7Risk Axes

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

How we calculate
SeverityLow

22th national percentile — 0.0% high-severity citations

ChronicityWatch

51th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

6 citations

Weekend staffing dropElevated

72th national percentile — 18.5%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapWatch

Reported 3.47 vs expected 3.66 · −0.19 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

14 citations on file
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Nov 18, 2025 · Isolated — no actual harm with potential for more
F-0690
E
Provide appropriate care for residents who are continent or incontinent …
Potential Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey date: Nov 18, 2025 · Pattern — no actual harm with potential for more
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

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

Survey date: Nov 18, 2025 · Isolated — no actual harm with potential for more
F-0761
E
Ensure drugs and biologicals used in the facility are labeled in accorda…
Potential 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: Nov 18, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

6 citations on file
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Nov 18, 2025 · Widespread — no actual harm with potential for more
F-0355
E
Properly select, install, inspect, or maintain portable fire extinguishe…
Potential Harm

Properly select, install, inspect, or maintain portable fire extinguishes.

Survey date: Nov 18, 2025 · Pattern — 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: Aug 28, 2024 · Widespread — no actual harm
F-0324
E
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Jun 16, 2023 · Pattern — 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
LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR
18.7 km · NEW BRAUNFELS, TX
★★★
CMS
32th
Risk %ile
Lower risk