7Risk Axes

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

How we calculate
SeverityElevated

95th national percentile — 20.0% high-severity citations

ChronicityWatch

56th national percentile — 7 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

6 citations

Weekend staffing dropElevated

81th national percentile — 20.2%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapModerate

Reported 3.43 vs expected 3.47 · −0.05 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

30 citations on file
F-0842
D
Safeguard resident-identifiable information and/or maintain medical reco…
Minimal Harm

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

Survey date: Dec 22, 2025 · Isolated — no actual harm with potential for more
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Dec 22, 2025 · Pattern — no actual harm with potential for more
F-0644
D
Coordinate assessments with the pre-admission screening and resident rev…
Minimal Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey date: Jun 23, 2025 · Isolated — 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: Apr 17, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

6 citations on file
F-0374
F
Install smoke barrier doors that can resist smoke for at least 20 minute…
Potential Harm

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Survey date: Apr 17, 2025 · Widespread — no actual harm with potential for more
F-0351
F
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: Feb 25, 2024 · Widespread — no actual harm with potential for more
F-0352
D
Properly install and monitor supervisory attachments on automatic sprink…
Minimal Harm

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Survey date: Feb 25, 2024 · Isolated — no actual harm with potential for more
F-0374
E
Install smoke barrier doors that can resist smoke for at least 20 minute…
Potential Harm↻ Repeat

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Survey date: Feb 25, 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
THE ATRIUM OF BELLMEAD
14.4 km · BELLMEAD, TX
★★★★
CMS
33th
Risk %ile
Lower risk
St. Catherine Center
12.2 km · Waco, TX
★★★★★
CMS
37th
Risk %ile
Lower risk
Avir at Waco
1.9 km · WACO, TX
★★★
CMS
41th
Risk %ile
Similar risk