7Risk Axes

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

How we calculate
SeverityWatch

55th national percentile — 3.7% high-severity citations

ChronicityElevated

82th national percentile — 9 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropWatch

60th national percentile — 16.8%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapAligned

Reported 2.82 vs expected 2.69 · +0.12 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

27 citations on file
F-0558
D
Reasonably accommodate the needs and preferences of each resident
Minimal Harm

Reasonably accommodate the needs and preferences of each resident.

Survey date: Dec 12, 2025 · Isolated — no actual harm with potential for more
F-0644
D
Coordinate assessments with the pre-admission screening and resident rev…
Minimal Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey date: Dec 12, 2025 · Isolated — 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: Dec 12, 2025 · Isolated — 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: Dec 12, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 citations on file
F-0211
E
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Potential Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

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

Survey date: Dec 12, 2025 · Pattern — no actual harm with potential for more
F-0372
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Minimal Harm

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

Survey date: Dec 12, 2025 · Isolated — 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: Sep 11, 2024 · 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
EAGLE PASS NURSING AND REHABILITATION
2.0 km · EAGLE PASS, TX
★★★
CMS
50th
Risk %ile
Similar risk
La Hacienda De Paz Rehabilitation and Care Center
411 m · Eagle Pass, TX
★★
CMS
52th
Risk %ile
Similar risk