7Risk Axes

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

How we calculate
SeverityElevated

71th national percentile — 6.9% high-severity citations

ChronicityWatch

68th national percentile — 8 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropWatch

59th national percentile — 16.7%

Contract staff shareElevated

96th national percentile — 28.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 2.94 vs expected 3.26 · −0.32 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

29 citations on file
F-0609
D
Timely report suspected abuse, neglect, or theft and report the results …
Minimal Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey date: Apr 22, 2026 · Isolated — no actual harm with potential for more
F-0699
D
Provide care or services that was trauma informed and/or culturally comp…
Minimal Harm

Provide care or services that was trauma informed and/or culturally competent.

Survey date: Dec 16, 2025 · 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: Dec 16, 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: Dec 16, 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-0355
D
Properly select, install, inspect, or maintain portable fire extinguishe…
Minimal Harm

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

Survey date: Dec 16, 2025 · Isolated — no actual harm with potential for more
F-0372
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Minimal Harm

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Dec 16, 2025 · Isolated — no actual harm with potential for more
F-0741
F
Have posted "No-smoking" signs in areas where smoking is not permitted o…
Potential Harm

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Survey date: Dec 16, 2025 · Widespread — no actual harm with potential for more
F-0341
F
Install a fire alarm system that can be heard throughout the facility
Potential Harm

Install a fire alarm system that can be heard throughout the facility.

Survey date: Sep 19, 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
Retirement Ranches Inc.
17.9 km · Clovis, NM
★★★★★
CMS
47th
Risk %ile
Similar risk
St. Anthony Healthcare and Rehabilitation Center
16.9 km · Clovis, NM
★★
CMS
53th
Risk %ile
Similar risk