7Risk Axes

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

How we calculate
SeverityElevated

92th national percentile — 17.1% high-severity citations

ChronicityElevated

84th national percentile — 12 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropModerate

35th national percentile — 13.7%

Contract staff shareWatch

58th national percentile — 1.9%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 2.80 vs expected 3.13 · −0.33 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

35 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: Dec 22, 2025 · Isolated — no actual harm with potential for more
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: Dec 1, 2025 · Pattern — no actual harm with potential for more
F-0804
D
Ensure food and drink is palatable, attractive, and at a safe and appeti…
Minimal Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey date: Dec 1, 2025 · Isolated — no actual harm with potential for more
F-0689
G
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: Sep 29, 2025 · Isolated — actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

11 citations on file
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: Jun 26, 2025 · Pattern — no actual harm with potential for more
F-0351
D
Install an approved automatic sprinkler system
Minimal Harm

Install an approved automatic sprinkler system.

Survey date: Jun 26, 2025 · Isolated — 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: Jun 26, 2025 · Isolated — no actual harm with potential for more
F-0355
F
Properly select, install, inspect, or maintain portable fire extinguishe…
Potential Harm

Properly select, install, inspect, or maintain portable fire extinguishes.

Survey date: Jun 26, 2025 · 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
AVIR AT DRIPPING SPRINGS
22.5 km · DRIPPING SPRINGS, TX
★★★★★
CMS
41th
Risk %ile
Similar risk
San Marcos Rehabilitation and Healthcare Center
19.0 km · San Marcos, TX
★★
CMS
53th
Risk %ile
Similar risk
Legend Oaks Healthcare and Rehabilitation-Kyle
19.5 km · Kyle, TX
★★
CMS
56th
Risk %ile
Similar risk