7Risk Axes

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

How we calculate
SeverityElevated

98th national percentile — 29.4% high-severity citations

ChronicityElevated

86th national percentile — 6 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

16 citations

Weekend staffing dropElevated

82th national percentile — 20.3%

Contract staff shareWatch

65th national percentile — 3.5%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapAligned

Reported 2.88 vs expected 2.84 · +0.04 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

17 citations on file
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: Feb 20, 2026 · Isolated — immediate jeopardy
F-0689
J
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm↻ Repeat

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

Survey date: Nov 20, 2025 · Isolated — immediate jeopardy
F-0600
J
Protect each resident from all types of abuse such as physical, mental, …
Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey date: Nov 20, 2025 · Isolated — immediate jeopardy
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: Sep 4, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

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

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Sep 4, 2025 · Widespread — no actual harm with potential for more
F-0923
D
Have proper medical gas storage and administration areas
Minimal Harm

Have proper medical gas storage and administration areas.

Survey date: Sep 4, 2025 · Isolated — no actual harm with potential for more
F-0351
E
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: Jul 31, 2024 · Pattern — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm↻ Repeat

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Jul 31, 2024 · 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
DIVERSICARE OF LULING
22.0 km · LULING, TX
★★★
CMS
44th
Risk %ile
Similar risk
Chisolm Trail Nursing and Rehabilitation Center
2.3 km · Lockhart, TX
★★
CMS
47th
Risk %ile
Similar risk
Avir at Magnolia
19.0 km · Luling, TX
CMS
52th
Risk %ile
Similar risk