7Risk Axes

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

How we calculate
SeverityModerate

45th national percentile — 1.4% high-severity citations

ChronicityElevated

99th national percentile — 39 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

19 citations

Weekend staffing dropWatch

64th national percentile — 17.3%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapWatch

Reported 3.40 vs expected 3.57 · −0.17 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

73 citations on file
F-0583
D
Keep residents' personal and medical records private and confidential
Minimal Harm

Keep residents' personal and medical records private and confidential.

Survey date: Apr 30, 2026 · Isolated — no actual harm with potential for more
F-0727
F
Have a registered nurse on duty 8 hours a day; and select a registered …
Potential Harm

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Survey date: Apr 30, 2026 · Widespread — no actual harm with potential for more
F-0558
D
Reasonably accommodate the needs and preferences of each resident
Minimal Harm

Reasonably accommodate the needs and preferences of each resident.

Survey date: Feb 11, 2026 · Isolated — no actual harm with potential for more
F-0607
D
Develop and implement policies and procedures to prevent abuse, neglect,…
Minimal Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey date: Feb 11, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

19 citations on file
F-0041
F
Implement emergency and standby power systems
Potential Harm

Implement emergency and standby power systems.

Survey date: Feb 11, 2026 · Widespread — no actual harm with potential for more
F-0918
F
Have generator or other power source capable of supplying service within…
Potential Harm

Have generator or other power source capable of supplying service within 10 seconds.

Survey date: Feb 11, 2026 · 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: Feb 11, 2026 · Pattern — no actual harm with potential for more
F-0372
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Potential Harm↻ Repeat

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Survey date: Nov 21, 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
WHITE ACRES WELLNESS & REHABILITATION
23.8 km · EL PASO, TX
★★
CMS
26th
Risk %ile
Lower risk
St. Giles Nursing and Rehabilitation Center
8.7 km · El Paso, TX
★★
CMS
41th
Risk %ile
Similar risk
OASIS NURSING & REHABILITATION CENTER
6.0 km · EL PASO, TX
★★★★
CMS
42th
Risk %ile
Similar risk