7Risk Axes

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

How we calculate
SeverityElevated

86th national percentile — 12.1% high-severity citations

ChronicityElevated

95th national percentile — 14 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropLow

28th national percentile — 12.8%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapAligned

Reported 3.24 vs expected 3.22 · +0.02 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

33 citations on file
F-0627
D
Ensure the transfer/discharge meets the resident's needs/preferences and…
Minimal Harm

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Survey date: Nov 20, 2025 · Isolated — no actual harm with potential for more
F-0677
D
Provide care and assistance to perform activities of daily living for an…
Minimal Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey date: Nov 20, 2025 · Isolated — no actual harm with potential for more
F-0810
D
Provide special eating equipment and utensils for residents who need the…
Minimal Harm

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Survey date: Nov 20, 2025 · Isolated — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: Nov 20, 2025 · 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-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: Feb 28, 2025 · Pattern — no actual harm with potential for more
F-0324
E
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Nov 16, 2023 · Pattern — no actual harm with potential for more
F-0352
F
Properly install and monitor supervisory attachments on automatic sprink…
Potential Harm

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Survey date: Nov 16, 2023 · Widespread — no actual harm with potential for more
F-0222
D
Add doors in an exit area that do not require the use of a key from the …
Minimal 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: Sep 14, 2022 · 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
THE VILLAGE AT GLEANNLOCH FARMS
18.5 km · SPRING, TX
★★★★★
CMS
34th
Risk %ile
Lower risk
Caraday of Houston
19.9 km · Houston, TX
★★★★★
CMS
35th
Risk %ile
Lower risk
EAST VIEW HEALTHCARE
24.4 km · HOUSTON, TX
★★★★★
CMS
36th
Risk %ile
Lower risk