7Risk Axes

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

How we calculate
SeverityElevated

86th national percentile — 12.5% high-severity citations

ChronicityWatch

61th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

40 citations

Weekend staffing dropLow

25th national percentile — 12.4%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.16 vs expected 3.51 · −0.35 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

16 citations on file
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: Jul 31, 2025 · Isolated — no actual harm with potential for more
F-0697
E
Provide safe, appropriate pain management for a resident who requires su…
Potential Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey date: Jan 19, 2025 · Pattern — no actual harm with potential for more
F-0558
D
Reasonably accommodate the needs and preferences of each resident
Minimal Harm

Reasonably accommodate the needs and preferences of each resident.

Survey date: Jan 8, 2025 · Isolated — no actual harm with potential for more
F-0686
E
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Potential Harm

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

Survey date: Jan 8, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

40 citations on file
F-0009
F
Include a process for Emergency Preparedness collaboration
Potential Harm

Include a process for Emergency Preparedness collaboration.

Survey date: Jul 31, 2025 · Widespread — no actual harm with potential for more
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Jul 31, 2025 · Isolated — no actual harm with potential for more
F-0918
F
Have generator or other power source capable of supplying service within…
Potential Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Jul 31, 2025 · Widespread — no actual harm with potential for more
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Jul 31, 2025 · 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
Southern Oaks Therapy and Living Center
20.5 km · Dallas, TX
★★★
CMS
19th
Risk %ile
Lower risk
VENTANA BY BUCKNER
19.3 km · DALLAS, TX
★★★★★
CMS
22th
Risk %ile
Lower risk
GRAPEVINE MEDICAL LODGE
22.1 km · GRAPEVINE, TX
★★★★★
CMS
30th
Risk %ile
Lower risk