7Risk Axes

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

How we calculate
SeverityElevated

96th national percentile — 22.2% high-severity citations

ChronicityLow

23th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

7 citations

Weekend staffing dropModerate

36th national percentile — 13.8%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapModerate

Reported 3.50 vs expected 3.60 · −0.09 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

9 citations on file
F-0812
E
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Aug 27, 2025 · Pattern — no actual harm with potential for more
F-0813
E
Have a policy regarding use and storage of foods brought to residents by…
Potential Harm

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Survey date: Aug 27, 2025 · Pattern — no actual harm with potential for more
F-0580
J
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: Jul 26, 2024 · Isolated — immediate jeopardy
F-0657
E
Develop the complete care plan within 7 days of the comprehensive assess…
Potential 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: Jul 26, 2024 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

7 citations on file
F-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Aug 27, 2025 · Pattern — no actual harm with potential for more
F-0324
E
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Aug 27, 2025 · Pattern — no actual harm with potential for more
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: May 24, 2023 · Isolated — no actual harm with potential for more
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: May 24, 2023 · Isolated — 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
BANGS NURSING AND REHABILITATION
13.0 km · BANGS, TX
★★★★★
CMS
30th
Risk %ile
Lower risk
OAK RIDGE MANOR
390 m · BROWNWOOD, TX
★★★★
CMS
33th
Risk %ile
Lower risk
CARE NURSING & REHABILITATION
10.5 km · BROWNWOOD, TX
★★★
CMS
37th
Risk %ile
Lower risk