7Risk Axes

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

How we calculate
SeverityElevated

93th national percentile — 17.2% high-severity citations

ChronicityElevated

77th national percentile — 9 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

6 citations

Weekend staffing dropWatch

53th national percentile — 15.8%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 3.14 vs expected 3.70 · −0.56 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

29 citations on file
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: Apr 18, 2026 · Isolated — no actual harm with potential for more
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: Sep 19, 2025 · Isolated — immediate jeopardy
F-0603
J
Protect each resident from separation (from other residents, his/her roo…
Actual Harm

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Survey date: Sep 19, 2025 · Isolated — immediate jeopardy
F-0604
J
Ensure that each resident is free from the use of physical restraints, u…
Actual Harm

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Survey date: Sep 19, 2025 · Isolated — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

6 citations on file
F-0342
D
Have a complete alarm system manually initiated and initiated by fire sp…
Minimal Harm

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Survey date: Mar 7, 2024 · Isolated — no actual harm with potential for more
F-0521
C
Ensure heating and ventilation systems that have been properly installed…
Minimal Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Mar 7, 2024 · Widespread — no actual harm
F-0521
C
Ensure heating and ventilation systems that have been properly installed…
Minimal Harm↻ Repeat

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Feb 7, 2023 · Widespread — no actual harm
F-0037
E
Establish staff and initial training requirements
Potential Harm

Establish staff and initial training requirements.

Survey date: Dec 7, 2021 · 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
AVIR AT KEENELAND
1.4 km · WEATHERFORD, TX
★★★★
CMS
34th
Risk %ile
Lower risk
HOLLAND LAKE REHABILITATION AND WELLNESS CENTER
2.1 km · WEATHERFORD, TX
★★★★★
CMS
34th
Risk %ile
Lower risk