7Risk Axes

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

How we calculate
SeverityWatch

53th national percentile — 3.2% high-severity citations

ChronicityWatch

54th national percentile — 7 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropElevated

74th national percentile — 18.8%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.51 vs expected 4.01 · −0.50 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

31 citations on file
F-0638
D
Assure that each resident’s assessment is updated at least once every 3 …
Minimal Harm

Assure that each resident’s assessment is updated at least once every 3 months.

Survey date: Jan 21, 2026 · Isolated — no actual harm with potential for more
F-0584
D
Honor the resident's right to a safe, clean, comfortable and homelike en…
Minimal Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey date: Jan 21, 2026 · Isolated — no actual harm with potential for more
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: Jan 21, 2026 · Isolated — no actual harm with potential for more
F-0688
D
Provide appropriate care for a resident to maintain and/or improve range…
Minimal Harm

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Survey date: Jan 21, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

4 citations on file
F-0372
F
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: Jan 21, 2026 · Widespread — no actual harm with potential for more
F-0222
E
Add doors in an exit area that do not require the use of a key from the …
Potential Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Oct 29, 2024 · Pattern — no actual harm with potential for more
F-0324
F
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Sep 7, 2023 · 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↻ Repeat

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Sep 7, 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
STONECREEK NURSING & REHABILITATION
2.7 km · SAN AUGUSTINE, TX
★★★★
CMS
37th
Risk %ile
Lower risk