7Risk Axes

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

How we calculate
SeverityElevated

88th national percentile — 13.3% high-severity citations

ChronicityLow

28th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

10 citations

Weekend staffing dropElevated

95th national percentile — 24.9%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapWatch

Reported 3.18 vs expected 3.42 · −0.25 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

15 citations on file
F-0678
J
Provide basic life support, including CPR, prior to the arrival of emerg…
Actual Harm

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Survey date: Nov 21, 2025 · Isolated — immediate jeopardy
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Apr 30, 2025 · Isolated — no actual harm with potential for more
F-0550
D
Honor the resident's right to a dignified existence, self-determination,…
Minimal Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey date: Apr 10, 2025 · Isolated — no actual harm with potential for more
F-0558
E
Reasonably accommodate the needs and preferences of each resident
Potential Harm

Reasonably accommodate the needs and preferences of each resident.

Survey date: Apr 10, 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-0211
E
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Potential Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Apr 10, 2025 · Pattern — no actual harm with potential for more
F-0343
E
Have a fire alarm with audible and visual signals that transmits the ala…
Potential Harm

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Survey date: Apr 10, 2025 · Pattern — no actual harm with potential for more
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Apr 10, 2025 · Pattern — no actual harm with potential for more
F-0521
C
Ensure heating and ventilation systems that have been properly installed…
Minimal Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Apr 10, 2025 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
CEDAR LAKE NURSING HOME
21.8 km · MALAKOFF, TX
★★★★
CMS
40th
Risk %ile
Similar risk