7Risk Axes

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

How we calculate
SeverityLow

22th national percentile — 0.0% high-severity citations

ChronicityModerate

30th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropElevated

72th national percentile — 18.6%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.32 vs expected 3.75 · −0.43 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

28 citations on file
F-0812
D
Procure food from sources approved or considered satisfactory and store,…
Minimal Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Mar 25, 2026 · Isolated — 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: Mar 25, 2026 · Isolated — no actual harm with potential for more
F-0926
D
Have policies on smoking
Minimal Harm

Have policies on smoking.

Survey date: Mar 25, 2026 · Isolated — no actual harm with potential for more
F-0580
D
Immediately tell the resident, the resident's doctor, and a family membe…
Minimal 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: Mar 25, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

9 citations on file
F-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential 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: Mar 25, 2026 · Pattern — no actual harm with potential for more
F-0355
E
Properly select, install, inspect, or maintain portable fire extinguishe…
Potential Harm

Properly select, install, inspect, or maintain portable fire extinguishes.

Survey date: Mar 25, 2026 · Pattern — no actual harm with potential for more
F-0372
F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Potential Harm

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Mar 25, 2026 · Widespread — no actual harm with potential for more
F-0521
C
Ensure heating and ventilation systems that have been properly installed…
Minimal Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Mar 25, 2026 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
MEADOW LAKE HEALTH CENTER
8.8 km · TYLER, TX
★★★★★
CMS
26th
Risk %ile
Lower risk
THE CENTER AT GRANDE
11.4 km · TYLER, TX
★★★★★
CMS
33th
Risk %ile
Lower risk