7Risk Axes

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

How we calculate
SeverityElevated

93th national percentile — 17.6% high-severity citations

ChronicityModerate

39th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropWatch

55th national percentile — 16.1%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

99th national percentile — 4/5 measures worsened

Staffing gapAligned

Reported 3.37 vs expected 3.32 · +0.06 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

17 citations on file
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: Jan 2, 2026 · Isolated — no actual harm with potential for more
F-0842
E
Safeguard resident-identifiable information and/or maintain medical reco…
Potential Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: May 22, 2025 · Pattern — 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

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

Survey date: May 8, 2025 · Isolated — immediate jeopardy
F-0580
E
Immediately tell the resident, the resident's doctor, and a family membe…
Potential 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: Sep 6, 2024 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

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

Inspect, test, and maintain automatic sprinkler systems.

Survey date: May 22, 2025 · Pattern — 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: May 22, 2025 · Widespread — no actual harm with potential for more
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: May 22, 2025 · Widespread — no actual harm with potential for more
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Mar 28, 2024 · 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
THE VILLAGE AT GLEANNLOCH FARMS
21.1 km · SPRING, TX
★★★★★
CMS
34th
Risk %ile
Lower risk
Caraday of Houston
20.8 km · Houston, TX
★★★★★
CMS
35th
Risk %ile
Lower risk
EAST VIEW HEALTHCARE
22.4 km · HOUSTON, TX
★★★★★
CMS
36th
Risk %ile
Lower risk