7Risk Axes

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

How we calculate
SeverityModerate

46th national percentile — 1.7% high-severity citations

ChronicityElevated

89th national percentile — 22 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

7 citations

Weekend staffing dropElevated

86th national percentile — 21.5%

Contract staff shareModerate

37th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 4.98 vs expected 4.16 · +0.82 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

59 citations on file
F-0655
D
Create and put into place a plan for meeting the resident's most immedia…
Minimal Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey date: Nov 26, 2025 · Isolated — no actual harm with potential for more
F-0689
E
Ensure that a nursing home area is free from accident hazards and provid…
Potential Harm

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

Survey date: Nov 26, 2025 · 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: Nov 26, 2025 · Isolated — no actual harm with potential for more
F-0609
E
Timely report suspected abuse, neglect, or theft and report the results …
Potential Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey date: Aug 8, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

7 citations on file
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Jul 2, 2024 · Widespread — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Jul 2, 2024 · Widespread — no actual harm with potential for more
F-0372
F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Potential Harm

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Mar 14, 2023 · Widespread — no actual harm with potential for more
F-0374
F
Install smoke barrier doors that can resist smoke for at least 20 minute…
Potential Harm

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Survey date: Mar 14, 2023 · 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
Las Cruces Village Nursing & Rehabilitation LLC
3.6 km · LAS CRUCES, NM
CMS
45th
Risk %ile
Similar risk
Northrise Wellness & Rehabilitation
3.5 km · Las Cruces, NM
★★★★
CMS
53th
Risk %ile
Similar risk