7Risk Axes

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

How we calculate
SeverityElevated

95th national percentile — 20.0% high-severity citations

ChronicityWatch

63th national percentile — 9 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropLow

14th national percentile — 10.4%

Contract staff shareElevated

80th national percentile — 8.8%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.23 vs expected 3.59 · −0.36 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

35 citations on file
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: Feb 17, 2026 · Isolated — no actual harm with potential for more
F-0656
E
Develop and implement a complete care plan that meets all the resident's…
Potential 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 19, 2025 · Pattern — no actual harm with potential for more
F-0689
D
Ensure that a nursing home area is free from accident hazards and provid…
Minimal Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Jun 14, 2025 · Isolated — no actual harm with potential for more
F-0685
H
Assist a resident in gaining access to vision and hearing services
Actual Harm

Assist a resident in gaining access to vision and hearing services.

Survey date: Mar 6, 2025 · Pattern — actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

4 citations on file
F-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential 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: Mar 6, 2025 · Pattern — no actual harm with potential for more
F-0324
F
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Mar 6, 2025 · Widespread — no actual harm with potential for more
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: Mar 6, 2025 · Pattern — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Dec 22, 2023 · 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
St. Juanita Retirement and Rehab
2.5 km · SAN ANGELO, TX
NR
CMS
8th
Risk %ile
Lower risk
PARK PLAZA NURSING AND REHABILITATION CENTER
7.8 km · SAN ANGELO, TX
★★★
CMS
34th
Risk %ile
Lower risk
Cedar Manor Nursing and Rehabilitation Center
8.0 km · San Angelo, TX
★★★
CMS
40th
Risk %ile
Similar risk