7Risk Axes

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

How we calculate
SeverityWatch

60th national percentile — 4.7% high-severity citations

ChronicityModerate

49th national percentile — 9 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

14 citations

Weekend staffing dropLow

1th national percentile — 3.8%

Contract staff shareModerate

36th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 2.69 vs expected 2.99 · −0.31 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

43 citations on file
F-0760
D
Ensure that residents are free from significant medication errors
Minimal Harm

Ensure that residents are free from significant medication errors.

Survey date: Jul 17, 2025 · Isolated — no actual harm with potential for more
F-0553
D
Allow resident to participate in the development and implementation of h…
Minimal Harm

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Survey date: Jul 17, 2025 · Isolated — no actual harm with potential for more
F-0842
D
Safeguard resident-identifiable information and/or maintain medical reco…
Minimal Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: Jul 17, 2025 · Isolated — no actual harm with potential for more
F-0908
E
Keep all essential equipment working safely
Potential Harm

Keep all essential equipment working safely.

Survey date: Jul 17, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

14 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 17, 2025 · Widespread — no actual harm with potential for more
F-0351
E
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: Jul 17, 2025 · Pattern — no actual harm with potential for more
F-0372
E
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: Jul 17, 2025 · Pattern — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: May 27, 2024 · 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
Devine Health & Rehabilitation
12.2 km · Devine, TX
★★★★★
CMS
30th
Risk %ile
Lower risk