7Risk Axes

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

How we calculate
SeverityElevated

70th national percentile — 6.8% high-severity citations

ChronicityElevated

93th national percentile — 18 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

19 citations

Weekend staffing dropElevated

74th national percentile — 18.8%

Contract staff shareWatch

59th national percentile — 2.1%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.19 vs expected 2.85 · +0.34 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

44 citations on file
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: Aug 15, 2025 · Isolated — no actual harm with potential for more
F-0584
D
Honor the resident's right to a safe, clean, comfortable and homelike en…
Minimal Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey date: Aug 15, 2025 · Isolated — no actual harm with potential for more
F-0640
B
Encode each resident’s assessment data and transmit these data to the St…
No Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey date: Aug 15, 2025 · Pattern — no actual harm
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Aug 15, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

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

Conduct testing and exercise requirements.

Survey date: Aug 15, 2025 · Widespread — no actual harm with potential for more
F-0293
F
Have properly located and lighted "Exit" signs
Potential Harm

Have properly located and lighted "Exit" signs.

Survey date: Aug 15, 2025 · Widespread — no actual harm with potential for more
F-0345
F
Have approved installation, maintenance and testing program for fire ala…
Potential Harm

Have approved installation, maintenance and testing program for fire alarm systems.

Survey date: Aug 15, 2025 · Widespread — no actual harm with potential for more
F-0372
F
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 15, 2025 · Widespread — 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
MORNINGSIDE MANOR
4.9 km · SAN ANTONIO, TX
★★★
CMS
25th
Risk %ile
Lower risk
SAN JOSE NURSING CENTER
19.1 km · SAN ANTONIO, TX
★★★
CMS
27th
Risk %ile
Lower risk
INSPIRATION HILLS REHABILITATION CENTER
5.4 km · SAN ANTONIO, TX
★★★
CMS
35th
Risk %ile
Lower risk