7Risk Axes

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

How we calculate
SeverityElevated

82th national percentile — 10.5% high-severity citations

ChronicityWatch

60th national percentile — 14 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

12 citations

Weekend staffing dropElevated

94th national percentile — 24.2%

Contract staff shareElevated

70th national percentile — 4.8%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 4.36 vs expected 4.12 · +0.23 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

57 citations on file
F-0550
D
Honor the resident's right to a dignified existence, self-determination,…
Minimal Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey date: Apr 24, 2025 · Isolated — no actual harm with potential for more
F-0699
D
Provide care or services that was trauma informed and/or culturally comp…
Minimal Harm

Provide care or services that was trauma informed and/or culturally competent.

Survey date: Apr 24, 2025 · Isolated — no actual harm with potential for more
F-0558
D
Reasonably accommodate the needs and preferences of each resident
Minimal Harm

Reasonably accommodate the needs and preferences of each resident.

Survey date: Apr 24, 2025 · Isolated — no actual harm with potential for more
F-0940
E
Develop, implement, and/or maintain an effective training program for al…
Potential Harm

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Survey date: Apr 24, 2025 · 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-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Apr 24, 2025 · Pattern — no actual harm with potential for more
F-0344
E
Have an alternate power supply for its alarm system
Potential Harm

Have an alternate power supply for its alarm system.

Survey date: Apr 24, 2025 · Pattern — 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 24, 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: Apr 24, 2025 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
AVIR AT PITTSBURG
23.0 km · PITTSBURG, TX
★★
CMS
59th
Risk %ile
Similar risk
CAPSTONE HEALTHCARE OF HUGHES SPRINGS
9.7 km · HUGHES SPRINGS, TX
★★★
CMS
60th
Risk %ile
Similar risk