7Risk Axes

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

How we calculate
SeverityElevated

96th national percentile — 22.2% high-severity citations

ChronicityWatch

69th national percentile — 5 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropModerate

34th national percentile — 13.5%

Contract staff shareElevated

83th national percentile — 11.0%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapWatch

Reported 3.35 vs expected 3.50 · −0.15 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

18 citations on file
F-0755
D
Provide pharmaceutical services to meet the needs of each resident and e…
Minimal Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey date: Nov 26, 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: Nov 26, 2025 · Isolated — no actual harm with potential for more
F-0686
K
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Sep 23, 2025 · Pattern — immediate jeopardy
F-0550
E
Honor the resident's right to a dignified existence, self-determination,…
Potential Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey date: Aug 25, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
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: Oct 25, 2024 · Pattern — no actual harm with potential for more
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Oct 25, 2024 · Widespread — no actual harm with potential for more
F-0929
E
Ensure precautions for handling oxygen cylinders and equipment are corre…
Potential Harm

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Survey date: Oct 25, 2024 · Pattern — no actual harm with potential for more
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Sep 8, 2023 · Isolated — 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
Brazos Healthcare Center
16.7 km · Lake Jackson, TX
★★★
CMS
41th
Risk %ile
Similar risk
OAK VILLAGE HEALTHCARE
14.7 km · LAKE JACKSON, TX
★★★★★
CMS
43th
Risk %ile
Similar risk
CREEKSIDE VILLAGE
15.0 km · RICHWOOD, TX
★★★★
CMS
44th
Risk %ile
Similar risk