7Risk Axes

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

How we calculate
SeverityElevated

76th national percentile — 8.3% high-severity citations

ChronicityModerate

36th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

3 citations

Weekend staffing dropElevated

70th national percentile — 18.1%

Contract staff shareWatch

50th national percentile — 0.8%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.21 vs expected 3.56 · −0.35 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

24 citations on file
F-0550
E
Honor the resident's right to a dignified existence, self-determination,…
Potential Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey date: Jan 16, 2025 · Pattern — no actual harm with potential for more
F-0679
E
Provide activities to meet all resident's needs
Potential Harm

Provide activities to meet all resident's needs.

Survey date: Jan 16, 2025 · Pattern — no actual harm with potential for more
F-0756
E
Ensure a licensed pharmacist perform a monthly drug regimen review, incl…
Potential Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey date: Jan 16, 2025 · Pattern — no actual harm with potential for more
F-0761
E
Ensure drugs and biologicals used in the facility are labeled in accorda…
Potential 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: Jan 16, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

3 citations on file
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Dec 14, 2023 · Pattern — no actual harm with potential for more
F-0511
D
Have properly installed electrical wiring and gas equipment
Minimal Harm

Have properly installed electrical wiring and gas equipment.

Survey date: Dec 14, 2023 · 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: Oct 14, 2022 · 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
LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR
18.6 km · NEW BRAUNFELS, TX
★★★
CMS
32th
Risk %ile
Lower risk
San Marcos Rehabilitation and Healthcare Center
3.1 km · San Marcos, TX
★★
CMS
53th
Risk %ile
Similar risk