7Risk Axes

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

How we calculate
SeverityLow

22th national percentile — 0.0% high-severity citations

ChronicityElevated

84th national percentile — 10 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropElevated

97th national percentile — 26.2%

Contract staff shareWatch

52th national percentile — 1.1%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapWatch

Reported 3.11 vs expected 3.27 · −0.16 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

29 citations on file
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: Aug 21, 2025 · Isolated — no actual harm with potential for more
F-0693
E
Ensure that feeding tubes are not used unless there is a medical reason…
Potential Harm

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Survey date: Apr 30, 2025 · Pattern — no actual harm with potential for more
F-0695
E
Provide safe and appropriate respiratory care for a resident when needed…
Potential Harm

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

Survey date: Apr 30, 2025 · Pattern — no actual harm with potential for more
F-0725
F
Provide enough nursing staff every day to meet the needs of every reside…
Potential Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey date: Apr 30, 2025 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0006
F
Conduct risk assessment and an All-Hazards approach
Potential Harm

Conduct risk assessment and an All-Hazards approach.

Survey date: Apr 30, 2025 · Widespread — no actual harm with potential for more
F-0026
F
Establish roles under a Waiver declared by secretary
Potential Harm

Establish roles under a Waiver declared by secretary.

Survey date: Apr 30, 2025 · 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: Apr 30, 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: Apr 30, 2025 · 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 River Valley
3.7 km · GAINESVILLE, TX
★★★
CMS
46th
Risk %ile
Similar risk
Whitesboro Health and Rehabilitation Center
21.6 km · Whitesboro, TX
★★
CMS
50th
Risk %ile
Similar risk