7Risk Axes

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

How we calculate
SeverityElevated

81th national percentile — 10.0% high-severity citations

ChronicityLow

6th national percentile — 0 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropModerate

34th national percentile — 13.5%

Contract staff shareElevated

81th national percentile — 9.6%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapWatch

Reported 4.02 vs expected 4.21 · −0.20 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

10 citations on file
F-0603
D
Protect each resident from separation (from other residents, his/her roo…
Minimal Harm

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Survey date: Mar 26, 2026 · Isolated — no actual harm with potential for more
F-0607
D
Develop and implement policies and procedures to prevent abuse, neglect,…
Minimal Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey date: Mar 26, 2026 · 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: Mar 26, 2026 · Isolated — no actual harm with potential for more
F-0760
E
Ensure that residents are free from significant medication errors
Potential Harm

Ensure that residents are free from significant medication errors.

Survey date: Aug 20, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0511
E
Have properly installed electrical wiring and gas equipment
Potential Harm

Have properly installed electrical wiring and gas equipment.

Survey date: Aug 20, 2025 · Pattern — no actual harm with potential for more
F-0923
E
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Aug 20, 2025 · Pattern — no actual harm with potential for more
F-0324
E
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Jun 27, 2024 · Pattern — no actual harm with potential for more
F-0355
E
Properly select, install, inspect, or maintain portable fire extinguishe…
Potential Harm

Properly select, install, inspect, or maintain portable fire extinguishes.

Survey date: Jun 27, 2024 · 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
HCA HOUSTON HEALTHCARE SOUTHEAST
19.5 km · PASADENA, TX
NR
CMS
25th
Risk %ile
Lower risk
EAST VIEW HEALTHCARE
13.6 km · HOUSTON, TX
★★★★★
CMS
36th
Risk %ile
Lower risk
FOCUSED CARE AT BURNET BAY
6.2 km · BAYTOWN, TX
★★★
CMS
42th
Risk %ile
Similar risk