7Risk Axes

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

How we calculate
SeverityElevated

81th national percentile — 10.0% high-severity citations

ChronicityElevated

75th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

3 citations

Weekend staffing dropWatch

53th national percentile — 15.9%

Contract staff shareElevated

85th national percentile — 11.8%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.24 vs expected 3.22 · +0.02 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

10 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: Mar 26, 2026 · Isolated — no actual harm with potential for more
F-0755
D
Provide pharmaceutical services to meet the needs of each resident and e…
Minimal Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey date: Mar 26, 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 26, 2026 · Isolated — no actual harm with potential for more
F-0636
D
Assess the resident completely in a timely manner when first admitted, …
Minimal Harm

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey date: Jan 15, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

3 citations on file
F-0345
F
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: Mar 26, 2026 · Widespread — no actual harm with potential for more
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Jan 15, 2025 · Isolated — 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: Nov 17, 2023 · 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
HCA HOUSTON HEALTHCARE SOUTHEAST
22.4 km · PASADENA, TX
NR
CMS
25th
Risk %ile
Lower risk
EAST VIEW HEALTHCARE
18.4 km · HOUSTON, TX
★★★★★
CMS
36th
Risk %ile
Lower risk
FOCUSED CARE AT BURNET BAY
1.5 km · BAYTOWN, TX
★★★
CMS
42th
Risk %ile
Similar risk