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

80th national percentile — 9 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

7 citations

Weekend staffing dropLow

11th national percentile — 9.9%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 4.10 vs expected 4.10 · 0.00 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

28 citations on file
F-0842
E
Safeguard resident-identifiable information and/or maintain medical reco…
Potential Harm

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

Survey date: Apr 14, 2026 · 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 31, 2025 · Isolated — no actual harm with potential for more
F-0804
E
Ensure food and drink is palatable, attractive, and at a safe and appeti…
Potential Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey date: Jul 31, 2025 · Pattern — no actual harm with potential for more
F-0609
D
Timely report suspected abuse, neglect, or theft and report the results …
Minimal Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey date: Jul 31, 2025 · 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-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Jul 31, 2025 · Widespread — 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: Jul 31, 2025 · Pattern — no actual harm with potential for more
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Jul 31, 2025 · 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: Jul 31, 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
Highland Meadows
17.0 km · ROCKWALL, TX
★★★★★
CMS
26th
Risk %ile
Lower risk