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

81th national percentile — 18 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

12 citations

Weekend staffing dropElevated

76th national percentile — 19.2%

Contract staff shareModerate

45th national percentile — 0.3%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.24 vs expected 3.55 · −0.30 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

55 citations on file
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Mar 10, 2026 · Isolated — no actual harm with potential for more
F-0561
E
Honor the resident's right to and the facility must promote and facilita…
Potential Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey date: Mar 10, 2026 · Pattern — no actual harm with potential for more
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Mar 10, 2026 · Isolated — no actual harm with potential for more
F-0842
E
Safeguard resident-identifiable information and/or maintain medical reco…
Potential Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: Mar 10, 2026 · 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-0007
F
Address patient/client population and determine types of services needed…
Potential Harm

Address patient/client population and determine types of services needed.

Survey date: Mar 18, 2025 · Widespread — no actual harm with potential for more
F-0324
F
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Mar 18, 2025 · Widespread — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Mar 18, 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 18, 2025 · 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
Las Cruces Village Nursing & Rehabilitation LLC
1.2 km · LAS CRUCES, NM
CMS
45th
Risk %ile
Similar risk
Northrise Wellness & Rehabilitation
6.2 km · Las Cruces, NM
★★★★
CMS
53th
Risk %ile
Similar risk
Las Cruces Wellness & Rehabilitation LLC
2.8 km · Las Cruces, NM
★★★
CMS
55th
Risk %ile
Similar risk