7Risk Axes

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

How we calculate
SeverityElevated

96th national percentile — 22.9% high-severity citations

ChronicityWatch

63th national percentile — 9 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

10 citations

Weekend staffing dropElevated

86th national percentile — 21.3%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapWatch

Reported 2.74 vs expected 2.88 · −0.14 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

35 citations on file
F-0677
E
Provide care and assistance to perform activities of daily living for an…
Potential Harm

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

Survey date: May 6, 2025 · Pattern — no actual harm with potential for more
F-0812
E
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: May 6, 2025 · Pattern — no actual harm with potential for more
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: May 6, 2025 · Pattern — no actual harm with potential for more
F-0919
E
Make sure that a working call system is available in each resident's ba…
Potential Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey date: May 6, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

10 citations on file
F-0009
F
Include a process for Emergency Preparedness collaboration
Potential Harm

Include a process for Emergency Preparedness collaboration.

Survey date: May 6, 2025 · 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: May 6, 2025 · Widespread — no actual harm with potential for more
F-0039
F
Conduct testing and exercise requirements
Potential Harm

Conduct testing and exercise requirements.

Survey date: May 6, 2025 · Widespread — no actual harm with potential for more
F-0222
D
Add doors in an exit area that do not require the use of a key from the …
Minimal Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: May 6, 2025 · Isolated — 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
19.9 km · Flower Mound, TX
★★★
CMS
34th
Risk %ile
Lower risk
LAKE FOREST VILLAGE BY PUREHEALTH
17.6 km · DENTON, TX
★★★★
CMS
35th
Risk %ile
Lower risk
KELLER OAKS HEALTHCARE CENTER
21.4 km · KELLER, TX
★★★★
CMS
45th
Risk %ile
Similar risk