7Risk Axes

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

How we calculate
SeverityElevated

83th national percentile — 10.7% high-severity citations

ChronicityElevated

89th national percentile — 21 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

11 citations

Weekend staffing dropModerate

44th national percentile — 14.8%

Contract staff shareElevated

96th national percentile — 25.9%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapWatch

Reported 3.16 vs expected 3.27 · −0.12 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

56 citations on file
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Feb 4, 2026 · Isolated — no actual harm with potential for more
F-0628
D
Provide the required documentation or notification related to the reside…
Minimal Harm

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

Survey date: Feb 4, 2026 · Isolated — no actual harm with potential for more
F-0882
F
Designate a qualified infection preventionist to be responsible for the …
Potential Harm

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Survey date: Nov 26, 2025 · Widespread — no actual harm with potential for more
F-0689
D
Ensure that a nursing home area is free from accident hazards and provid…
Minimal Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Sep 16, 2025 · 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-0032
E
Provide primary/alternate means for communication
Potential Harm

Provide primary/alternate means for communication.

Survey date: Jun 13, 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 13, 2025 · Pattern — no actual harm with potential for more
F-0511
E
Have properly installed electrical wiring and gas equipment
Potential Harm

Have properly installed electrical wiring and gas equipment.

Survey date: Jun 13, 2025 · Pattern — no actual harm with potential for more
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Jun 13, 2025 · 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
Avir at Comfort
21.7 km · COMFORT, TX
★★★★★
CMS
42th
Risk %ile
Similar risk
Avir at Kerrville
1.7 km · Kerrville, TX
CMS
49th
Risk %ile
Similar risk
HILLTOP VILLAGE NURSING AND REHABILITATION
7.4 km · KERRVILLE, TX
★★★
CMS
56th
Risk %ile
Similar risk