7Risk Axes

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

How we calculate
SeverityLow

22th national percentile — 0.0% high-severity citations

ChronicityElevated

75th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropWatch

59th national percentile — 16.7%

Contract staff shareModerate

38th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapWatch

Reported 3.51 vs expected 3.68 · −0.16 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

10 citations on file
F-0812
E
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Sep 27, 2024 · Pattern — no actual harm with potential for more
F-0925
E
Make sure there is a pest control program to prevent/deal with mice, ins…
Potential Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey date: Sep 27, 2024 · Pattern — no actual harm with potential for more
F-0812
F
Procure food from sources approved or considered satisfactory and store,…
Potential Harm↻ Repeat

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Dec 4, 2023 · Widespread — no actual harm with potential for more
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal 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: Jul 26, 2023 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0918
F
Have generator or other power source capable of supplying service within…
Potential Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Sep 27, 2024 · Widespread — no actual harm with potential for more
F-0929
D
Ensure precautions for handling oxygen cylinders and equipment are corre…
Minimal Harm

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Survey date: Sep 27, 2024 · Isolated — no actual harm with potential for more
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Jul 26, 2023 · 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: Jul 26, 2023 · 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
PECAN CREEK HEALTHCARE CENTER
896 m · HAMILTON, TX
★★★★★
CMS
29th
Risk %ile
Lower risk