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

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

14 citations

Weekend staffing dropLow

28th national percentile — 12.7%

Contract staff shareElevated

84th national percentile — 11.4%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapElevated

Reported 3.30 vs expected 3.57 · −0.27 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

5 citations on file
F-0585
D
Honor the resident's right to voice grievances without discrimination or…
Minimal Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey date: Aug 7, 2025 · Isolated — no actual harm with potential for more
F-0628
E
Provide the required documentation or notification related to the reside…
Potential Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey date: Aug 7, 2025 · Pattern — no actual harm with potential for more
F-0677
D
Provide care and assistance to perform activities of daily living for an…
Minimal Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey date: Aug 7, 2025 · Isolated — no actual harm with potential for more
F-0842
D
Safeguard resident-identifiable information and/or maintain medical reco…
Minimal Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: Aug 7, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

14 citations on file
F-0222
D
Add doors in an exit area that do not require the use of a key from the …
Minimal 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: Aug 7, 2025 · Isolated — no actual harm with potential for more
F-0281
D
Install proper backup exit lighting
Minimal Harm

Install proper backup exit lighting.

Survey date: Aug 7, 2025 · Isolated — no actual harm with potential for more
F-0321
F
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 7, 2025 · Widespread — no actual harm with potential for more
F-0324
D
Provide properly protected cooking facilities
Minimal Harm

Provide properly protected cooking facilities.

Survey date: Aug 7, 2025 · 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
MEADOW LAKE HEALTH CENTER
2.2 km · TYLER, TX
★★★★★
CMS
26th
Risk %ile
Lower risk
THE CENTER AT GRANDE
6.3 km · TYLER, TX
★★★★★
CMS
33th
Risk %ile
Lower risk
GREENBRIER NURSING & REHABILITATION CENTER OF TYLE
7.0 km · TYLER, TX
★★
CMS
35th
Risk %ile
Lower risk