7Risk Axes

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

How we calculate
SeverityWatch

56th national percentile — 3.8% high-severity citations

ChronicityElevated

85th national percentile — 9 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropModerate

47th national percentile — 15.1%

Contract staff shareModerate

36th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.83 vs expected 3.69 · +0.14 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

26 citations on file
F-0600
K
Protect each resident from all types of abuse such as physical, mental, …
Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey date: Nov 18, 2025 · Pattern — immediate jeopardy
F-0842
D
Safeguard resident-identifiable information and/or maintain medical reco…
Minimal Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: Nov 18, 2025 · Isolated — no actual harm with potential for more
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Nov 18, 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: Sep 19, 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-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Sep 19, 2025 · Pattern — no actual harm with potential for more
F-0006
F
Conduct risk assessment and an All-Hazards approach
Potential Harm

Conduct risk assessment and an All-Hazards approach.

Survey date: Jul 20, 2023 · Widespread — no actual harm with potential for more
F-0133
F
Install a two-hour-resistant firewall separation
Potential Harm

Install a two-hour-resistant firewall separation.

Survey date: Jul 20, 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: Jul 20, 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
Cross Timbers Rehabilitation and Healthcare Center
22.6 km · Flower Mound, TX
★★★
CMS
34th
Risk %ile
Lower risk
LAKE FOREST VILLAGE BY PUREHEALTH
9.0 km · DENTON, TX
★★★★
CMS
35th
Risk %ile
Lower risk
Avir at Pilot Point
24.9 km · PILOT POINT, TX
★★★★
CMS
41th
Risk %ile
Similar risk