7Risk Axes

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

How we calculate
SeverityElevated

89th national percentile — 14.3% high-severity citations

ChronicityModerate

30th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

7 citations

Weekend staffing dropModerate

38th national percentile — 14.0%

Contract staff shareElevated

94th national percentile — 22.2%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapAligned

Reported 5.02 vs expected 4.60 · +0.42 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

7 citations on file
F-0755
E
Provide pharmaceutical services to meet the needs of each resident and e…
Potential Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey date: Aug 22, 2025 · Pattern — 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: Aug 22, 2025 · Pattern — no actual harm with potential for more
F-0842
D
Safeguard resident-identifiable information and/or maintain medical reco…
Minimal Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey date: Aug 22, 2025 · Isolated — no actual harm with potential for more
F-0689
J
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey date: Jan 29, 2025 · Isolated — immediate jeopardy

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

7 citations on file
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: Aug 22, 2025 · Pattern — no actual harm with potential for more
F-0351
F
Install an approved automatic sprinkler system
Potential Harm

Install an approved automatic sprinkler system.

Survey date: Jul 25, 2024 · Widespread — no actual harm with potential for more
F-0352
F
Properly install and monitor supervisory attachments on automatic sprink…
Potential Harm

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Survey date: Jul 25, 2024 · Widespread — no actual harm with potential for more
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Jul 25, 2024 · Isolated — 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 METHODIST HOSPITAL SNF
17.2 km · HOUSTON, TX
★★★★★
CMS
16th
Risk %ile
Lower risk
HCA HOUSTON HEALTHCARE SOUTHEAST
22.2 km · PASADENA, TX
NR
CMS
25th
Risk %ile
Lower risk
BAYOU MANOR
15.9 km · HOUSTON, TX
★★★★★
CMS
27th
Risk %ile
Lower risk