7Risk Axes

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

How we calculate
SeverityElevated

92th national percentile — 16.9% high-severity citations

ChronicityElevated

93th national percentile — 24 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

6 citations

Weekend staffing dropElevated

70th national percentile — 18.2%

Contract staff shareWatch

64th national percentile — 3.2%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.12 vs expected 2.81 · +0.31 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

59 citations on file
F-0676
E
Ensure residents do not lose the ability to perform activities of daily …
Potential Harm

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Survey date: Apr 1, 2026 · Pattern — no actual harm with potential for more
F-0804
E
Ensure food and drink is palatable, attractive, and at a safe and appeti…
Potential Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey date: Apr 1, 2026 · Pattern — no actual harm with potential for more
F-0686
D
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Minimal Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Apr 1, 2026 · Isolated — no actual harm with potential for more
F-0761
D
Ensure drugs and biologicals used in the facility are labeled in accorda…
Minimal Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: Mar 6, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

6 citations on file
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: Apr 17, 2025 · Widespread — no actual harm with potential for more
F-0223
E
Provide exit doors that are held open by devices that will automatically…
Potential Harm

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Survey date: Mar 13, 2024 · Pattern — no actual harm with potential for more
F-0346
F
Follow proper procedures when the fire alarm was out of service for more…
Potential Harm

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Survey date: Mar 13, 2024 · Widespread — no actual harm with potential for more
F-0354
F
Follow proper procedures when the automatic sprinkler systems was out of…
Potential Harm

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Survey date: Mar 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
CREEKSIDE TERRACE REHABILITATION
24.4 km · BELTON, TX
★★★★★
CMS
31th
Risk %ile
Lower risk
Rosewood Heights
891 m · Killeen, TX
★★★
CMS
48th
Risk %ile
Similar risk
HILL COUNTRY HEIGHTS
15.5 km · COPPERAS COVE, TX
★★★
CMS
56th
Risk %ile
Similar risk