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

ChronicityElevated

82th national percentile — 12 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

18 citations

Weekend staffing dropElevated

93th national percentile — 23.6%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapModerate

Reported 2.98 vs expected 3.00 · −0.02 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

36 citations on file
F-0638
B
Assure that each resident’s assessment is updated at least once every 3 …
No Harm

Assure that each resident’s assessment is updated at least once every 3 months.

Survey date: Feb 27, 2026 · Pattern — no actual harm
F-0686
D
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Minimal Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Feb 27, 2026 · Isolated — no actual harm with potential for more
F-0727
D
Have a registered nurse on duty 8 hours a day; and select a registered …
Minimal Harm

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey date: Feb 27, 2026 · 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: Feb 27, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

18 citations on file
F-0222
E
Add doors in an exit area that do not require the use of a key from the …
Potential 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: Feb 27, 2026 · 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: Feb 27, 2026 · Pattern — no actual harm with potential for more
F-0920
D
Ensure proper usage of power strips and extension cords
Minimal Harm

Ensure proper usage of power strips and extension cords.

Survey date: Feb 27, 2026 · Isolated — 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: Feb 27, 2026 · 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
INSPIRATION HILLS REHABILITATION CENTER
23.8 km · SAN ANTONIO, TX
★★★
CMS
35th
Risk %ile
Lower risk
LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER -
24.6 km · SAN ANTONIO, TX
★★★★★
CMS
35th
Risk %ile
Lower risk
LYTLE NURSING HOME
15.5 km · LYTLE, TX
CMS
45th
Risk %ile
Similar risk