7Risk Axes

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

How we calculate
SeverityWatch

64th national percentile — 5.4% high-severity citations

ChronicityElevated

80th national percentile — 12 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

12 citations

Weekend staffing dropWatch

62th national percentile — 17.0%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 3.51 vs expected 3.18 · +0.33 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

37 citations on file
F-0585
D
Honor the resident's right to voice grievances without discrimination or…
Minimal Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey date: Apr 11, 2026 · Isolated — no actual harm with potential for more
F-0842
E
Safeguard resident-identifiable information and/or maintain medical reco…
Potential Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: Apr 11, 2026 · Pattern — no actual harm with potential for more
F-0607
E
Develop and implement policies and procedures to prevent abuse, neglect,…
Potential Harm

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

Survey date: Apr 11, 2026 · Pattern — no actual harm with potential for more
F-0627
G
Ensure the transfer/discharge meets the resident's needs/preferences and…
Actual Harm

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

Survey date: Apr 11, 2026 · Isolated — actual harm

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

12 citations on file
F-0039
F
Conduct testing and exercise requirements
Potential Harm

Conduct testing and exercise requirements.

Survey date: Aug 22, 2025 · Widespread — no actual harm with potential for more
F-0041
F
Implement emergency and standby power systems
Potential Harm

Implement emergency and standby power systems.

Survey date: Aug 22, 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 22, 2025 · Widespread — no actual harm with potential for more
F-0372
E
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: Aug 22, 2025 · 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
WHITE ACRES WELLNESS & REHABILITATION
1.0 km · EL PASO, TX
★★
CMS
26th
Risk %ile
Lower risk
MOUNTAIN VILLA NURSING CENTER
11.2 km · EL PASO, TX
★★★★
CMS
43th
Risk %ile
Similar risk