7Risk Axes

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

How we calculate
SeverityElevated

79th national percentile — 9.3% high-severity citations

ChronicityElevated

96th national percentile — 24 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

30 citations

Weekend staffing dropElevated

95th national percentile — 24.6%

Contract staff shareModerate

41th national percentile — 0.2%

Clinical trendElevated

99th national percentile — 4/5 measures worsened

Staffing gapAligned

Reported 3.39 vs expected 3.10 · +0.28 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

54 citations on file
F-0677
E
Provide care and assistance to perform activities of daily living for an…
Potential Harm

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

Survey date: Mar 31, 2026 · Pattern — no actual harm with potential for more
F-0657
E
Develop the complete care plan within 7 days of the comprehensive assess…
Potential 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: Mar 31, 2026 · Pattern — no actual harm with potential for more
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal 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: Mar 31, 2026 · 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: Mar 31, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

30 citations on file
F-0037
F
Establish staff and initial training requirements
Potential Harm

Establish staff and initial training requirements.

Survey date: Mar 31, 2026 · Widespread — no actual harm with potential for more
F-0351
D
Install an approved automatic sprinkler system
Minimal Harm

Install an approved automatic sprinkler system.

Survey date: Mar 31, 2026 · Isolated — no actual harm with potential for more
F-0222
E
Add doors in an exit area that do not require the use of a key from the …
Potential 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: Mar 31, 2026 · Pattern — no actual harm with potential for more
F-0923
E
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Mar 31, 2026 · 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
Southern Oaks Therapy and Living Center
17.5 km · Dallas, TX
★★★
CMS
19th
Risk %ile
Lower risk
VENTANA BY BUCKNER
11.3 km · DALLAS, TX
★★★★★
CMS
22th
Risk %ile
Lower risk
REMINGTON TRANSITIONAL CARE OF RICHARDSON
13.1 km · RICHARDSON, TX
★★★★
CMS
29th
Risk %ile
Lower risk