7Risk Axes

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

How we calculate
SeverityModerate

49th national percentile — 2.4% high-severity citations

ChronicityElevated

84th national percentile — 14 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropWatch

61th national percentile — 17.0%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapModerate

Reported 2.96 vs expected 3.00 · −0.04 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

41 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: Feb 9, 2026 · Isolated — no actual harm with potential for more
F-0695
E
Provide safe and appropriate respiratory care for a resident when needed…
Potential Harm

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

Survey date: Jan 8, 2026 · Pattern — no actual harm with potential for more
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: Jan 8, 2026 · Isolated — no actual harm with potential for more
F-0926
D
Have policies on smoking
Minimal Harm

Have policies on smoking.

Survey date: Jan 8, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0324
E
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Jan 8, 2026 · 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: Jan 8, 2026 · Pattern — no actual harm with potential for more
F-0372
F
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: Jan 8, 2026 · Widespread — no actual harm with potential for more
F-0521
C
Ensure heating and ventilation systems that have been properly installed…
Minimal Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Jan 8, 2026 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
WINDSOR REHABILITATION AND HEALTHCARE
19.3 km · TERRELL, TX
★★
CMS
37th
Risk %ile
Lower risk
RIDGECREST HEALTHCARE AND REHABILITATION CENTER
23.2 km · FORNEY, TX
★★★
CMS
37th
Risk %ile
Lower risk
SUNFLOWER PARK HEALTH CARE
2.8 km · KAUFMAN, TX
★★
CMS
55th
Risk %ile
Similar risk