7Risk Axes

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

How we calculate
SeverityElevated

97th national percentile — 25.0% high-severity citations

ChronicityLow

17th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

14 citations

Weekend staffing dropWatch

63th national percentile — 17.2%

Contract staff shareElevated

78th national percentile — 8.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapWatch

Reported 2.93 vs expected 3.11 · −0.19 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

12 citations on file
F-0584
D
Honor the resident's right to a safe, clean, comfortable and homelike en…
Minimal Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey date: May 8, 2025 · Isolated — no actual harm with potential for more
F-0678
J
Provide basic life support, including CPR, prior to the arrival of emerg…
Actual Harm

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Survey date: Sep 19, 2024 · Isolated — immediate jeopardy
F-0842
J
Safeguard resident-identifiable information and/or maintain medical reco…
Actual Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: Sep 19, 2024 · Isolated — immediate jeopardy
F-0582
D
Give residents notice of Medicaid/Medicare coverage and potential liabil…
Minimal Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey date: Jul 11, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

14 citations on file
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Aug 20, 2025 · Pattern — no actual harm with potential for more
F-0355
E
Properly select, install, inspect, or maintain portable fire extinguishe…
Potential Harm

Properly select, install, inspect, or maintain portable fire extinguishes.

Survey date: Aug 20, 2025 · Pattern — no actual harm with potential for more
F-0200
E
Meet other general requirements
Potential Harm

Meet other general requirements.

Survey date: Jul 11, 2024 · Pattern — no actual harm with potential for more
F-0223
E
Provide exit doors that are held open by devices that will automatically…
Potential Harm

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Survey date: Jul 11, 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
Avir at Burleson
22.4 km · BURLESON, TX
★★★
CMS
34th
Risk %ile
Lower risk
RIDGEVIEW REHABILITATION AND SKILLED NURSING
3.1 km · CLEBURNE, TX
★★★★
CMS
46th
Risk %ile
Similar risk
Advanced Rehabilitation & Healthcare of Burleson
20.2 km · Burleson, TX
★★
CMS
47th
Risk %ile
Similar risk