7Risk Axes

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

How we calculate
SeverityWatch

66th national percentile — 5.9% high-severity citations

ChronicityModerate

39th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropModerate

40th national percentile — 14.2%

Contract staff shareWatch

67th national percentile — 4.1%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 4.63 vs expected 5.20 · −0.58 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

17 citations on file
F-0585
E
Honor the resident's right to voice grievances without discrimination or…
Potential Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey date: Apr 25, 2025 · Pattern — no actual harm with potential for more
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 25, 2025 · Isolated — 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: Apr 25, 2025 · Isolated — no actual harm with potential for more
F-0755
D
Provide pharmaceutical services to meet the needs of each resident and e…
Minimal Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey date: Feb 28, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

4 citations on file
F-0222
E
Add doors in an exit area that do not require the use of a key from the …
Potential Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Apr 25, 2025 · Pattern — no actual harm with potential for more
F-0341
E
Install a fire alarm system that can be heard throughout the facility
Potential Harm

Install a fire alarm system that can be heard throughout the facility.

Survey date: Apr 25, 2025 · Pattern — no actual harm with potential for more
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Apr 25, 2025 · Pattern — no actual harm with potential for more
F-0918
F
Have generator or other power source capable of supplying service within…
Potential Harm

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

Survey date: Mar 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
WINDMILL VILLAGE REHABILITATION & CARE CENTER
10.2 km · LUBBOCK, TX
★★★
CMS
40th
Risk %ile
Similar risk
Lubbock Health Care Center
3.3 km · Lubbock, TX
★★★
CMS
41th
Risk %ile
Similar risk
Avir at Heritage Oaks
7.3 km · Lubbock, TX
★★
CMS
41th
Risk %ile
Similar risk