7Risk Axes

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

How we calculate
SeverityElevated

93th national percentile — 17.2% high-severity citations

ChronicityElevated

84th national percentile — 10 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

22 citations

Weekend staffing dropLow

3th national percentile — 6.5%

Contract staff shareElevated

92th national percentile — 19.7%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapAligned

Reported 3.00 vs expected 2.87 · +0.12 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

29 citations on file
F-0605
D
Prevent the use of unnecessary psychotropic medications or use medicatio…
Minimal Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey date: Sep 6, 2025 · Isolated — no actual harm with potential for more
F-0637
D
Assess the resident when there is a significant change in condition
Minimal Harm

Assess the resident when there is a significant change in condition

Survey date: Sep 6, 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: Sep 6, 2025 · Isolated — no actual harm with potential for more
F-0756
D
Ensure a licensed pharmacist perform a monthly drug regimen review, incl…
Minimal Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey date: Sep 6, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

22 citations on file
F-0321
D
Ensure that special areas are constructed so that walls can resist fire …
Minimal 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: Sep 6, 2025 · Isolated — 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: Sep 6, 2025 · Pattern — 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: Jun 27, 2024 · Pattern — no actual harm with potential for more
F-0222
E
Add doors in an exit area that do not require the use of a key from the …
Potential Harm

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Survey date: Jun 27, 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
WHITNEY NURSING AND REHABILITATION CENTER
22.3 km · WHITNEY, TX
CMS
47th
Risk %ile
Similar risk
Avir at Itasca
16.9 km · ITASCA, TX
★★★★
CMS
51th
Risk %ile
Similar risk
Avir at Hillsboro
750 m · HILLSBORO, TX
★★
CMS
56th
Risk %ile
Similar risk