7Risk Axes

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

How we calculate
SeverityWatch

65th national percentile — 5.6% high-severity citations

ChronicityElevated

89th national percentile — 20 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

7 citations

Weekend staffing dropElevated

87th national percentile — 21.7%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.00 vs expected 3.51 · −0.51 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

54 citations on file
F-0699
D
Provide care or services that was trauma informed and/or culturally comp…
Minimal Harm

Provide care or services that was trauma informed and/or culturally competent.

Survey date: Apr 1, 2026 · Isolated — no actual harm with potential for more
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 23, 2026 · Isolated — immediate jeopardy
F-0550
D
Honor the resident's right to a dignified existence, self-determination,…
Minimal Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey date: Feb 23, 2026 · Isolated — no actual harm with potential for more
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: Feb 23, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

7 citations on file
F-0918
C
Have generator or other power source capable of supplying service within…
Minimal Harm

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

Survey date: Feb 27, 2025 · Widespread — no actual harm
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Jan 11, 2024 · Widespread — no actual harm with potential for more
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: Nov 9, 2022 · Pattern — 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: Nov 9, 2022 · 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
Focused Care at Mount Pleasant
413 m · Mount Pleasant, TX
CMS
47th
Risk %ile
Similar risk
Cypress Springs Wellness & Rehabilitation
23.3 km · MOUNT VERNON, TX
★★★★
CMS
56th
Risk %ile
Similar risk
AVIR AT PITTSBURG
19.9 km · PITTSBURG, TX
★★
CMS
59th
Risk %ile
Similar risk