7Risk Axes

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

How we calculate
SeverityLow

22th national percentile — 0.0% high-severity citations

ChronicityModerate

46th national percentile — 5 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

7 citations

Weekend staffing dropWatch

51th national percentile — 15.6%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapModerate

Reported 3.11 vs expected 3.19 · −0.08 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

25 citations on file
F-0584
E
Honor the resident's right to a safe, clean, comfortable and homelike en…
Potential Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey date: Dec 15, 2025 · Pattern — no actual harm with potential for more
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: Jun 18, 2025 · Isolated — no actual harm with potential for more
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: Jun 18, 2025 · Isolated — no actual harm with potential for more
F-0694
D
Provide for the safe, appropriate administration of IV fluids for a resi…
Minimal Harm

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Survey date: Feb 20, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

7 citations on file
F-0211
E
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Potential Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Feb 20, 2025 · Pattern — no actual harm with potential for more
F-0293
F
Have properly located and lighted "Exit" signs
Potential Harm

Have properly located and lighted "Exit" signs.

Survey date: Jan 25, 2024 · Widespread — no actual harm with potential for more
F-0521
F
Ensure heating and ventilation systems that have been properly installed…
Potential Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Jan 25, 2024 · Widespread — no actual harm with potential for more
F-0761
F
To conduct inspection, testing and maintenance of fire doors by qualifie…
Potential Harm

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Survey date: Jan 25, 2024 · 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
NORTH PARK HEALTH AND REHABILITATION CENTER
19.6 km · MCKINNEY, TX
★★★
CMS
32th
Risk %ile
Lower risk