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

ChronicityWatch

53th national percentile — 2 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

5 citations

Weekend staffing dropModerate

31th national percentile — 13.1%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 4.10 vs expected 4.69 · −0.58 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

9 citations on file
F-0656
E
Develop and implement a complete care plan that meets all the resident's…
Potential 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: Aug 30, 2024 · Pattern — 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: Aug 30, 2024 · Pattern — no actual harm with potential for more
F-0812
F
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Aug 30, 2024 · Widespread — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: Feb 8, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

5 citations on file
F-0712
F
Have simulated fire drills held at unexpected times
Potential Harm

Have simulated fire drills held at unexpected times.

Survey date: Dec 5, 2025 · Widespread — no actual harm with potential for more
F-0006
F
Conduct risk assessment and an All-Hazards approach
Potential Harm

Conduct risk assessment and an All-Hazards approach.

Survey date: Aug 30, 2024 · Widespread — no actual harm with potential for more
F-0039
F
Conduct testing and exercise requirements
Potential Harm

Conduct testing and exercise requirements.

Survey date: Aug 30, 2024 · Widespread — no actual harm with potential for more
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Aug 30, 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
ROLLING MEADOWS
3.7 km · WICHITA FALLS, TX
NR
CMS
8th
Risk %ile
Lower risk
Advanced Rehabilitation and Healthcare of Wichita
6.6 km · Wichita Falls, TX
★★★★
CMS
33th
Risk %ile
Lower risk