7Risk Axes

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

How we calculate
SeverityElevated

71th national percentile — 6.9% high-severity citations

ChronicityElevated

90th national percentile — 11 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

12 citations

Weekend staffing dropWatch

58th national percentile — 16.4%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapAligned

Reported 2.77 vs expected 2.74 · +0.03 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

29 citations on file
F-0919
E
Make sure that a working call system is available in each resident's ba…
Potential Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey date: Jan 2, 2026 · Pattern — no actual harm with potential for more
F-0628
D
Provide the required documentation or notification related to the reside…
Minimal Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey date: Jul 3, 2025 · Isolated — no actual harm with potential for more
F-0644
D
Coordinate assessments with the pre-admission screening and resident rev…
Minimal Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey date: Jul 3, 2025 · Isolated — no actual harm with potential for more
F-0677
D
Provide care and assistance to perform activities of daily living for an…
Minimal Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey date: Jul 3, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

12 citations on file
F-0004
F
Develop and maintain an Emergency Preparedness Program (EP)
Potential Harm

Develop and maintain an Emergency Preparedness Program (EP).

Survey date: Jul 3, 2025 · Widespread — no actual harm with potential for more
F-0020
F
Establish policies and procedures including evacuation
Potential Harm

Establish policies and procedures including evacuation.

Survey date: Jul 3, 2025 · Widespread — no actual harm with potential for more
F-0037
F
Establish staff and initial training requirements
Potential Harm

Establish staff and initial training requirements.

Survey date: Jul 3, 2025 · Widespread — no actual harm with potential for more
F-0211
E
Keep aisles, corridors, and exits free of obstruction in case of emergen…
Potential Harm

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Survey date: Jul 3, 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
Southern Oaks Therapy and Living Center
22.5 km · Dallas, TX
★★★
CMS
19th
Risk %ile
Lower risk
VENTANA BY BUCKNER
17.3 km · DALLAS, TX
★★★★★
CMS
22th
Risk %ile
Lower risk
GRAPEVINE MEDICAL LODGE
14.7 km · GRAPEVINE, TX
★★★★★
CMS
30th
Risk %ile
Lower risk