7Risk Axes

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

How we calculate
SeverityElevated

90th national percentile — 15.2% high-severity citations

ChronicityElevated

97th national percentile — 21 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropLow

24th national percentile — 12.2%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapWatch

Reported 3.11 vs expected 3.25 · −0.13 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

46 citations on file
F-0600
D
Protect each resident from all types of abuse such as physical, mental, …
Minimal Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey date: Apr 24, 2026 · Isolated — no actual harm with potential for more
F-0755
E
Provide pharmaceutical services to meet the needs of each resident and e…
Potential Harm

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

Survey date: Mar 12, 2026 · Pattern — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: Jan 17, 2026 · Isolated — no actual harm with potential for more
F-0558
D
Reasonably accommodate the needs and preferences of each resident
Minimal Harm

Reasonably accommodate the needs and preferences of each resident.

Survey date: Dec 3, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

11 citations on file
F-0281
C
Install proper backup exit lighting
Minimal Harm

Install proper backup exit lighting.

Survey date: Mar 18, 2025 · Widespread — no actual harm
F-0342
F
Have a complete alarm system manually initiated and initiated by fire sp…
Potential Harm

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Survey date: Mar 18, 2025 · Widespread — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Mar 18, 2025 · Widespread — no actual harm with potential for more
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Mar 18, 2025 · 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
Southern Oaks Therapy and Living Center
24.3 km · Dallas, TX
★★★
CMS
19th
Risk %ile
Lower risk
VENTANA BY BUCKNER
18.8 km · DALLAS, TX
★★★★★
CMS
22th
Risk %ile
Lower risk
Highland Meadows
21.9 km · ROCKWALL, TX
★★★★★
CMS
26th
Risk %ile
Lower risk