7Risk Axes

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

How we calculate
SeverityElevated

74th national percentile — 7.7% high-severity citations

ChronicityModerate

33th national percentile — 4 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

12 citations

Weekend staffing dropModerate

48th national percentile — 15.2%

Contract staff shareElevated

96th national percentile — 28.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 2.99 vs expected 3.59 · −0.60 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

26 citations on file
F-0553
D
Allow resident to participate in the development and implementation of h…
Minimal Harm

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Survey date: Oct 18, 2024 · Isolated — no actual harm with potential for more
F-0610
E
Respond appropriately to all alleged violations
Potential Harm

Respond appropriately to all alleged violations.

Survey date: Oct 18, 2024 · Pattern — no actual harm with potential for more
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: Oct 18, 2024 · Isolated — no actual harm with potential for more
F-0677
D
Provide care and assistance to perform activities of daily living for an…
Minimal Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey date: Oct 18, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

12 citations on file
F-0324
D
Provide properly protected cooking facilities
Minimal Harm

Provide properly protected cooking facilities.

Survey date: Oct 18, 2024 · Isolated — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Oct 18, 2024 · Pattern — no actual harm with potential for more
F-0511
E
Have properly installed electrical wiring and gas equipment
Potential Harm

Have properly installed electrical wiring and gas equipment.

Survey date: Oct 18, 2024 · Pattern — no actual harm with potential for more
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Oct 18, 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
KNOPP HEALTHCARE AND REHAB CENTER INC
3.8 km · FREDERICKSBURG, TX
★★★★
CMS
46th
Risk %ile
Similar risk
AVIR AT FREDERICKSBURG
721 m · FREDERICKSBURG, TX
★★★★
CMS
51th
Risk %ile
Similar risk