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

ChronicityModerate

46th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropLow

29th national percentile — 12.8%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 4.49 vs expected 4.13 · +0.35 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

5 citations on file
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Nov 21, 2025 · Isolated — no actual harm with potential for more
F-0690
D
Provide appropriate care for residents who are continent or incontinent …
Minimal Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey date: Dec 11, 2024 · Isolated — no actual harm with potential for more
F-0761
E
Ensure drugs and biologicals used in the facility are labeled in accorda…
Potential Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: Dec 11, 2024 · Pattern — no actual harm with potential for more
F-0803
D
Ensure menus must meet the nutritional needs of residents, be prepared i…
Minimal Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0222
F
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: Jul 15, 2021 · Widespread — no actual harm with potential for more
F-0271
F
Have exits that are accessible at all times
Potential Harm

Have exits that are accessible at all times.

Survey date: Jul 15, 2021 · Widespread — no actual harm with potential for more
F-0341
F
Install a fire alarm system that can be heard throughout the facility
Potential Harm

Install a fire alarm system that can be heard throughout the facility.

Survey date: Jul 15, 2021 · Widespread — no actual harm with potential for more
F-0362
F
Ensure that corridors are separated from use areas by walls constructed …
Potential Harm

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Survey date: Jul 15, 2021 · 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
TRINITY WOODS, INC.
11.3 km · TULSA, OK
★★★★★
CMS
18th
Risk %ile
Lower risk
TULSA NURSING CENTER
12.3 km · TULSA, OK
★★★★
CMS
21th
Risk %ile
Lower risk
THE GARDENS
20.3 km · SAPULPA, OK
★★★
CMS
22th
Risk %ile
Lower risk