7Risk Axes

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

How we calculate
SeverityLow

22th national percentile — 0.0% high-severity citations

ChronicityLow

15th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropElevated

76th national percentile — 19.3%

Contract staff shareWatch

57th national percentile — 1.7%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapModerate

Reported 3.77 vs expected 3.85 · −0.08 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

14 citations on file
F-0558
E
Reasonably accommodate the needs and preferences of each resident
Potential Harm

Reasonably accommodate the needs and preferences of each resident.

Survey date: Aug 13, 2025 · Pattern — no actual harm with potential for more
F-0628
E
Provide the required documentation or notification related to the reside…
Potential Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey date: Aug 13, 2025 · Pattern — no actual harm with potential for more
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Aug 13, 2025 · Isolated — no actual harm with potential for more
F-0755
D
Provide pharmaceutical services to meet the needs of each resident and e…
Minimal Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey date: Aug 13, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

4 citations on file
F-0223
D
Provide exit doors that are held open by devices that will automatically…
Minimal Harm

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Survey date: Sep 28, 2023 · 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: Sep 28, 2023 · Isolated — no actual harm with potential for more
F-0345
D
Have approved installation, maintenance and testing program for fire ala…
Minimal Harm

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

Survey date: Sep 28, 2023 · Isolated — no actual harm with potential for more
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Sep 28, 2023 · 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
Desoto Retirement & Rehab Ctr, LLC
2.6 km · MANSFIELD, LA
★★
CMS
37th
Risk %ile
Lower risk