7Risk Axes

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

How we calculate
SeverityElevated

94th national percentile — 19.4% high-severity citations

ChronicityElevated

80th national percentile — 10 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

10 citations

Weekend staffing dropElevated

84th national percentile — 21.0%

Contract staff shareModerate

48th national percentile — 0.6%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 3.35 vs expected 3.11 · +0.24 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

31 citations on file
F-0761
D
Ensure drugs and biologicals used in the facility are labeled in accorda…
Minimal 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: Apr 23, 2026 · Isolated — no actual harm with potential for more
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Feb 11, 2026 · Isolated — 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: Feb 11, 2026 · Isolated — no actual harm with potential for more
F-0761
D
Ensure drugs and biologicals used in the facility are labeled in accorda…
Minimal Harm↻ Repeat

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: Feb 11, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

10 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: Feb 11, 2026 · Widespread — no actual harm with potential for more
F-0031
F
Provide emergency officials' contact information
Potential Harm

Provide emergency officials' contact information.

Survey date: Feb 11, 2026 · Widespread — no actual harm with potential for more
F-0037
F
Establish staff and initial training requirements
Potential Harm

Establish staff and initial training requirements.

Survey date: Feb 11, 2026 · Widespread — no actual harm with potential for more
F-0232
E
Have corridors or aisles that are unobstructed and are at least 8 feet i…
Potential Harm

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Survey date: Feb 11, 2026 · Pattern — 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
Avir at Winnsboro
99 m · WINNSBORO, TX
CMS
54th
Risk %ile
Similar risk
Quitman Wellness & Rehabilitation
21.6 km · QUITMAN, TX
★★★
CMS
63th
Risk %ile
Similar risk