7Risk Axes

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

How we calculate
SeverityElevated

99th national percentile — 35.7% high-severity citations

ChronicityModerate

30th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

7 citations

Weekend staffing dropWatch

52th national percentile — 15.7%

Contract staff shareWatch

52th national percentile — 1.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.63 vs expected 4.35 · −0.73 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

14 citations on file
F-0609
D
Timely report suspected abuse, neglect, or theft and report the results …
Minimal Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey date: May 21, 2025 · Isolated — no actual harm with potential for more
F-0677
E
Provide care and assistance to perform activities of daily living for an…
Potential Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey date: Aug 13, 2024 · Pattern — no actual harm with potential for more
F-0849
E
Arrange for the provision of hospice services or assist the resident in …
Potential Harm

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Survey date: May 30, 2024 · Pattern — no actual harm with potential for more
F-0644
D
Coordinate assessments with the pre-admission screening and resident rev…
Minimal Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey date: Apr 10, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

7 citations on file
F-0037
F
Establish staff and initial training requirements
Potential Harm

Establish staff and initial training requirements.

Survey date: Apr 10, 2024 · 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: Apr 10, 2024 · Widespread — no actual harm with potential for more
F-0221
D
Provide rooms that can be unlocked from inside without a key
Minimal Harm

Provide rooms that can be unlocked from inside without a key.

Survey date: Apr 10, 2024 · Isolated — 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: Apr 10, 2024 · 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
MEADOW LAKE HEALTH CENTER
4.1 km · TYLER, TX
★★★★★
CMS
26th
Risk %ile
Lower risk
THE CENTER AT GRANDE
7.2 km · TYLER, TX
★★★★★
CMS
33th
Risk %ile
Lower risk
GREENBRIER NURSING & REHABILITATION CENTER OF TYLE
4.8 km · TYLER, TX
★★
CMS
35th
Risk %ile
Lower risk