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

ChronicityWatch

51th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropLow

26th national percentile — 12.5%

Contract staff shareWatch

50th national percentile — 0.8%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapModerate

Reported 3.21 vs expected 3.26 · −0.04 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

14 citations on file
F-0553
E
Allow resident to participate in the development and implementation of h…
Potential Harm

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Survey date: Dec 5, 2025 · Pattern — no actual harm with potential for more
F-0621
D
Treat residents equally regarding transfer, discharge, and provision of …
Minimal Harm

Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source

Survey date: Aug 8, 2025 · Isolated — no actual harm with potential for more
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Aug 8, 2025 · Isolated — no actual harm with potential for more
F-0686
E
Provide appropriate pressure ulcer care and prevent new ulcers from deve…
Potential Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey date: Aug 8, 2025 · Pattern — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0918
D
Have generator or other power source capable of supplying service within…
Minimal Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Aug 8, 2025 · Isolated — no actual harm with potential for more
F-0929
E
Ensure precautions for handling oxygen cylinders and equipment are corre…
Potential Harm

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

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

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

Survey date: Jun 28, 2024 · Pattern — 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: Jun 28, 2024 · 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
MRC THE CROSSINGS
18.5 km · LEAGUE CITY, TX
★★★★★
CMS
21th
Risk %ile
Lower risk
HCA HOUSTON HEALTHCARE SOUTHEAST
23.9 km · PASADENA, TX
NR
CMS
25th
Risk %ile
Lower risk