7Risk Axes

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

How we calculate
SeverityElevated

97th national percentile — 25.0% high-severity citations

ChronicityWatch

61th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

13 citations

Weekend staffing dropModerate

37th national percentile — 13.9%

Contract staff shareElevated

78th national percentile — 8.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.49 vs expected 3.91 · −0.42 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

8 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: Dec 12, 2025 · Isolated — no actual harm with potential for more
F-0760
E
Ensure that residents are free from significant medication errors
Potential Harm

Ensure that residents are free from significant medication errors.

Survey date: Nov 24, 2025 · Pattern — no actual harm with potential for more
F-0684
K
Provide appropriate treatment and care according to orders, resident’s p…
Actual Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Sep 25, 2025 · Pattern — immediate jeopardy
F-0755
J
Provide pharmaceutical services to meet the needs of each resident and e…
Actual Harm

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

Survey date: Sep 25, 2025 · Isolated — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

13 citations on file
F-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential 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 29, 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: May 29, 2025 · Pattern — no actual harm with potential for more
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: May 29, 2025 · Pattern — no actual harm with potential for more
F-0511
E
Have properly installed electrical wiring and gas equipment
Potential Harm

Have properly installed electrical wiring and gas equipment.

Survey date: May 29, 2025 · 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
AZALEA TRAIL NURSING AND REHABILITATION CENTER
468 m · GRAND SALINE, TX
★★★★
CMS
35th
Risk %ile
Lower risk
EMORY HEALTH AND REHAB
23.6 km · EMORY, TX
★★★
CMS
43th
Risk %ile
Similar risk
Avir at Grand Saline
1.3 km · GRAND SALINE, TX
★★
CMS
46th
Risk %ile
Similar risk