7Risk Axes

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

How we calculate
SeverityWatch

59th national percentile — 4.3% high-severity citations

ChronicityElevated

91th national percentile — 9 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropModerate

43th national percentile — 14.6%

Contract staff shareWatch

63th national percentile — 3.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapModerate

Reported 3.30 vs expected 3.31 · −0.01 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

23 citations on file
F-0755
E
Provide pharmaceutical services to meet the needs of each resident and e…
Potential Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey date: Sep 2, 2025 · Pattern — no actual harm with potential for more
F-0761
E
Ensure drugs and biologicals used in the facility are labeled in accorda…
Potential Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: Sep 2, 2025 · Pattern — no actual harm with potential for more
F-0695
D
Provide safe and appropriate respiratory care for a resident when needed…
Minimal Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Jul 30, 2025 · Isolated — no actual harm with potential for more
F-0691
D
Provide appropriate colostomy, urostomy, or ileostomy care/services for …
Minimal Harm

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Survey date: Oct 17, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

11 citations on file
F-0161
E
Use approved construction type or materials
Potential Harm

Use approved construction type or materials.

Survey date: Oct 17, 2024 · Pattern — no actual harm with potential for more
F-0222
E
Add doors in an exit area that do not require the use of a key from the …
Potential Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Oct 17, 2024 · Pattern — no actual harm with potential for more
F-0039
F
Conduct testing and exercise requirements
Potential Harm

Conduct testing and exercise requirements.

Survey date: Sep 14, 2023 · Widespread — no actual harm with potential for more
F-0321
D
Ensure that special areas are constructed so that walls can resist fire …
Minimal 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: Sep 14, 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
GRAPEVINE MEDICAL LODGE
16.1 km · GRAPEVINE, TX
★★★★★
CMS
30th
Risk %ile
Lower risk
Cross Timbers Rehabilitation and Healthcare Center
4.1 km · Flower Mound, TX
★★★
CMS
34th
Risk %ile
Lower risk
LAKE FOREST VILLAGE BY PUREHEALTH
10.1 km · DENTON, TX
★★★★
CMS
35th
Risk %ile
Lower risk