7Risk Axes

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

How we calculate
SeverityElevated

99th national percentile — 39.1% high-severity citations

ChronicityElevated

76th national percentile — 7 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

7 citations

Weekend staffing dropLow

26th national percentile — 12.5%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.13 vs expected 3.00 · +0.13 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

23 citations on file
F-0580
D
Immediately tell the resident, the resident's doctor, and a family membe…
Minimal Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey date: Apr 22, 2026 · Isolated — no actual harm with potential for more
F-0655
D
Create and put into place a plan for meeting the resident's most immedia…
Minimal Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey date: Apr 22, 2026 · Isolated — no actual harm with potential for more
F-0580
K
Immediately tell the resident, the resident's doctor, and a family membe…
Actual Harm↻ Repeat

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey date: May 9, 2025 · Pattern — immediate jeopardy
F-0684
K
Provide appropriate treatment and care according to orders, resident’s p…
Actual Harm

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

Survey date: May 9, 2025 · Pattern — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

7 citations on file
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Feb 12, 2024 · Pattern — 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: Feb 12, 2024 · Isolated — 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: Feb 12, 2024 · Widespread — no actual harm with potential for more
F-0511
D
Have properly installed electrical wiring and gas equipment
Minimal Harm

Have properly installed electrical wiring and gas equipment.

Survey date: Dec 2, 2022 · Isolated — 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
22.6 km · PASADENA, TX
NR
CMS
25th
Risk %ile
Lower risk
EAST VIEW HEALTHCARE
17.6 km · HOUSTON, TX
★★★★★
CMS
36th
Risk %ile
Lower risk
FOCUSED CARE AT BURNET BAY
2.0 km · BAYTOWN, TX
★★★
CMS
42th
Risk %ile
Similar risk