7Risk Axes

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

How we calculate
SeverityElevated

81th national percentile — 10.0% high-severity citations

ChronicityElevated

75th national percentile — 15 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

19 citations

Weekend staffing dropWatch

65th national percentile — 17.5%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.23 vs expected 3.52 · −0.29 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

50 citations on file
F-0693
D
Ensure that feeding tubes are not used unless there is a medical reason…
Minimal Harm

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Survey date: Jan 7, 2026 · Isolated — no actual harm with potential for more
F-0695
J
Provide safe and appropriate respiratory care for a resident when needed…
Actual Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Oct 31, 2025 · Isolated — immediate jeopardy
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Aug 1, 2025 · Pattern — no actual harm with potential for more
F-0756
D
Ensure a licensed pharmacist perform a monthly drug regimen review, incl…
Minimal Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey date: Apr 10, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

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

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Apr 10, 2025 · 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: Apr 10, 2025 · Pattern — no actual harm with potential for more
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: Mar 21, 2024 · Widespread — no actual harm with potential for more
F-0901
F
Ensure that building systems meet requirements determined by risk assess…
Potential Harm

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Survey date: Mar 21, 2024 · 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
Tuskegee Airmen Texas State Veterans Home
24.2 km · FORT WORTH, TX
NR
CMS
29th
Risk %ile
Lower risk
GRAPEVINE MEDICAL LODGE
11.4 km · GRAPEVINE, TX
★★★★★
CMS
30th
Risk %ile
Lower risk
IMMANUEL'S HEALTHCARE
19.8 km · FORT WORTH, TX
★★★
CMS
34th
Risk %ile
Lower risk