7Risk Axes

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

How we calculate
SeverityWatch

58th national percentile — 4.3% high-severity citations

ChronicityElevated

79th national percentile — 15 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

35 citations

Weekend staffing dropLow

3th national percentile — 7.0%

Contract staff shareElevated

77th national percentile — 7.8%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 3.10 vs expected 3.72 · −0.61 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

47 citations on file
F-0757
E
Ensure each resident’s drug regimen must be free from unnecessary drugs
Potential Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey date: Nov 18, 2025 · Pattern — no actual harm with potential for more
F-0803
F
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 · Widespread — no actual harm with potential for more
F-0604
D
Ensure that each resident is free from the use of physical restraints, u…
Minimal Harm

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Survey date: Aug 14, 2025 · Isolated — no actual harm with potential for more
F-0887
F
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 …
Potential Harm

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Survey date: Aug 14, 2025 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

35 citations on file
F-0018
F
Establish procedures for tracking staff and patients during an emergency…
Potential Harm

Establish procedures for tracking staff and patients during an emergency.

Survey date: Aug 14, 2025 · Widespread — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Aug 14, 2025 · Widespread — no actual harm with potential for more
F-0926
F
Ensure that personnel concerned with handling of medical gases and cylin…
Potential Harm

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Survey date: Aug 14, 2025 · Widespread — no actual harm with potential for more
F-0923
D
Have proper medical gas storage and administration areas
Minimal Harm

Have proper medical gas storage and administration areas.

Survey date: Aug 14, 2025 · Isolated — 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
Retirement Ranches Inc.
962 m · Clovis, NM
★★★★★
CMS
47th
Risk %ile
Similar risk