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

ChronicityLow

28th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

27 citations

Weekend staffing dropLow

16th national percentile — 10.8%

Contract staff shareElevated

89th national percentile — 15.1%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.03 vs expected 3.60 · −0.56 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

15 citations on file
F-0602
E
Protect each resident from the wrongful use of the resident's belongings…
Potential Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey date: Feb 6, 2026 · Pattern — no actual harm with potential for more
F-0688
D
Provide appropriate care for a resident to maintain and/or improve range…
Minimal Harm

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Survey date: Jul 23, 2025 · Isolated — no actual harm with potential for more
F-0755
D
Provide pharmaceutical services to meet the needs of each resident and e…
Minimal Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey date: Jul 23, 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: Jul 23, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

27 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: Jun 13, 2024 · Widespread — no actual harm with potential for more
F-0020
F
Establish policies and procedures including evacuation
Potential Harm

Establish policies and procedures including evacuation.

Survey date: Jun 13, 2024 · Widespread — no actual harm with potential for more
F-0929
D
Ensure precautions for handling oxygen cylinders and equipment are corre…
Minimal Harm

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Survey date: Jun 13, 2024 · Isolated — no actual harm with potential for more
F-0923
F
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Jun 13, 2024 · 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
THE ATRIUM OF BELLMEAD
3.8 km · BELLMEAD, TX
★★★★
CMS
33th
Risk %ile
Lower risk
St. Catherine Center
2.1 km · Waco, TX
★★★★★
CMS
37th
Risk %ile
Lower risk
Avir at Waco
10.0 km · WACO, TX
★★★
CMS
41th
Risk %ile
Similar risk