7Risk Axes

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

How we calculate
SeverityElevated

98th national percentile — 26.7% high-severity citations

ChronicityWatch

66th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropLow

25th national percentile — 12.4%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapModerate

Reported 2.88 vs expected 2.90 · −0.02 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

15 citations on file
F-0558
D
Reasonably accommodate the needs and preferences of each resident
Minimal Harm

Reasonably accommodate the needs and preferences of each resident.

Survey date: Nov 10, 2025 · Isolated — no actual harm with potential for more
F-0761
D
Ensure drugs and biologicals used in the facility are labeled in accorda…
Minimal 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: Aug 16, 2025 · Isolated — no actual harm with potential for more
F-0689
J
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm

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

Survey date: Aug 13, 2025 · Isolated — immediate jeopardy
F-0842
D
Safeguard resident-identifiable information and/or maintain medical reco…
Minimal Harm

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

Survey date: Aug 13, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0324
F
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Mar 13, 2025 · Widespread — 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 13, 2025 · Widespread — no actual harm with potential for more
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: Feb 8, 2024 · Pattern — no actual harm with potential for more
F-0293
E
Have properly located and lighted "Exit" signs
Potential Harm

Have properly located and lighted "Exit" signs.

Survey date: Feb 8, 2024 · 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
Southern Oaks Therapy and Living Center
20.2 km · Dallas, TX
★★★
CMS
19th
Risk %ile
Lower risk
VENTANA BY BUCKNER
17.7 km · DALLAS, TX
★★★★★
CMS
22th
Risk %ile
Lower risk
Highland Meadows
18.6 km · ROCKWALL, TX
★★★★★
CMS
26th
Risk %ile
Lower risk