7Risk Axes

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

How we calculate
SeverityElevated

91th national percentile — 15.4% high-severity citations

ChronicityLow

16th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropModerate

49th national percentile — 15.3%

Contract staff shareElevated

86th national percentile — 12.9%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.22 vs expected 2.81 · +0.40 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

13 citations on file
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: Feb 26, 2026 · Pattern — no actual harm with potential for more
F-0600
G
Protect each resident from all types of abuse such as physical, mental, …
Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey date: Dec 30, 2025 · Isolated — actual harm
F-0689
J
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Oct 30, 2025 · Isolated — immediate jeopardy
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: Nov 21, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0522
C
Have an externally vented heating system
Minimal Harm

Have an externally vented heating system.

Survey date: Feb 26, 2026 · Widespread — no actual harm
F-0918
C
Have generator or other power source capable of supplying service within…
Minimal Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Feb 26, 2026 · Widespread — no actual harm
F-0026
F
Establish roles under a Waiver declared by secretary
Potential Harm

Establish roles under a Waiver declared by secretary.

Survey date: Nov 21, 2024 · 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: Nov 21, 2024 · 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
HERITAGE PLACE OF DECATUR
15.1 km · DECATUR, TX
★★★
CMS
35th
Risk %ile
Lower risk
THE HILLS NURSING & REHABILITATION
15.4 km · DECATUR, TX
CMS
46th
Risk %ile
Similar risk