7Risk Axes

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

How we calculate
SeverityElevated

93th national percentile — 17.6% high-severity citations

ChronicityLow

13th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropElevated

81th national percentile — 20.3%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapWatch

Reported 3.09 vs expected 3.29 · −0.19 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

17 citations on file
F-0732
F
Post nurse staffing information every day
Potential Harm

Post nurse staffing information every day.

Survey date: Dec 30, 2025 · Widespread — no actual harm with potential for more
F-0697
K
Provide safe, appropriate pain management for a resident who requires su…
Actual Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey date: Aug 1, 2025 · Pattern — immediate jeopardy
F-0684
K
Provide appropriate treatment and care according to orders, resident’s p…
Actual Harm

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

Survey date: Aug 1, 2025 · Pattern — immediate jeopardy
F-0580
D
Immediately tell the resident, the resident's doctor, and a family membe…
Minimal Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey date: Nov 4, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Aug 15, 2024 · Pattern — 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: Aug 15, 2024 · Widespread — no actual harm
F-0222
E
Add doors in an exit area that do not require the use of a key from the …
Potential Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Jun 16, 2023 · Pattern — no actual harm with potential for more
F-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential Harm↻ Repeat

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: Jun 16, 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
LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR
21.2 km · NEW BRAUNFELS, TX
★★★
CMS
32th
Risk %ile
Lower risk