7Risk Axes

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

How we calculate
SeverityElevated

91th national percentile — 15.4% high-severity citations

ChronicityModerate

33th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropElevated

96th national percentile — 25.6%

Contract staff shareWatch

50th national percentile — 0.8%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 4.56 vs expected 4.00 · +0.57 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

13 citations on file
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Jul 30, 2025 · Isolated — no actual harm with potential for more
F-0689
E
Ensure that a nursing home area is free from accident hazards and provid…
Potential Harm

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

Survey date: Jul 30, 2025 · Pattern — no actual harm with potential for more
F-0812
F
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: Jul 30, 2025 · Widespread — no actual harm with potential for more
F-0690
D
Provide appropriate care for residents who are continent or incontinent …
Minimal Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey date: Jun 26, 2024 · 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: Jul 30, 2025 · 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: Jun 26, 2024 · Pattern — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm↻ Repeat

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Jun 26, 2024 · Widespread — 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: Jun 26, 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
Stallings Court Nursing and Rehabilitation
24.2 km · Nacogdoches, TX
★★★★★
CMS
42th
Risk %ile
Similar risk
WILLOWBROOK NURSING CENTER
24.4 km · NACOGDOCHES, TX
★★★
CMS
47th
Risk %ile
Similar risk