7Risk Axes

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

How we calculate
SeverityElevated

86th national percentile — 12.2% high-severity citations

ChronicityElevated

73th national percentile — 12 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropElevated

80th national percentile — 20.1%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.15 vs expected 3.08 · +0.08 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

41 citations on file
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: Dec 15, 2025 · Isolated — no actual harm with potential for more
F-0552
D
Ensure that residents are fully informed and understand their health sta…
Minimal Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey date: Dec 4, 2025 · Isolated — no actual harm with potential for more
F-0551
D
Give the resident's representative the ability to exercise the resident'…
Minimal Harm

Give the resident's representative the ability to exercise the resident's rights.

Survey date: Oct 10, 2025 · Isolated — no actual harm with potential for more
F-0689
J
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Oct 10, 2025 · Isolated — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0039
F
Conduct testing and exercise requirements
Potential Harm

Conduct testing and exercise requirements.

Survey date: Feb 12, 2025 · Widespread — no actual harm with potential for more
F-0321
D
Ensure that special areas are constructed so that walls can resist fire …
Minimal 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: Feb 12, 2025 · Isolated — no actual harm with potential for more
F-0324
D
Provide properly protected cooking facilities
Minimal Harm

Provide properly protected cooking facilities.

Survey date: Feb 12, 2025 · Isolated — no actual harm with potential for more
F-0355
F
Properly select, install, inspect, or maintain portable fire extinguishe…
Potential Harm

Properly select, install, inspect, or maintain portable fire extinguishes.

Survey date: Feb 12, 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
CRESTVIEW RETIREMENT COMMUNITY
574 m · BRYAN, TX
★★★★★
CMS
55th
Risk %ile
Similar risk
Legacy Nursing and Rehabilitation
1.1 km · Bryan, TX
★★
CMS
63th
Risk %ile
Similar risk