7Risk Axes

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

How we calculate
SeverityElevated

81th national percentile — 10.3% high-severity citations

ChronicityModerate

40th national percentile — 7 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

12 citations

Weekend staffing dropLow

3th national percentile — 6.5%

Contract staff shareElevated

90th national percentile — 16.8%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 2.69 vs expected 2.96 · −0.28 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

39 citations on file
F-0583
D
Keep residents' personal and medical records private and confidential
Minimal Harm

Keep residents' personal and medical records private and confidential.

Survey date: Feb 18, 2026 · Isolated — no actual harm with potential for more
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Dec 6, 2025 · Isolated — no actual harm with potential for more
F-0922
F
Have enough backup water supply for essential areas of the nursing home
Potential Harm

Have enough backup water supply for essential areas of the nursing home.

Survey date: Dec 6, 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: Dec 6, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

12 citations on file
F-0211
E
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Potential Harm

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

Survey date: Sep 26, 2024 · Pattern — no actual harm with potential for more
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Sep 26, 2024 · Isolated — no actual harm with potential for more
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Sep 26, 2024 · Pattern — no actual harm with potential for more
F-0511
F
Have properly installed electrical wiring and gas equipment
Potential Harm

Have properly installed electrical wiring and gas equipment.

Survey date: Sep 26, 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
WHITNEY NURSING AND REHABILITATION CENTER
21.8 km · WHITNEY, TX
CMS
47th
Risk %ile
Similar risk
Avir at Itasca
16.4 km · ITASCA, TX
★★★★
CMS
51th
Risk %ile
Similar risk