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

30th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

12 citations

Weekend staffing dropElevated

92th national percentile — 23.3%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapElevated

Reported 2.84 vs expected 3.33 · −0.49 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

14 citations on file
F-0690
D
Provide appropriate care for residents who are continent or incontinent …
Minimal Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey date: Sep 5, 2025 · Isolated — no actual harm with potential for more
F-0801
D
Employ sufficient staff with the appropriate competencies and skills set…
Minimal Harm

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Survey date: Sep 5, 2025 · Isolated — no actual harm with potential for more
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Sep 5, 2025 · Pattern — no actual harm with potential for more
F-0921
D
Make sure that the nursing home area is safe, easy to use, clean and com…
Minimal Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey date: Sep 5, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

12 citations on file
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Sep 5, 2025 · Widespread — no actual harm with potential for more
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: Sep 5, 2025 · Pattern — no actual harm with potential for more
F-0918
D
Have generator or other power source capable of supplying service within…
Minimal Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Sep 5, 2025 · Isolated — no actual harm with potential for more
F-0324
F
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Aug 8, 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
STEVENS NURSING AND REHABILITATION CENTER OF HALLE
24.1 km · HALLETTSVILLE, TX
★★★★★
CMS
30th
Risk %ile
Lower risk
SHINER NURSING AND REHABILITATION CENTER INC
15.5 km · SHINER, TX
★★★
CMS
35th
Risk %ile
Lower risk