7Risk Axes

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

How we calculate
SeverityElevated

86th national percentile — 12.5% high-severity citations

ChronicityElevated

70th national percentile — 9 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

3 citations

Weekend staffing dropWatch

66th national percentile — 17.6%

Contract staff shareElevated

95th national percentile — 25.7%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapElevated

Reported 3.92 vs expected 4.34 · −0.43 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

32 citations on file
F-0684
E
Provide appropriate treatment and care according to orders, resident’s p…
Potential Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey date: Apr 28, 2026 · Pattern — no actual harm with potential for more
F-0689
G
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: Feb 19, 2026 · Isolated — actual harm
F-0689
J
Ensure that a nursing home area is free from accident hazards and provid…
Actual Harm↻ Repeat

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

Survey date: Dec 22, 2025 · Isolated — immediate jeopardy
F-0658
D
Ensure services provided by the nursing facility meet professional stand…
Minimal Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey date: Sep 16, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

3 citations on file
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: May 17, 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: May 17, 2024 · Pattern — no actual harm with potential for more
F-0923
E
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Apr 6, 2023 · 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
Avir at Hillsboro
22.0 km · HILLSBORO, TX
★★
CMS
56th
Risk %ile
Similar risk
Town Hall Estates
21.7 km · Hillsboro, TX
★★
CMS
64th
Risk %ile
Similar risk