7Risk Axes

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

How we calculate
SeverityWatch

62th national percentile — 5.0% high-severity citations

ChronicityElevated

89th national percentile — 15 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

7 citations

Weekend staffing dropLow

23th national percentile — 12.0%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 2.73 vs expected 2.98 · −0.25 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

40 citations on file
F-0636
D
Assess the resident completely in a timely manner when first admitted, …
Minimal Harm

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey date: Mar 30, 2026 · Isolated — no actual harm with potential for more
F-0700
D
Try different approaches before using a bed rail
Minimal Harm

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Survey date: Feb 19, 2026 · Isolated — no actual harm with potential for more
F-0760
E
Ensure that residents are free from significant medication errors
Potential Harm

Ensure that residents are free from significant medication errors.

Survey date: Feb 19, 2026 · Pattern — no actual harm with potential for more
F-0909
E
Regularly inspect all bed frames, mattresses, and bed rails (if any) for…
Potential Harm

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Survey date: Feb 19, 2026 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

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

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Feb 19, 2026 · Widespread — no actual harm with potential for more
F-0511
E
Have properly installed electrical wiring and gas equipment
Potential Harm

Have properly installed electrical wiring and gas equipment.

Survey date: Feb 19, 2026 · Pattern — no actual harm with potential for more
F-0923
E
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Feb 19, 2026 · Pattern — no actual harm with potential for more
F-0321
D
Ensure that special areas are constructed so that walls can resist fire …
Minimal Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Dec 4, 2024 · Isolated — 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
HARBOR LAKES NURSING AND REHABILITATION CENTER
3.1 km · GRANBURY, TX
★★★★★
CMS
33th
Risk %ile
Lower risk
GRANBURY REHAB & NURSING
2.6 km · GRANBURY, TX
★★★★
CMS
38th
Risk %ile
Lower risk
CHEROKEE ROSE NURSING AND REHABILITATION
23.5 km · GLEN ROSE, TX
★★★
CMS
47th
Risk %ile
Similar risk