7Risk Axes

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

How we calculate
SeverityElevated

87th national percentile — 12.8% high-severity citations

ChronicityElevated

98th national percentile — 19 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropElevated

90th national percentile — 22.4%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapWatch

Reported 3.44 vs expected 3.60 · −0.16 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

39 citations on file
F-0686
E
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Potential Harm

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

Survey date: Apr 24, 2026 · Pattern — no actual harm with potential for more
F-0684
G
Provide appropriate treatment and care according to orders, resident’s p…
Actual Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Apr 9, 2026 · Isolated — actual harm
F-0842
D
Safeguard resident-identifiable information and/or maintain medical reco…
Minimal Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: Apr 9, 2026 · Isolated — no actual harm with potential for more
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: Apr 9, 2026 · 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-0039
F
Conduct testing and exercise requirements
Potential Harm

Conduct testing and exercise requirements.

Survey date: Aug 22, 2025 · Widespread — no actual harm with potential for more
F-0211
E
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Potential Harm

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

Survey date: Aug 22, 2025 · Pattern — no actual harm with potential for more
F-0281
F
Install proper backup exit lighting
Potential Harm

Install proper backup exit lighting.

Survey date: Aug 22, 2025 · Widespread — no actual harm with potential for more
F-0293
E
Have properly located and lighted "Exit" signs
Potential Harm

Have properly located and lighted "Exit" signs.

Survey date: Aug 22, 2025 · 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
KENEDY HEALTH & REHABILITATION
16.9 km · KENEDY, TX
★★★
CMS
51th
Risk %ile
Similar risk