7Risk Axes

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

How we calculate
SeverityElevated

96th national percentile — 22.2% high-severity citations

ChronicityElevated

82th national percentile — 9 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropElevated

81th national percentile — 20.3%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapModerate

Reported 2.70 vs expected 2.71 · −0.01 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

27 citations on file
F-0689
G
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Mar 2, 2026 · Isolated — actual harm
F-0755
D
Provide pharmaceutical services to meet the needs of each resident and e…
Minimal Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey date: Dec 22, 2025 · Isolated — no actual harm with potential for more
F-0689
J
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm↻ Repeat

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Dec 22, 2025 · Isolated — immediate jeopardy
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Dec 9, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

9 citations on file
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Apr 23, 2025 · Widespread — no actual harm with potential for more
F-0020
F
Establish policies and procedures including evacuation
Potential Harm

Establish policies and procedures including evacuation.

Survey date: Apr 23, 2025 · Widespread — no actual harm with potential for more
F-0030
F
List the names and contact information of those in the facility
Potential Harm

List the names and contact information of those in the facility.

Survey date: Apr 23, 2025 · Widespread — no actual harm with potential for more
F-0039
F
Conduct testing and exercise requirements
Potential Harm

Conduct testing and exercise requirements.

Survey date: Apr 23, 2025 · 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
CRESTVIEW RETIREMENT COMMUNITY
8.8 km · BRYAN, TX
★★★★★
CMS
55th
Risk %ile
Similar risk
Legacy Nursing and Rehabilitation
8.1 km · Bryan, TX
★★
CMS
63th
Risk %ile
Similar risk
Lampstand Nursing and Rehabilitation
9.2 km · Bryan, TX
CMS
64th
Risk %ile
Similar risk