7Risk Axes

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

How we calculate
SeverityWatch

69th national percentile — 6.4% high-severity citations

ChronicityElevated

84th national percentile — 16 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

6 citations

Weekend staffing dropElevated

73th national percentile — 18.8%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.08 vs expected 3.60 · −0.52 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

47 citations on file
F-0628
D
Provide the required documentation or notification related to the reside…
Minimal Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey date: Feb 26, 2026 · Isolated — no actual harm with potential for more
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Feb 26, 2026 · Isolated — no actual harm with potential for more
F-0755
D
Provide pharmaceutical services to meet the needs of each resident and e…
Minimal Harm

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

Survey date: Dec 4, 2025 · Isolated — no actual harm with potential for more
F-0686
H
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Oct 30, 2025 · Pattern — actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

6 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: Jun 19, 2025 · Pattern — no actual harm with potential for more
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Jun 19, 2025 · Isolated — no actual harm with potential for more
F-0372
E
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: Jun 19, 2025 · Pattern — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm↻ Repeat

Inspect, test, and maintain automatic sprinkler systems.

Survey date: May 21, 2024 · 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
Focused Care at Mount Pleasant
2.3 km · Mount Pleasant, TX
CMS
47th
Risk %ile
Similar risk
Cypress Springs Wellness & Rehabilitation
23.7 km · MOUNT VERNON, TX
★★★★
CMS
56th
Risk %ile
Similar risk
AVIR AT PITTSBURG
22.3 km · PITTSBURG, TX
★★
CMS
59th
Risk %ile
Similar risk