7Risk Axes

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

How we calculate
SeverityElevated

72th national percentile — 7.1% high-severity citations

ChronicityWatch

51th national percentile — 3 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

7 citations

Weekend staffing dropLow

29th national percentile — 12.9%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapWatch

Reported 4.42 vs expected 4.56 · −0.15 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

14 citations on file
F-0640
D
Encode each resident’s assessment data and transmit these data to the St…
Minimal Harm

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

Survey date: Oct 30, 2024 · 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: Oct 30, 2024 · Isolated — no actual harm with potential for more
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: Oct 30, 2024 · Isolated — no actual harm with potential for more
F-0661
D
Ensure necessary information is communicated to the resident, and receiv…
Minimal Harm

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Survey date: Oct 30, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

7 citations on file
F-0363
D
Install corridor and hallway doors that block smoke
Minimal Harm

Install corridor and hallway doors that block smoke.

Survey date: Oct 30, 2024 · Isolated — 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: Oct 30, 2024 · Widespread — no actual harm with potential for more
F-0923
F
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Oct 30, 2024 · Widespread — no actual harm with potential for more
F-0324
E
Provide properly protected cooking facilities
Potential Harm

Provide properly protected cooking facilities.

Survey date: Sep 14, 2023 · 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 Lakes at Texas City
23.6 km · Texas City, TX
★★
CMS
38th
Risk %ile
Lower risk
THE SHOAL
22.1 km · TEXAS CITY, TX
★★★
CMS
46th
Risk %ile
Similar risk
SOLIDAGO HEALTH AND REHABILITATION
18.6 km · TEXAS CITY, TX
★★★★★
CMS
47th
Risk %ile
Similar risk