7Risk Axes

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

How we calculate
SeverityElevated

85th national percentile — 12.0% high-severity citations

ChronicityModerate

46th national percentile — 5 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

13 citations

Weekend staffing dropModerate

49th national percentile — 15.4%

Contract staff shareElevated

89th national percentile — 15.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 3.79 vs expected 3.30 · +0.49 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

25 citations on file
F-0550
D
Honor the resident's right to a dignified existence, self-determination,…
Minimal Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey date: Mar 5, 2025 · Isolated — no actual harm with potential for more
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Mar 5, 2025 · Pattern — no actual harm with potential for more
F-0921
E
Make sure that the nursing home area is safe, easy to use, clean and com…
Potential Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey date: Mar 5, 2025 · Pattern — no actual harm with potential for more
F-0926
E
Have policies on smoking
Potential Harm

Have policies on smoking.

Survey date: Mar 5, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

13 citations on file
F-0351
D
Install an approved automatic sprinkler system
Minimal Harm

Install an approved automatic sprinkler system.

Survey date: Mar 5, 2025 · Isolated — 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: Mar 5, 2025 · Pattern — no actual harm with potential for more
F-0211
D
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Minimal Harm

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

Survey date: Mar 5, 2025 · Isolated — 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: Mar 5, 2025 · Isolated — 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
STONECREEK NURSING & REHABILITATION
2.6 km · SAN AUGUSTINE, TX
★★★★
CMS
37th
Risk %ile
Lower risk
COLONIAL PINES HEALTHCARE CENTER
5.2 km · SAN AUGUSTINE, TX
★★★
CMS
46th
Risk %ile
Similar risk