7Risk Axes

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

How we calculate
SeverityElevated

98th national percentile — 29.4% high-severity citations

ChronicityElevated

86th national percentile — 6 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

15 citations

Weekend staffing dropWatch

52th national percentile — 15.8%

Contract staff shareModerate

38th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 3.24 vs expected 3.07 · +0.17 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

17 citations on file
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: Jan 31, 2026 · Isolated — no actual harm with potential for more
F-0580
D
Immediately tell the resident, the resident's doctor, and a family membe…
Minimal Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey date: Dec 2, 2025 · Isolated — no actual harm with potential for more
F-0755
G
Provide pharmaceutical services to meet the needs of each resident and e…
Actual Harm

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

Survey date: Dec 18, 2024 · Isolated — actual harm
F-0760
G
Ensure that residents are free from significant medication errors
Actual Harm

Ensure that residents are free from significant medication errors.

Survey date: Dec 18, 2024 · Isolated — actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

15 citations on file
F-0006
F
Conduct risk assessment and an All-Hazards approach
Potential Harm

Conduct risk assessment and an All-Hazards approach.

Survey date: Dec 4, 2024 · Widespread — no actual harm with potential for more
F-0291
F
Install emergency lighting that can last at least 1 1/2 hours
Potential Harm

Install emergency lighting that can last at least 1 1/2 hours.

Survey date: Dec 4, 2024 · Widespread — no actual harm with potential for more
F-0321
D
Ensure that special areas are constructed so that walls can resist fire …
Minimal Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Dec 4, 2024 · 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: Dec 4, 2024 · 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
MIDTOWNE MEADOWS HEALTH & REHAB
672 m · MIDLOTHIAN, TX
★★★★
CMS
30th
Risk %ile
Lower risk
MANSFIELD MEDICAL LODGE
12.0 km · MANSFIELD, TX
★★★★
CMS
35th
Risk %ile
Lower risk
Cedar Hill Healthcare Center
13.2 km · Cedar Hill, TX
★★
CMS
44th
Risk %ile
Similar risk