7Risk Axes

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

How we calculate
SeverityLow

22th national percentile — 0.0% high-severity citations

ChronicityElevated

77th national percentile — 8 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropElevated

77th national percentile — 19.3%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapElevated

Reported 4.43 vs expected 5.13 · −0.70 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

26 citations on file
F-0636
D
Assess the resident completely in a timely manner when first admitted, …
Minimal Harm

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey date: Jul 23, 2025 · Isolated — no actual harm with potential for more
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Jul 23, 2025 · Isolated — no actual harm with potential for more
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: Jul 23, 2025 · Pattern — no actual harm with potential for more
F-0804
E
Ensure food and drink is palatable, attractive, and at a safe and appeti…
Potential Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey date: Jul 23, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

4 citations on file
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: Jul 23, 2025 · Pattern — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Jun 26, 2024 · Widespread — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm↻ Repeat

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Apr 26, 2023 · 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↻ Repeat

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Apr 26, 2023 · 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
SULPHUR SPRINGS HEALTH AND REHABILITATION
745 m · SULPHUR SPRINGS, TX
★★★
CMS
48th
Risk %ile
Similar risk