7Risk Axes

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

How we calculate
SeverityElevated

87th national percentile — 12.8% high-severity citations

ChronicityElevated

77th national percentile — 12 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropElevated

100th national percentile — 36.8%

Contract staff shareWatch

57th national percentile — 1.8%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 4.30 vs expected 3.98 · +0.32 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

39 citations on file
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: Mar 25, 2026 · Pattern — no actual harm with potential for more
F-0728
D
Ensure that nurse aides who have worked more than 4 months, are trained …
Minimal Harm

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Survey date: Feb 11, 2026 · Isolated — no actual harm with potential for more
F-0677
D
Provide care and assistance to perform activities of daily living for an…
Minimal Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey date: Feb 11, 2026 · Isolated — no actual harm with potential for more
F-0908
D
Keep all essential equipment working safely
Minimal Harm

Keep all essential equipment working safely.

Survey date: Dec 9, 2025 · 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
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: May 1, 2024 · Widespread — no actual harm with potential for more
F-0223
E
Provide exit doors that are held open by devices that will automatically…
Potential Harm

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Survey date: Mar 4, 2023 · Pattern — no actual harm with potential for more
F-0351
E
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: Mar 4, 2023 · 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: Mar 4, 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
ROSE HAVEN RETREAT
336 m · ATLANTA, TX
★★★★
CMS
51th
Risk %ile
Similar risk
Focused Care at Linden
22.2 km · Linden, TX
CMS
56th
Risk %ile
Similar risk