7Risk Axes

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

How we calculate
SeverityElevated

90th national percentile — 15.2% high-severity citations

ChronicityElevated

88th national percentile — 12 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

6 citations

Weekend staffing dropModerate

47th national percentile — 15.2%

Contract staff shareModerate

40th national percentile — 0.1%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.13 vs expected 2.86 · +0.27 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

33 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: Apr 10, 2026 · Isolated — no actual harm with potential for more
F-0686
E
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Potential Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Apr 10, 2026 · Pattern — no actual harm with potential for more
F-0677
D
Provide care and assistance to perform activities of daily living for an…
Minimal Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey date: Apr 10, 2026 · Isolated — no actual harm with potential for more
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: Jan 21, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

6 citations on file
F-0324
E
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Dec 11, 2025 · Pattern — no actual harm with potential for more
F-0345
E
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: Dec 11, 2025 · Pattern — no actual harm with potential for more
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: Dec 11, 2025 · Pattern — no actual harm with potential for more
F-0918
F
Have generator or other power source capable of supplying service within…
Potential Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Dec 11, 2025 · 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
PARK MANOR OF CYFAIR
17.0 km · HOUSTON, TX
★★★★★
CMS
29th
Risk %ile
Lower risk
THE VILLAGE AT GLEANNLOCH FARMS
9.0 km · SPRING, TX
★★★★★
CMS
34th
Risk %ile
Lower risk
Caraday of Houston
18.5 km · Houston, TX
★★★★★
CMS
35th
Risk %ile
Lower risk