7Risk Axes

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

How we calculate
SeverityElevated

86th national percentile — 12.5% high-severity citations

ChronicityElevated

94th national percentile — 10 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropWatch

61th national percentile — 17.0%

Contract staff shareWatch

55th national percentile — 1.4%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapWatch

Reported 3.33 vs expected 3.44 · −0.10 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

24 citations on file
F-0697
J
Provide safe, appropriate pain management for a resident who requires su…
Actual Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey date: Mar 31, 2026 · Isolated — immediate jeopardy
F-0755
E
Provide pharmaceutical services to meet the needs of each resident and e…
Potential Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey date: Mar 31, 2026 · Pattern — 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: Mar 31, 2026 · Isolated — no actual harm with potential for more
F-0755
E
Provide pharmaceutical services to meet the needs of each resident and e…
Potential Harm↻ Repeat

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey date: Jun 27, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

9 citations on file
F-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: May 8, 2025 · Pattern — no actual harm with potential for more
F-0351
E
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: May 8, 2025 · Pattern — no actual harm with potential for more
F-0355
D
Properly select, install, inspect, or maintain portable fire extinguishe…
Minimal Harm

Properly select, install, inspect, or maintain portable fire extinguishes.

Survey date: May 8, 2025 · Isolated — no actual harm with potential for more
F-0363
E
Install corridor and hallway doors that block smoke
Potential Harm

Install corridor and hallway doors that block smoke.

Survey date: May 8, 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
PARK MANOR OF CYFAIR
18.0 km · HOUSTON, TX
★★★★★
CMS
29th
Risk %ile
Lower risk
THE VILLAGE AT GLEANNLOCH FARMS
8.5 km · SPRING, TX
★★★★★
CMS
34th
Risk %ile
Lower risk
Caraday of Houston
18.7 km · Houston, TX
★★★★★
CMS
35th
Risk %ile
Lower risk