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

ChronicityModerate

44th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropWatch

61th national percentile — 16.9%

Contract staff shareElevated

81th national percentile — 9.7%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.37 vs expected 3.93 · −0.56 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

21 citations on file
F-0628
D
Provide the required documentation or notification related to the reside…
Minimal Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey date: Nov 18, 2025 · Isolated — no actual harm with potential for more
F-0689
D
Ensure that a nursing home area is free from accident hazards and provid…
Minimal Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Dec 4, 2024 · Isolated — 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 4, 2024 · Pattern — no actual harm with potential for more
F-0839
E
Employ staff that are licensed, certified, or registered in accordance w…
Potential Harm

Employ staff that are licensed, certified, or registered in accordance with state laws.

Survey date: Dec 4, 2024 · 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-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: Dec 4, 2024 · Pattern — no actual harm with potential for more
F-0324
E
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Dec 4, 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: Dec 4, 2024 · Pattern — no actual harm with potential for more
F-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential Harm↻ Repeat

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Oct 11, 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
MEADOW LAKE HEALTH CENTER
17.3 km · TYLER, TX
★★★★★
CMS
26th
Risk %ile
Lower risk
THE CENTER AT GRANDE
21.7 km · TYLER, TX
★★★★★
CMS
33th
Risk %ile
Lower risk
GREENBRIER NURSING & REHABILITATION CENTER OF TYLE
14.1 km · TYLER, TX
★★
CMS
35th
Risk %ile
Lower risk