7Risk Axes

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

How we calculate
SeverityLow

22th national percentile — 0.0% high-severity citations

ChronicityLow

17th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropElevated

93th national percentile — 23.7%

Contract staff shareModerate

39th national percentile — 0.1%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapModerate

Reported 3.87 vs expected 3.91 · −0.04 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

12 citations on file
F-0558
D
Reasonably accommodate the needs and preferences of each resident
Minimal Harm

Reasonably accommodate the needs and preferences of each resident.

Survey date: Feb 11, 2026 · Isolated — no actual harm with potential for more
F-0583
E
Keep residents' personal and medical records private and confidential
Potential Harm

Keep residents' personal and medical records private and confidential.

Survey date: Sep 11, 2025 · Pattern — no actual harm with potential for more
F-0656
E
Develop and implement a complete care plan that meets all the resident's…
Potential 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: Sep 11, 2025 · Pattern — no actual harm with potential for more
F-0686
D
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Minimal Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Sep 11, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

11 citations on file
F-0006
F
Conduct risk assessment and an All-Hazards approach
Potential Harm

Conduct risk assessment and an All-Hazards approach.

Survey date: Sep 11, 2025 · Widespread — no actual harm with potential for more
F-0291
F
Install emergency lighting that can last at least 1 1/2 hours
Potential Harm

Install emergency lighting that can last at least 1 1/2 hours.

Survey date: Sep 11, 2025 · Widespread — no actual harm with potential for more
F-0321
F
Ensure that special areas are constructed so that walls can resist fire …
Potential Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Sep 11, 2025 · Widespread — no actual harm with potential for more
F-0343
F
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: Sep 11, 2025 · 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
Cross Timbers Rehabilitation and Healthcare Center
13.6 km · Flower Mound, TX
★★★
CMS
34th
Risk %ile
Lower risk