7Risk Axes

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

How we calculate
SeverityElevated

96th national percentile — 22.2% high-severity citations

ChronicityWatch

53th national percentile — 8 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

12 citations

Weekend staffing dropLow

16th national percentile — 10.8%

Contract staff shareElevated

80th national percentile — 8.8%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapElevated

Reported 3.37 vs expected 4.11 · −0.74 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

36 citations on file
F-0814
C
Dispose of garbage and refuse properly
Minimal Harm

Dispose of garbage and refuse properly.

Survey date: Mar 7, 2025 · Widespread — no actual harm
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: Mar 7, 2025 · Isolated — no actual harm with potential for more
F-0657
E
Develop the complete care plan within 7 days of the comprehensive assess…
Potential Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: Mar 7, 2025 · Pattern — no actual harm with potential for more
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

12 citations on file
F-0351
E
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: Mar 7, 2025 · Pattern — no actual harm with potential for more
F-0352
F
Properly install and monitor supervisory attachments on automatic sprink…
Potential Harm

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Survey date: Mar 7, 2025 · Widespread — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Mar 7, 2025 · Widespread — 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: Mar 7, 2025 · Pattern — 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
KENDALL HOUSE WELLNESS & REHABILITATION
2.2 km · BOERNE, TX
★★★
CMS
43th
Risk %ile
Similar risk
Town and Country Nursing and Rehabilitation Center
2.0 km · Boerne, TX
★★★
CMS
51th
Risk %ile
Similar risk