7Risk Axes

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

How we calculate
SeverityElevated

95th national percentile — 21.1% high-severity citations

ChronicityLow

22th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropElevated

97th national percentile — 26.4%

Contract staff shareModerate

49th national percentile — 0.7%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapWatch

Reported 3.06 vs expected 3.21 · −0.15 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

19 citations on file
F-0582
E
Give residents notice of Medicaid/Medicare coverage and potential liabil…
Potential Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey date: Jul 4, 2025 · Pattern — no actual harm with potential for more
F-0628
D
Provide the required documentation or notification related to the reside…
Minimal Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey date: Jul 4, 2025 · Isolated — no actual harm with potential for more
F-0656
K
Develop and implement a complete care plan that meets all the resident's…
Actual 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: Jul 4, 2025 · Pattern — immediate jeopardy
F-0689
J
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm

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

Survey date: Jul 4, 2025 · Isolated — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0374
E
Install smoke barrier doors that can resist smoke for at least 20 minute…
Potential Harm

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Survey date: Jul 4, 2025 · Pattern — no actual harm with potential for more
F-0511
E
Have properly installed electrical wiring and gas equipment
Potential Harm

Have properly installed electrical wiring and gas equipment.

Survey date: Jul 4, 2025 · Pattern — no actual harm with potential for more
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Jul 4, 2025 · Widespread — no actual harm with potential for more
F-0741
E
Have posted "No-smoking" signs in areas where smoking is not permitted o…
Potential Harm

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Survey date: Jul 4, 2025 · Pattern — 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
OAK VILLAGE HEALTHCARE
22.9 km · LAKE JACKSON, TX
★★★★★
CMS
43th
Risk %ile
Similar risk