7Risk Axes

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

How we calculate
SeverityElevated

88th national percentile — 13.9% high-severity citations

ChronicityElevated

87th national percentile — 13 repeat citations

Staffing integrityClean

None on file

Fire safetyMinor

2 citations

Weekend staffing dropLow

27th national percentile — 12.6%

Contract staff shareModerate

46th national percentile — 0.5%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 3.06 vs expected 3.36 · −0.30 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

36 citations on file
F-0656
E
Develop and implement a complete care plan that meets all the resident's…
Potential 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: Nov 19, 2025 · Pattern — no actual harm with potential for more
F-0812
D
Procure food from sources approved or considered satisfactory and store,…
Minimal Harm

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

Survey date: Mar 27, 2025 · Isolated — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: Mar 27, 2025 · Isolated — no actual harm with potential for more
F-0912
B
Provide rooms that are at least 80 square feet per resident in multiple …
No Harm

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Survey date: Mar 27, 2025 · Pattern — no actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

2 citations on file
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Mar 27, 2025 · Widespread — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm↻ Repeat

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Dec 15, 2022 · 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
WINDMILL VILLAGE REHABILITATION & CARE CENTER
8.7 km · LUBBOCK, TX
★★★
CMS
40th
Risk %ile
Similar risk
Lubbock Health Care Center
1.0 km · Lubbock, TX
★★★
CMS
41th
Risk %ile
Similar risk
Avir at Heritage Oaks
4.5 km · Lubbock, TX
★★
CMS
41th
Risk %ile
Similar risk