7Risk Axes

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

How we calculate
SeverityElevated

81th national percentile — 10.0% high-severity citations

ChronicityWatch

61th national percentile — 10 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

10 citations

Weekend staffing dropLow

12th national percentile — 10.0%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.10 vs expected 2.94 · +0.16 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

40 citations on file
F-0727
F
Have a registered nurse on duty 8 hours a day; and select a registered …
Potential Harm

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey date: Nov 20, 2025 · Widespread — 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: Nov 20, 2025 · Isolated — no actual harm with potential for more
F-0565
D
Honor the resident's right to organize and participate in resident/famil…
Minimal Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey date: Nov 20, 2025 · Isolated — no actual harm with potential for more
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Nov 20, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

10 citations on file
F-0741
E
Have posted "No-smoking" signs in areas where smoking is not permitted o…
Potential Harm

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Survey date: Nov 20, 2025 · Pattern — no actual harm with potential for more
F-0222
E
Add doors in an exit area that do not require the use of a key from the …
Potential 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: Aug 29, 2024 · 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: Aug 29, 2024 · Isolated — no actual harm with potential for more
F-0351
E
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: Aug 29, 2024 · 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
GRAPEVINE MEDICAL LODGE
1.6 km · GRAPEVINE, TX
★★★★★
CMS
30th
Risk %ile
Lower risk
Cross Timbers Rehabilitation and Healthcare Center
10.7 km · Flower Mound, TX
★★★
CMS
34th
Risk %ile
Lower risk
LAKE FOREST VILLAGE BY PUREHEALTH
23.9 km · DENTON, TX
★★★★
CMS
35th
Risk %ile
Lower risk