7Risk Axes

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

How we calculate
SeverityElevated

85th national percentile — 11.8% high-severity citations

ChronicityWatch

57th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

12 citations

Weekend staffing dropModerate

32th national percentile — 13.3%

Contract staff shareModerate

36th national percentile — 0.0%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapElevated

Reported 2.61 vs expected 3.07 · −0.45 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

17 citations on file
F-0812
D
Procure food from sources approved or considered satisfactory and store,…
Minimal Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Apr 23, 2026 · Isolated — no actual harm with potential for more
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: Feb 7, 2026 · Isolated — no actual harm with potential for more
F-0580
D
Immediately tell the resident, the resident's doctor, and a family membe…
Minimal 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: Apr 5, 2025 · Isolated — no actual harm with potential for more
F-0690
K
Provide appropriate care for residents who are continent or incontinent …
Actual Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey date: Apr 5, 2025 · Pattern — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

12 citations on file
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: Mar 21, 2025 · Pattern — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Mar 21, 2025 · Pattern — no actual harm with potential for more
F-0355
E
Properly select, install, inspect, or maintain portable fire extinguishe…
Potential Harm

Properly select, install, inspect, or maintain portable fire extinguishes.

Survey date: Mar 21, 2025 · Pattern — no actual harm with potential for more
F-0037
F
Establish staff and initial training requirements
Potential Harm

Establish staff and initial training requirements.

Survey date: Feb 20, 2025 · 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
CEDAR CREEK NURSING AND REHABILITATION CENTER
2.1 km · BANDERA, TX
★★
CMS
52th
Risk %ile
Similar risk