7Risk Axes

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

How we calculate
SeverityElevated

96th national percentile — 23.1% high-severity citations

ChronicityModerate

33th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

6 citations

Weekend staffing dropWatch

67th national percentile — 17.9%

Contract staff shareModerate

40th national percentile — 0.1%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.18 vs expected 3.69 · −0.51 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

13 citations on file
F-0727
F
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: Feb 26, 2026 · Widespread — no actual harm with potential for more
F-0812
E
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

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

Survey date: Feb 26, 2026 · Pattern — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: Dec 22, 2025 · 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: Nov 7, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

6 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: Feb 26, 2026 · Pattern — no actual harm with potential for more
F-0324
D
Provide properly protected cooking facilities
Minimal Harm

Provide properly protected cooking facilities.

Survey date: Feb 26, 2026 · Isolated — 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: Feb 26, 2026 · Widespread — no actual harm
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Nov 7, 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
Lily Springs Rehabilitation and Healthcare Center
1.4 km · Lampasas, TX
CMS
56th
Risk %ile
Similar risk
Lampasas Nursing and Rehabilitation Center
1.2 km · Lampasas, TX
CMS
58th
Risk %ile
Similar risk