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

ChronicityWatch

52th national percentile — 5 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

17 citations

Weekend staffing dropElevated

95th national percentile — 24.7%

Contract staff shareModerate

41th national percentile — 0.2%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapModerate

Reported 2.98 vs expected 3.00 · −0.01 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

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

Ensure each resident receives an accurate assessment.

Survey date: Apr 16, 2026 · 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: Apr 16, 2026 · Isolated — no actual harm with potential for more
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Apr 27, 2025 · Pattern — no actual harm with potential for more
F-0761
D
Ensure drugs and biologicals used in the facility are labeled in accorda…
Minimal Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: Jul 12, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

17 citations on file
F-0211
D
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Minimal Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Jul 12, 2024 · Isolated — no actual harm with potential for more
F-0521
C
Ensure heating and ventilation systems that have been properly installed…
Minimal Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Jul 12, 2024 · Widespread — no actual harm
F-0923
D
Have proper medical gas storage and administration areas
Minimal Harm

Have proper medical gas storage and administration areas.

Survey date: Jul 12, 2024 · Isolated — no actual harm with potential for more
F-0341
F
Install a fire alarm system that can be heard throughout the facility
Potential Harm

Install a fire alarm system that can be heard throughout the facility.

Survey date: Jul 12, 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 COURTYARD REHABILITATION AND HEALTHCARE CENTER
381 m · VICTORIA, TX
★★★★
CMS
32th
Risk %ile
Lower risk