7Risk Axes

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

How we calculate
SeverityElevated

78th national percentile — 9.1% high-severity citations

ChronicityElevated

88th national percentile — 16 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropModerate

34th national percentile — 13.5%

Contract staff shareElevated

90th national percentile — 16.6%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.08 vs expected 3.44 · −0.36 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

44 citations on file
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Jan 8, 2026 · Pattern — no actual harm with potential for more
F-0732
C
Post nurse staffing information every day
Minimal Harm

Post nurse staffing information every day.

Survey date: Jul 10, 2025 · Widespread — no actual harm
F-0755
D
Provide pharmaceutical services to meet the needs of each resident and e…
Minimal Harm

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

Survey date: Jul 10, 2025 · Isolated — no actual harm with potential for more
F-0644
D
Coordinate assessments with the pre-admission screening and resident rev…
Minimal Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey date: Jul 10, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

11 citations on file
F-0281
E
Install proper backup exit lighting
Potential Harm

Install proper backup exit lighting.

Survey date: Feb 12, 2025 · Pattern — no actual harm with potential for more
F-0511
D
Have properly installed electrical wiring and gas equipment
Minimal Harm

Have properly installed electrical wiring and gas equipment.

Survey date: Feb 12, 2025 · Isolated — no actual harm with potential for more
F-0211
D
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Minimal Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Jan 13, 2024 · Isolated — no actual harm with potential for more
F-0293
D
Have properly located and lighted "Exit" signs
Minimal Harm

Have properly located and lighted "Exit" signs.

Survey date: Jan 13, 2024 · 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
KNOPP HEALTHCARE AND REHAB CENTER INC
3.0 km · FREDERICKSBURG, TX
★★★★
CMS
46th
Risk %ile
Similar risk
AVIR AT FREDERICKSBURG
555 m · FREDERICKSBURG, TX
★★★★
CMS
51th
Risk %ile
Similar risk
KNOPP NURSING & REHAB CENTER INC
856 m · FREDERICKSBURG, TX
CMS
60th
Risk %ile
Similar risk