7Risk Axes

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

How we calculate
SeverityElevated

94th national percentile — 19.6% high-severity citations

ChronicityElevated

89th national percentile — 19 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

12 citations

Weekend staffing dropElevated

100th national percentile — 32.2%

Contract staff shareElevated

96th national percentile — 26.4%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.66 vs expected 4.28 · −0.62 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

51 citations on file
F-0812
D
Procure food from sources approved or considered satisfactory and store,…
Minimal Harm

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

Survey date: Apr 30, 2026 · Isolated — no actual harm with potential for more
F-0727
E
Have a registered nurse on duty 8 hours a day; and select a registered …
Potential Harm

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey date: Apr 30, 2026 · Pattern — no actual harm with potential for more
F-0803
D
Ensure menus must meet the nutritional needs of residents, be prepared i…
Minimal Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey date: Apr 30, 2026 · Isolated — no actual harm with potential for more
F-0801
E
Employ sufficient staff with the appropriate competencies and skills set…
Potential Harm

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Survey date: Apr 30, 2026 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

12 citations on file
F-0223
F
Provide exit doors that are held open by devices that will automatically…
Potential Harm

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Survey date: Aug 29, 2024 · Widespread — no actual harm with potential for more
F-0030
F
List the names and contact information of those in the facility
Potential Harm

List the names and contact information of those in the facility.

Survey date: Jun 29, 2023 · Widespread — no actual harm with potential for more
F-0037
F
Establish staff and initial training requirements
Potential Harm

Establish staff and initial training requirements.

Survey date: Jun 29, 2023 · Widespread — no actual harm with potential for more
F-0039
F
Conduct testing and exercise requirements
Potential Harm

Conduct testing and exercise requirements.

Survey date: Jun 29, 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
KRUSE VILLAGE SENIOR LIVING COMMUNITY
2.8 km · BRENHAM, TX
★★★
CMS
36th
Risk %ile
Lower risk
Brenham Nursing and Rehabilitation Center
3.3 km · Brenham, TX
CMS
46th
Risk %ile
Similar risk
HIGH HOPE CARE CENTER OF BRENHAM
3.3 km · BRENHAM, TX
★★★
CMS
60th
Risk %ile
Similar risk