7Risk Axes

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

How we calculate
SeverityWatch

56th national percentile — 3.8% high-severity citations

ChronicityElevated

77th national percentile — 8 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropLow

21th national percentile — 11.8%

Contract staff shareWatch

57th national percentile — 1.7%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 2.73 vs expected 3.12 · −0.39 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

26 citations on file
F-0773
D
Provide or obtain laboratory tests/services when ordered and promptly te…
Minimal Harm

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Survey date: Mar 5, 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 5, 2026 · Isolated — no actual harm with potential for more
F-0761
D
Ensure drugs and biologicals used in the facility are labeled in accorda…
Minimal Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: Mar 5, 2026 · Isolated — no actual harm with potential for more
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm↻ Repeat

Provide and implement an infection prevention and control program.

Survey date: Sep 5, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 citations on file
F-0321
F
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 5, 2026 · Widespread — no actual harm with potential for more
F-0351
D
Install an approved automatic sprinkler system
Minimal Harm

Install an approved automatic sprinkler system.

Survey date: Mar 5, 2026 · Isolated — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Mar 5, 2026 · Widespread — no actual harm with potential for more
F-0321
F
Ensure that special areas are constructed so that walls can resist fire …
Potential Harm↻ Repeat

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 9, 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
WINDMILL VILLAGE REHABILITATION & CARE CENTER
11.0 km · LUBBOCK, TX
★★★
CMS
40th
Risk %ile
Similar risk
Avir at Heritage Oaks
4.3 km · Lubbock, TX
★★
CMS
41th
Risk %ile
Similar risk
Lubbock Health Care Center
5.3 km · Lubbock, TX
★★★
CMS
41th
Risk %ile
Similar risk