7Risk Axes

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

How we calculate
SeverityElevated

93th national percentile — 17.2% high-severity citations

ChronicityLow

21th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropModerate

38th national percentile — 14.0%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 2.83 vs expected 2.82 · +0.02 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

29 citations on file
F-0644
D
Coordinate assessments with the pre-admission screening and resident rev…
Minimal Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey date: Mar 6, 2025 · Isolated — no actual harm with potential for more
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Mar 6, 2025 · Isolated — no actual harm with potential for more
F-0759
E
Ensure medication error rates are not 5 percent or greater
Potential Harm

Ensure medication error rates are not 5 percent or greater.

Survey date: Mar 6, 2025 · Pattern — no actual harm with potential for more
F-0761
D
Ensure drugs and biologicals used in the facility are labeled in accorda…
Minimal Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: Mar 6, 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-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Mar 6, 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: Mar 6, 2025 · Pattern — no actual harm with potential for more
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm↻ Repeat

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Dec 13, 2023 · Isolated — no actual harm with potential for more
F-0343
E
Have a fire alarm with audible and visual signals that transmits the ala…
Potential Harm

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Survey date: Oct 5, 2022 · 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
HCA HOUSTON HEALTHCARE SOUTHEAST
23.8 km · PASADENA, TX
NR
CMS
25th
Risk %ile
Lower risk
EAST VIEW HEALTHCARE
19.6 km · HOUSTON, TX
★★★★★
CMS
36th
Risk %ile
Lower risk