7Risk Axes

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

How we calculate
SeverityWatch

52th national percentile — 3.1% high-severity citations

ChronicityElevated

93th national percentile — 13 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

10 citations

Weekend staffing dropLow

6th national percentile — 8.3%

Contract staff shareWatch

50th national percentile — 0.8%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapWatch

Reported 3.39 vs expected 3.53 · −0.14 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

32 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: Apr 3, 2026 · Isolated — no actual harm with potential for more
F-0580
E
Immediately tell the resident, the resident's doctor, and a family membe…
Potential Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey date: Apr 3, 2026 · Pattern — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm↻ Repeat

Provide and implement an infection prevention and control program.

Survey date: Apr 24, 2025 · Isolated — no actual harm with potential for more
F-0812
E
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: Apr 24, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

10 citations on file
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Mar 21, 2024 · Widespread — 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: Mar 21, 2024 · Pattern — no actual harm with potential for more
F-0226
E
Have horizontal exits used in accordance with safety requirements
Potential Harm

Have horizontal exits used in accordance with safety requirements.

Survey date: Mar 21, 2024 · Pattern — no actual harm with potential for more
F-0261
E
Have properly spaced exits within rooms
Potential Harm

Have properly spaced exits within rooms.

Survey date: Mar 21, 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
GRAPEVINE MEDICAL LODGE
12.3 km · GRAPEVINE, TX
★★★★★
CMS
30th
Risk %ile
Lower risk
Cross Timbers Rehabilitation and Healthcare Center
1.0 km · Flower Mound, TX
★★★
CMS
34th
Risk %ile
Lower risk
LAKE FOREST VILLAGE BY PUREHEALTH
13.8 km · DENTON, TX
★★★★
CMS
35th
Risk %ile
Lower risk