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

ChronicityLow

17th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropLow

5th national percentile — 7.9%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendModerate

38th national percentile — 1/5 measures worsened

Staffing gapElevated

Reported 4.65 vs expected 5.13 · −0.49 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

12 citations on file
F-0687
E
Provide appropriate foot care
Potential Harm

Provide appropriate foot care.

Survey date: Jul 15, 2025 · Pattern — no actual harm with potential for more
F-0880
D
Provide and implement an infection prevention and control program
Minimal Harm

Provide and implement an infection prevention and control program.

Survey date: Jul 15, 2025 · Isolated — no actual harm with potential for more
F-0759
D
Ensure medication error rates are not 5 percent or greater
Minimal Harm

Ensure medication error rates are not 5 percent or greater.

Survey date: Dec 18, 2024 · Isolated — no actual harm with potential for more
F-0638
D
Assure that each resident’s assessment is updated at least once every 3 …
Minimal Harm

Assure that each resident’s assessment is updated at least once every 3 months.

Survey date: Dec 18, 2024 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

8 citations on file
F-0039
F
Conduct testing and exercise requirements
Potential Harm

Conduct testing and exercise requirements.

Survey date: Dec 18, 2024 · Widespread — no actual harm with potential for more
F-0353
F
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Dec 18, 2024 · Widespread — 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: Dec 18, 2024 · Pattern — no actual harm with potential for more
F-0374
F
Install smoke barrier doors that can resist smoke for at least 20 minute…
Potential Harm

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Survey date: Dec 18, 2024 · Widespread — 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
7.4 km · Dallas, TX
★★★
CMS
19th
Risk %ile
Lower risk