7Risk Axes

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

How we calculate
SeverityElevated

99th national percentile — 33.3% high-severity citations

ChronicityModerate

44th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropLow

26th national percentile — 12.5%

Contract staff shareElevated

76th national percentile — 7.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.18 vs expected 3.07 · +0.10 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

21 citations on file
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: Apr 1, 2026 · Isolated — no actual harm with potential for more
F-0600
D
Protect each resident from all types of abuse such as physical, mental, …
Minimal Harm

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

Survey date: Apr 1, 2026 · Isolated — no actual harm with potential for more
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Jul 8, 2025 · Pattern — no actual harm with potential for more
F-0759
D
Ensure medication error rates are not 5 percent or greater
Minimal Harm

Ensure medication error rates are not 5 percent or greater.

Survey date: May 30, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 citations on file
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: May 30, 2025 · Isolated — 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: May 30, 2025 · Pattern — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Mar 7, 2024 · Widespread — 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: Mar 7, 2024 · 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
THE VILLAGE AT GLEANNLOCH FARMS
24.7 km · SPRING, TX
★★★★★
CMS
34th
Risk %ile
Lower risk
Caraday of Houston
16.0 km · Houston, TX
★★★★★
CMS
35th
Risk %ile
Lower risk
EAST VIEW HEALTHCARE
17.5 km · HOUSTON, TX
★★★★★
CMS
36th
Risk %ile
Lower risk