7Risk Axes

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

How we calculate
SeverityWatch

68th national percentile — 6.2% high-severity citations

ChronicityElevated

89th national percentile — 6 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

12 citations

Weekend staffing dropLow

3th national percentile — 6.5%

Contract staff shareWatch

50th national percentile — 0.8%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 3.61 vs expected 3.90 · −0.29 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

16 citations on file
F-0656
E
Develop and implement a complete care plan that meets all the resident's…
Potential Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Nov 12, 2025 · Pattern — no actual harm with potential for more
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 12, 2025 · Isolated — no actual harm with potential for more
F-0656
E
Develop and implement a complete care plan that meets all the resident's…
Potential Harm↻ Repeat

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Apr 11, 2025 · Pattern — no actual harm with potential for more
F-0700
E
Try different approaches before using a bed rail
Potential Harm

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Survey date: Apr 11, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

12 citations on file
F-0006
F
Conduct risk assessment and an All-Hazards approach
Potential Harm

Conduct risk assessment and an All-Hazards approach.

Survey date: Apr 11, 2025 · Widespread — no actual harm with potential for more
F-0009
F
Include a process for Emergency Preparedness collaboration
Potential Harm

Include a process for Emergency Preparedness collaboration.

Survey date: Apr 11, 2025 · Widespread — no actual harm with potential for more
F-0026
F
Establish roles under a Waiver declared by secretary
Potential Harm

Establish roles under a Waiver declared by secretary.

Survey date: Apr 11, 2025 · Widespread — no actual harm with potential for more
F-0324
E
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Apr 11, 2025 · 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
GRAPEVINE MEDICAL LODGE
10.4 km · GRAPEVINE, TX
★★★★★
CMS
30th
Risk %ile
Lower risk
Cross Timbers Rehabilitation and Healthcare Center
16.0 km · Flower Mound, TX
★★★
CMS
34th
Risk %ile
Lower risk
HURST PLAZA NURSING & REHAB
12.3 km · HURST, TX
★★★★
CMS
38th
Risk %ile
Lower risk