7Risk Axes

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

How we calculate
SeverityWatch

53th national percentile — 3.2% high-severity citations

ChronicityElevated

97th national percentile — 28 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropModerate

31th national percentile — 13.1%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapModerate

Reported 3.03 vs expected 3.09 · −0.06 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

62 citations on file
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal 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: Jan 15, 2026 · Isolated — no actual harm with potential for more
F-0812
E
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Jan 15, 2026 · Pattern — no actual harm with potential for more
F-0550
E
Honor the resident's right to a dignified existence, self-determination,…
Potential Harm

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

Survey date: Sep 5, 2025 · Pattern — no actual harm with potential for more
F-0558
D
Reasonably accommodate the needs and preferences of each resident
Minimal Harm

Reasonably accommodate the needs and preferences of each resident.

Survey date: Sep 5, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

11 citations on file
F-0041
E
Implement emergency and standby power systems
Potential Harm

Implement emergency and standby power systems.

Survey date: Sep 5, 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: Sep 5, 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: Sep 5, 2025 · Pattern — no actual harm with potential for more
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Sep 5, 2025 · 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. Giles Nursing and Rehabilitation Center
12.0 km · El Paso, TX
★★
CMS
41th
Risk %ile
Similar risk
OASIS NURSING & REHABILITATION CENTER
12.2 km · EL PASO, TX
★★★★
CMS
42th
Risk %ile
Similar risk
MOUNTAIN VILLA NURSING CENTER
21.9 km · EL PASO, TX
★★★★
CMS
43th
Risk %ile
Similar risk