7Risk Axes

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

How we calculate
SeverityWatch

54th national percentile — 3.5% high-severity citations

ChronicityElevated

96th national percentile — 25 repeat citations

Staffing integrityClean

None on file

Fire safetyMinor

2 citations

Weekend staffing dropModerate

35th national percentile — 13.6%

Contract staff shareModerate

40th national percentile — 0.1%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 3.17 vs expected 2.71 · +0.46 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

57 citations on file
F-0656
D
Develop and implement a complete care plan that meets all the resident's…
Minimal Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey date: Sep 10, 2025 · Isolated — no actual harm with potential for more
F-0552
D
Ensure that residents are fully informed and understand their health sta…
Minimal Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey date: Sep 10, 2025 · Isolated — no actual harm with potential for more
F-0761
E
Ensure drugs and biologicals used in the facility are labeled in accorda…
Potential Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey date: Sep 10, 2025 · Pattern — no actual harm with potential for more
F-0578
D
Honor the resident's right to request, refuse, and/or discontinue treatm…
Minimal Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey date: Sep 10, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

2 citations on file
F-0521
C
Ensure heating and ventilation systems that have been properly installed…
Minimal Harm

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

Survey date: Aug 22, 2024 · Widespread — no actual harm
F-0521
C
Ensure heating and ventilation systems that have been properly installed…
Minimal Harm↻ Repeat

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

Survey date: Jul 14, 2023 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
SULPHUR SPRINGS HEALTH AND REHABILITATION
840 m · SULPHUR SPRINGS, TX
★★★
CMS
48th
Risk %ile
Similar risk
CARRIAGE HOUSE MANOR
389 m · SULPHUR SPRINGS, TX
★★★★
CMS
52th
Risk %ile
Similar risk
Rock Creek Health and Rehabilitation
3.1 km · Sulphur Springs, TX
CMS
55th
Risk %ile
Similar risk