7Risk Axes

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

How we calculate
SeverityModerate

45th national percentile — 1.6% high-severity citations

ChronicityElevated

82th national percentile — 21 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

10 citations

Weekend staffing dropModerate

32th national percentile — 13.3%

Contract staff shareElevated

88th national percentile — 14.6%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 3.26 vs expected 3.84 · −0.58 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

63 citations on file
F-0555
D
Honor the resident's right to choose his or her attending physician
Minimal Harm

Honor the resident's right to choose his or her attending physician.

Survey date: Apr 6, 2026 · Isolated — no actual harm with potential for more
F-0692
D
Provide enough food/fluids to maintain a resident's health
Minimal Harm

Provide enough food/fluids to maintain a resident's health.

Survey date: Apr 6, 2026 · Isolated — no actual harm with potential for more
F-0559
D
Honor the resident's right to share a room with spouse or roommate of ch…
Minimal Harm

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Survey date: Apr 6, 2026 · Isolated — no actual harm with potential for more
F-0627
D
Ensure the transfer/discharge meets the resident's needs/preferences and…
Minimal Harm

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Survey date: Aug 6, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

10 citations on file
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Dec 12, 2024 · Widespread — no actual harm with potential for more
F-0761
E
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: Dec 12, 2024 · Pattern — no actual harm with potential for more
F-0351
F
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: Feb 9, 2024 · Widespread — no actual harm with potential for more
F-0372
F
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: Feb 9, 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
Sunset Villa Healthcare
7.2 km · Roswell, NM
★★★
CMS
46th
Risk %ile
Similar risk