7Risk Axes

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

How we calculate
SeverityElevated

99th national percentile — 33.3% high-severity citations

ChronicityLow

28th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropModerate

41th national percentile — 14.4%

Contract staff shareWatch

59th national percentile — 2.1%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 3.70 vs expected 3.41 · +0.29 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

15 citations on file
F-0686
G
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Apr 17, 2026 · Isolated — actual harm
F-0803
E
Ensure menus must meet the nutritional needs of residents, be prepared i…
Potential Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey date: Aug 14, 2025 · Pattern — no actual harm with potential for more
F-0812
E
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Aug 14, 2025 · Pattern — no actual harm with potential for more
F-0655
J
Create and put into place a plan for meeting the resident's most immedia…
Actual Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey date: Apr 18, 2025 · Isolated — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

4 citations on file
F-0223
F
Provide exit doors that are held open by devices that will automatically…
Potential Harm

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Survey date: Aug 14, 2025 · Widespread — no actual harm with potential for more
F-0351
E
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: Jul 11, 2024 · Pattern — no actual harm with potential for more
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Jun 2, 2023 · Widespread — no actual harm with potential for more
F-0006
F
Conduct risk assessment and an All-Hazards approach
Potential Harm

Conduct risk assessment and an All-Hazards approach.

Survey date: Jun 2, 2023 · 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
CREEKSIDE TERRACE REHABILITATION
23.5 km · BELTON, TX
★★★★★
CMS
31th
Risk %ile
Lower risk