7Risk Axes

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

How we calculate
SeverityElevated

98th national percentile — 27.3% high-severity citations

ChronicityLow

18th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

10 citations

Weekend staffing dropModerate

38th national percentile — 14.0%

Contract staff shareElevated

88th national percentile — 14.5%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.43 vs expected 3.17 · +0.26 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

11 citations on file
F-0644
D
Coordinate assessments with the pre-admission screening and resident rev…
Minimal Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey date: Apr 3, 2025 · Isolated — no actual harm with potential for more
F-0580
K
Immediately tell the resident, the resident's doctor, and a family membe…
Actual Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey date: Feb 2, 2024 · Pattern — immediate jeopardy
F-0584
E
Honor the resident's right to a safe, clean, comfortable and homelike en…
Potential Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey date: Feb 2, 2024 · Pattern — 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: Feb 2, 2024 · Pattern — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

10 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: Apr 3, 2025 · Widespread — no actual harm with potential for more
F-0372
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Potential Harm

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Apr 3, 2025 · Pattern — 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: Apr 3, 2025 · Pattern — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Feb 2, 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
THE METHODIST HOSPITAL SNF
21.7 km · HOUSTON, TX
★★★★★
CMS
16th
Risk %ile
Lower risk
MRC THE CROSSINGS
18.2 km · LEAGUE CITY, TX
★★★★★
CMS
21th
Risk %ile
Lower risk
HCA HOUSTON HEALTHCARE SOUTHEAST
3.1 km · PASADENA, TX
NR
CMS
25th
Risk %ile
Lower risk