7Risk Axes

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

How we calculate
SeverityElevated

79th national percentile — 9.3% high-severity citations

ChronicityModerate

42th national percentile — 10 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

17 citations

Weekend staffing dropWatch

65th national percentile — 17.4%

Contract staff shareModerate

44th national percentile — 0.3%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapWatch

Reported 3.21 vs expected 3.46 · −0.25 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

54 citations on file
F-0604
D
Ensure that each resident is free from the use of physical restraints, u…
Minimal Harm

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Survey date: Feb 5, 2026 · Isolated — no actual harm with potential for more
F-0919
D
Make sure that a working call system is available in each resident's ba…
Minimal Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey date: Dec 18, 2025 · Isolated — no actual harm with potential for more
F-0909
F
Regularly inspect all bed frames, mattresses, and bed rails (if any) for…
Potential Harm

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Survey date: Dec 18, 2025 · Widespread — no actual harm with potential for more
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Dec 18, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

17 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: Sep 20, 2024 · Widespread — no actual harm with potential for more
F-0324
E
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Sep 20, 2024 · Pattern — 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: Sep 20, 2024 · 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: Sep 20, 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
Sunset Villa Healthcare
1.9 km · Roswell, NM
★★★
CMS
46th
Risk %ile
Similar risk
Spring River Rehabilitation and Care Center
6.8 km · Roswell, NM
CMS
53th
Risk %ile
Similar risk