7Risk Axes

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

How we calculate
SeverityWatch

61th national percentile — 4.8% high-severity citations

ChronicityWatch

58th national percentile — 5 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropLow

13th national percentile — 10.3%

Contract staff shareWatch

52th national percentile — 1.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.32 vs expected 3.80 · −0.48 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

21 citations on file
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: Mar 22, 2026 · Pattern — no actual harm with potential for more
F-0645
E
PASARR screening for Mental disorders or Intellectual Disabilities
Potential Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey date: Feb 4, 2026 · Pattern — 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: Feb 4, 2026 · Isolated — no actual harm with potential for more
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: Feb 4, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 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: Feb 4, 2026 · Pattern — no actual harm with potential for more
F-0929
E
Ensure precautions for handling oxygen cylinders and equipment are corre…
Potential Harm

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Survey date: Feb 4, 2026 · Pattern — no actual harm with potential for more
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: Nov 13, 2024 · Pattern — no actual harm with potential for more
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Nov 13, 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
AZALEA TRAIL NURSING AND REHABILITATION CENTER
865 m · GRAND SALINE, TX
★★★★
CMS
35th
Risk %ile
Lower risk
EMORY HEALTH AND REHAB
22.9 km · EMORY, TX
★★★
CMS
43th
Risk %ile
Similar risk