7Risk Axes

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

How we calculate
SeverityElevated

88th national percentile — 13.3% high-severity citations

ChronicityLow

28th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

3 citations

Weekend staffing dropElevated

89th national percentile — 22.3%

Contract staff shareElevated

80th national percentile — 8.9%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.16 vs expected 2.95 · +0.21 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

15 citations on file
F-0812
E
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Mar 27, 2025 · Pattern — no actual harm with potential for more
F-0814
E
Dispose of garbage and refuse properly
Potential Harm

Dispose of garbage and refuse properly.

Survey date: Mar 27, 2025 · Pattern — no actual harm with potential for more
F-0607
J
Develop and implement policies and procedures to prevent abuse, neglect,…
Actual Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey date: Feb 20, 2024 · Isolated — immediate jeopardy
F-0655
D
Create and put into place a plan for meeting the resident's most immedia…
Minimal Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey date: Feb 20, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

3 citations on file
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Mar 27, 2025 · Widespread — no actual harm with potential for more
F-0521
F
Ensure heating and ventilation systems that have been properly installed…
Potential Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Mar 27, 2025 · Widespread — no actual harm with potential for more
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Feb 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
HOLLAND LAKE REHABILITATION AND WELLNESS CENTER
979 m · WEATHERFORD, TX
★★★★★
CMS
34th
Risk %ile
Lower risk
AVIR AT KEENELAND
2.9 km · WEATHERFORD, TX
★★★★
CMS
34th
Risk %ile
Lower risk
Santa Fe Health & Rehabilitation Center
942 m · Weatherford, TX
★★★
CMS
54th
Risk %ile
Similar risk