7Risk Axes

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

How we calculate
SeverityElevated

96th national percentile — 23.1% high-severity citations

ChronicityWatch

56th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

16 citations

Weekend staffing dropWatch

58th national percentile — 16.5%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 3.98 vs expected 3.40 · +0.58 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

13 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: May 30, 2024 · Isolated — no actual harm with potential for more
F-0602
E
Protect each resident from the wrongful use of the resident's belongings…
Potential Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey date: Mar 20, 2024 · Pattern — no actual harm with potential for more
F-0610
E
Respond appropriately to all alleged violations
Potential Harm

Respond appropriately to all alleged violations.

Survey date: Mar 20, 2024 · Pattern — no actual harm with potential for more
F-0684
D
Provide appropriate treatment and care according to orders, resident’s p…
Minimal Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Mar 20, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

16 citations on file
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Jul 9, 2025 · Widespread — no actual harm with potential for more
F-0025
F
Create arrangements with other facilities to receive patients
Potential Harm

Create arrangements with other facilities to receive patients.

Survey date: Jul 9, 2025 · Widespread — no actual harm with potential for more
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Jul 9, 2025 · Isolated — no actual harm with potential for more
F-0511
D
Have properly installed electrical wiring and gas equipment
Minimal Harm

Have properly installed electrical wiring and gas equipment.

Survey date: Jul 9, 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
THE HEIGHTS OF MAGNOLIA
20.6 km · MAGNOLIA, TX
NR
CMS
8th
Risk %ile
Lower risk
THE VILLAGE AT GLEANNLOCH FARMS
20.1 km · SPRING, TX
★★★★★
CMS
34th
Risk %ile
Lower risk
PARK MANOR OF THE WOODLANDS
8.1 km · THE WOODLANDS, TX
★★★★★
CMS
35th
Risk %ile
Lower risk