7Risk Axes

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

How we calculate
SeverityElevated

86th national percentile — 12.5% high-severity citations

ChronicityElevated

75th national percentile — 12 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropModerate

49th national percentile — 15.4%

Contract staff shareModerate

36th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapWatch

Reported 3.40 vs expected 3.64 · −0.24 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

40 citations on file
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Mar 18, 2026 · Isolated — no actual harm with potential for more
F-0727
F
Have a registered nurse on duty 8 hours a day; and select a registered …
Potential 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: Mar 18, 2026 · Widespread — no actual harm with potential for more
F-0757
D
Ensure each resident’s drug regimen must be free from unnecessary drugs
Minimal Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey date: Mar 18, 2026 · Isolated — no actual harm with potential for more
F-0790
D
Provide routine and 24-hour emergency dental care for each resident
Minimal Harm

Provide routine and 24-hour emergency dental care for each resident.

Survey date: Mar 18, 2026 · 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-0222
D
Add doors in an exit area that do not require the use of a key from the …
Minimal 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: Jan 8, 2025 · 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: Jan 8, 2025 · Isolated — no actual harm with potential for more
F-0222
E
Add doors in an exit area that do not require the use of a key from the …
Potential Harm↻ Repeat

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: Dec 12, 2023 · Pattern — no actual harm with potential for more
F-0372
F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Potential Harm

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

Survey date: Dec 12, 2023 · 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
HCA HOUSTON HEALTHCARE SOUTHEAST
22.8 km · PASADENA, TX
NR
CMS
25th
Risk %ile
Lower risk
EAST VIEW HEALTHCARE
19.4 km · HOUSTON, TX
★★★★★
CMS
36th
Risk %ile
Lower risk
FOCUSED CARE AT BURNET BAY
1.1 km · BAYTOWN, TX
★★★
CMS
42th
Risk %ile
Similar risk