7Risk Axes

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

How we calculate
SeverityElevated

89th national percentile — 14.0% high-severity citations

ChronicityWatch

63th national percentile — 11 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

6 citations

Weekend staffing dropElevated

77th national percentile — 19.5%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 2.78 vs expected 2.70 · +0.08 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

43 citations on file
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: Mar 4, 2026 · Isolated — no actual harm with potential for more
F-0679
E
Provide activities to meet all resident's needs
Potential Harm

Provide activities to meet all resident's needs.

Survey date: Dec 12, 2025 · Pattern — no actual harm with potential for more
F-0689
D
Ensure that a nursing home area is free from accident hazards and provid…
Minimal Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Dec 12, 2025 · Isolated — no actual harm with potential for more
F-0742
E
Provide the appropriate treatment and services to a resident who display…
Potential Harm

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

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

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

6 citations on file
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Jun 5, 2025 · Widespread — no actual harm with potential for more
F-0521
C
Ensure heating and ventilation systems that have been properly installed…
Minimal Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Jun 5, 2025 · Widespread — no actual harm
F-0521
C
Ensure heating and ventilation systems that have been properly installed…
Minimal Harm↻ Repeat

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: May 9, 2024 · Widespread — no actual harm
F-0200
D
Meet other general requirements
Minimal Harm

Meet other general requirements.

Survey date: Mar 23, 2023 · 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
GOLDEN CREEK HEALTHCARE AND REHABILITATION CENTER
995 m · NAVASOTA, TX
★★★
CMS
43th
Risk %ile
Similar risk