7Risk Axes

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

How we calculate
SeverityElevated

70th national percentile — 6.7% high-severity citations

ChronicityElevated

93th national percentile — 18 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

12 citations

Weekend staffing dropLow

27th national percentile — 12.6%

Contract staff shareWatch

53th national percentile — 1.1%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapWatch

Reported 3.20 vs expected 3.39 · −0.19 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

45 citations on file
F-0684
E
Provide appropriate treatment and care according to orders, resident’s p…
Potential Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Mar 26, 2026 · Pattern — 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: Feb 28, 2026 · Isolated — no actual harm with potential for more
F-0559
D
Honor the resident's right to share a room with spouse or roommate of ch…
Minimal Harm

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Survey date: Nov 18, 2025 · Isolated — no actual harm with potential for more
F-0926
D
Have policies on smoking
Minimal Harm

Have policies on smoking.

Survey date: Sep 16, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

12 citations on file
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: Feb 7, 2025 · Isolated — no actual harm with potential for more
F-0341
C
Install a fire alarm system that can be heard throughout the facility
Minimal Harm

Install a fire alarm system that can be heard throughout the facility.

Survey date: Feb 7, 2025 · Widespread — no actual harm
F-0344
E
Have an alternate power supply for its alarm system
Potential Harm

Have an alternate power supply for its alarm system.

Survey date: Feb 7, 2025 · Pattern — 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: Feb 7, 2025 · 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
CREEKSIDE TERRACE REHABILITATION
16.8 km · BELTON, TX
★★★★★
CMS
31th
Risk %ile
Lower risk
Rosewood Heights
7.4 km · Killeen, TX
★★★
CMS
48th
Risk %ile
Similar risk
Avir at Belton
20.3 km · Belton, TX
★★
CMS
53th
Risk %ile
Similar risk