7Risk Axes

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

How we calculate
SeverityElevated

82th national percentile — 10.4% high-severity citations

ChronicityElevated

78th national percentile — 15 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

13 citations

Weekend staffing dropLow

29th national percentile — 12.9%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 2.70 vs expected 3.40 · −0.71 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

48 citations on file
F-0550
D
Honor the resident's right to a dignified existence, self-determination,…
Minimal Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey date: Jan 14, 2026 · Isolated — no actual harm with potential for more
F-0600
J
Protect each resident from all types of abuse such as physical, mental, …
Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey date: Jan 3, 2026 · Isolated — immediate jeopardy
F-0607
J
Develop and implement policies and procedures to prevent abuse, neglect,…
Actual Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey date: Jan 3, 2026 · Isolated — immediate jeopardy
F-0609
D
Timely report suspected abuse, neglect, or theft and report the results …
Minimal Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey date: Jan 3, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

13 citations on file
F-0222
D
Add doors in an exit area that do not require the use of a key from the …
Minimal Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Jun 19, 2025 · Isolated — 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: Jun 19, 2025 · Pattern — no actual harm with potential for more
F-0321
D
Ensure that special areas are constructed so that walls can resist fire …
Minimal Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: May 17, 2024 · Isolated — no actual harm with potential for more
F-0351
F
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: May 17, 2024 · 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
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL SKIL
3.3 km · TEMPLE, TX
★★★★★
CMS
12th
Risk %ile
Lower risk
CREEKSIDE TERRACE REHABILITATION
12.3 km · BELTON, TX
★★★★★
CMS
31th
Risk %ile
Lower risk
Avir at Temple East
4.8 km · TEMPLE, TX
★★★★★
CMS
34th
Risk %ile
Lower risk