7Risk Axes

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

How we calculate
SeverityElevated

99th national percentile — 31.6% high-severity citations

ChronicityModerate

34th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropLow

18th national percentile — 11.3%

Contract staff shareElevated

87th national percentile — 13.7%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapModerate

Reported 2.88 vs expected 2.89 · −0.01 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

19 citations on file
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: Apr 23, 2026 · Isolated — no actual harm with potential for more
F-0638
D
Assure that each resident’s assessment is updated at least once every 3 …
Minimal Harm

Assure that each resident’s assessment is updated at least once every 3 months.

Survey date: Jul 31, 2025 · Isolated — no actual harm with potential for more
F-0759
E
Ensure medication error rates are not 5 percent or greater
Potential Harm

Ensure medication error rates are not 5 percent or greater.

Survey date: Jul 31, 2025 · Pattern — no actual harm with potential for more
F-0812
E
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: Jul 31, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

4 citations on file
F-0372
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Potential Harm

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

Survey date: Aug 1, 2024 · Pattern — no actual harm with potential for more
F-0161
E
Use approved construction type or materials
Potential Harm

Use approved construction type or materials.

Survey date: Jun 2, 2023 · Pattern — no actual harm with potential for more
F-0293
E
Have properly located and lighted "Exit" signs
Potential Harm

Have properly located and lighted "Exit" signs.

Survey date: Jun 2, 2023 · Pattern — no actual harm with potential for more
F-0324
E
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Jun 2, 2023 · Pattern — 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
19.6 km · Dallas, TX
★★★
CMS
19th
Risk %ile
Lower risk
VENTANA BY BUCKNER
15.5 km · DALLAS, TX
★★★★★
CMS
22th
Risk %ile
Lower risk
GRAPEVINE MEDICAL LODGE
17.9 km · GRAPEVINE, TX
★★★★★
CMS
30th
Risk %ile
Lower risk