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

ChronicityLow

14th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

3 citations

Weekend staffing dropElevated

83th national percentile — 20.6%

Contract staff shareWatch

55th national percentile — 1.5%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapWatch

Reported 3.66 vs expected 3.85 · −0.19 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

16 citations on file
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: May 15, 2025 · Isolated — no actual harm with potential for more
F-0640
E
Encode each resident’s assessment data and transmit these data to the St…
Potential Harm

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

Survey date: May 15, 2025 · Pattern — no actual harm with potential for more
F-0761
D
Ensure drugs and biologicals used in the facility are labeled in accorda…
Minimal 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: May 15, 2025 · Isolated — no actual harm with potential for more
F-0812
E
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: May 15, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

3 citations on file
F-0324
E
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: May 15, 2025 · Pattern — no actual harm with potential for more
F-0345
E
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: Mar 21, 2024 · Pattern — no actual harm with potential for more
F-0345
E
Have approved installation, maintenance and testing program for fire ala…
Potential Harm↻ Repeat

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

Survey date: Dec 20, 2022 · 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
THE VILLAGE AT GLEANNLOCH FARMS
17.8 km · SPRING, TX
★★★★★
CMS
34th
Risk %ile
Lower risk
PARK MANOR OF THE WOODLANDS
22.7 km · THE WOODLANDS, TX
★★★★★
CMS
35th
Risk %ile
Lower risk