7Risk Axes

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

How we calculate
SeverityElevated

78th national percentile — 9.1% high-severity citations

ChronicityElevated

79th national percentile — 7 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

14 citations

Weekend staffing dropWatch

61th national percentile — 16.9%

Contract staff shareElevated

81th national percentile — 9.7%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.30 vs expected 3.23 · +0.06 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

22 citations on file
F-0552
D
Ensure that residents are fully informed and understand their health sta…
Minimal Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey date: Mar 17, 2026 · Isolated — no actual harm with potential for more
F-0605
D
Prevent the use of unnecessary psychotropic medications or use medicatio…
Minimal Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey date: Mar 17, 2026 · Isolated — no actual harm with potential for more
F-0655
D
Create and put into place a plan for meeting the resident's most immedia…
Minimal Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey date: Mar 17, 2026 · Isolated — no actual harm with potential for more
F-0812
F
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Sep 4, 2025 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

14 citations on file
F-0006
F
Conduct risk assessment and an All-Hazards approach
Potential Harm

Conduct risk assessment and an All-Hazards approach.

Survey date: Sep 4, 2025 · Widespread — no actual harm with potential for more
F-0022
F
Establish policies and procedures for sheltering
Potential Harm

Establish policies and procedures for sheltering.

Survey date: Sep 4, 2025 · Widespread — no actual harm with potential for more
F-0222
E
Add doors in an exit area that do not require the use of a key from the …
Potential Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Sep 4, 2025 · Pattern — no actual harm with potential for more
F-0346
F
Follow proper procedures when the fire alarm was out of service for more…
Potential Harm

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Survey date: Sep 4, 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
HOLLAND LAKE REHABILITATION AND WELLNESS CENTER
402 m · WEATHERFORD, TX
★★★★★
CMS
34th
Risk %ile
Lower risk
AVIR AT KEENELAND
3.6 km · WEATHERFORD, TX
★★★★
CMS
34th
Risk %ile
Lower risk
Santa Fe Health & Rehabilitation Center
478 m · Weatherford, TX
★★★
CMS
54th
Risk %ile
Similar risk