7Risk Axes

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

How we calculate
SeverityWatch

65th national percentile — 5.6% high-severity citations

ChronicityWatch

61th national percentile — 9 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

6 citations

Weekend staffing dropWatch

63th national percentile — 17.2%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapWatch

Reported 3.04 vs expected 3.22 · −0.18 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

36 citations on file
F-0760
K
Ensure that residents are free from significant medication errors
Actual Harm

Ensure that residents are free from significant medication errors.

Survey date: Apr 17, 2026 · Pattern — immediate jeopardy
F-0677
D
Provide care and assistance to perform activities of daily living for an…
Minimal Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey date: Mar 5, 2026 · Isolated — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: Mar 5, 2026 · Isolated — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm↻ Repeat

Provide and implement an infection prevention and control program.

Survey date: Nov 24, 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-0345
D
Have approved installation, maintenance and testing program for fire ala…
Minimal Harm

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

Survey date: Aug 14, 2025 · Isolated — 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: Aug 14, 2025 · Isolated — no actual harm with potential for more
F-0374
D
Install smoke barrier doors that can resist smoke for at least 20 minute…
Minimal Harm

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Survey date: Aug 14, 2025 · Isolated — no actual harm with potential for more
F-0916
F
Have a battery powered remote alarm panel in a location accessible by op…
Potential Harm

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Survey date: Aug 14, 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
SULPHUR SPRINGS HEALTH AND REHABILITATION
3.9 km · SULPHUR SPRINGS, TX
★★★
CMS
48th
Risk %ile
Similar risk
CARRIAGE HOUSE MANOR
3.3 km · SULPHUR SPRINGS, TX
★★★★
CMS
52th
Risk %ile
Similar risk