7Risk Axes

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

How we calculate
SeverityElevated

79th national percentile — 9.5% high-severity citations

ChronicityLow

19th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

6 citations

Weekend staffing dropWatch

59th national percentile — 16.7%

Contract staff shareElevated

86th national percentile — 13.2%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.49 vs expected 3.81 · −0.32 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

21 citations on file
F-0644
D
Coordinate assessments with the pre-admission screening and resident rev…
Minimal Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey date: Nov 25, 2025 · Isolated — no actual harm with potential for more
F-0697
D
Provide safe, appropriate pain management for a resident who requires su…
Minimal Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey date: Jun 20, 2025 · Isolated — no actual harm with potential for more
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: Jun 20, 2025 · Isolated — no actual harm with potential for more
F-0908
D
Keep all essential equipment working safely
Minimal Harm

Keep all essential equipment working safely.

Survey date: Jun 20, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

6 citations on file
F-0324
E
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Jun 20, 2025 · Pattern — no actual harm with potential for more
F-0345
E
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: Jun 20, 2025 · Pattern — no actual harm with potential for more
F-0372
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Potential Harm

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Jun 20, 2025 · Pattern — no actual harm with potential for more
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm↻ Repeat

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

Survey date: Apr 11, 2024 · Widespread — 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
THE HEIGHTS OF MAGNOLIA
17.6 km · MAGNOLIA, TX
NR
CMS
8th
Risk %ile
Lower risk
THE VILLAGE AT GLEANNLOCH FARMS
9.9 km · SPRING, TX
★★★★★
CMS
34th
Risk %ile
Lower risk
PARK MANOR OF THE WOODLANDS
5.8 km · THE WOODLANDS, TX
★★★★★
CMS
35th
Risk %ile
Lower risk