

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

How we calculate
SeverityElevated

70th national percentile — 6.8% high-severity citations

ChronicityElevated

80th national percentile — 19 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

38 citations

Weekend staffing dropLow

12th national percentile — 10.1%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapWatch

Reported 2.97 vs expected 3.22 · −0.25 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

59 citations on file
F-0583
D
Keep residents' personal and medical records private and confidential
Minimal Harm

Keep residents' personal and medical records private and confidential.

Survey date: Aug 29, 2025 · Isolated — no actual harm with potential for more
F-0628
D
Provide the required documentation or notification related to the reside…
Minimal Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey date: May 29, 2025 · Isolated — no actual harm with potential for more
F-0914
E
Provide bedrooms that don't allow residents to see each other when priva…
Potential Harm

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

Survey date: Feb 6, 2025 · Pattern — no actual harm with potential for more
F-0604
D
Ensure that each resident is free from the use of physical restraints, u…
Minimal Harm

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Survey date: Feb 6, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

38 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: Feb 6, 2025 · Widespread — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Feb 6, 2025 · Widespread — no actual harm with potential for more
F-0006
F
Conduct risk assessment and an All-Hazards approach
Potential Harm

Conduct risk assessment and an All-Hazards approach.

Survey date: Feb 6, 2025 · Widespread — no actual harm with potential for more
F-0923
D
Have proper medical gas storage and administration areas
Minimal Harm

Have proper medical gas storage and administration areas.

Survey date: Feb 6, 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
Southern Oaks Therapy and Living Center
24.7 km · Dallas, TX
★★★
CMS
19th
Risk %ile
Lower risk
VENTANA BY BUCKNER
23.6 km · DALLAS, TX
★★★★★
CMS
22th
Risk %ile
Lower risk
GRAPEVINE MEDICAL LODGE
21.3 km · GRAPEVINE, TX
★★★★★
CMS
30th
Risk %ile
Lower risk