7Risk Axes

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

How we calculate
SeverityElevated

91th national percentile — 15.4% high-severity citations

ChronicityElevated

94th national percentile — 16 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

20 citations

Weekend staffing dropModerate

35th national percentile — 13.6%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendElevated

70th national percentile — 2/5 measures worsened

Staffing gapWatch

Reported 3.59 vs expected 3.69 · −0.10 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

39 citations on file
F-0695
E
Provide safe and appropriate respiratory care for a resident when needed…
Potential Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey date: Jan 22, 2026 · Pattern — no actual harm with potential for more
F-0880
E
Provide and implement an infection prevention and control program
Potential Harm

Provide and implement an infection prevention and control program.

Survey date: Jan 22, 2026 · Pattern — no actual harm with potential for more
F-0550
D
Honor the resident's right to a dignified existence, self-determination,…
Minimal Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey date: Jan 22, 2026 · Isolated — 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: Jan 22, 2026 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

20 citations on file
F-0223
E
Provide exit doors that are held open by devices that will automatically…
Potential Harm

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Survey date: Jan 22, 2026 · Pattern — no actual harm with potential for more
F-0341
C
Install a fire alarm system that can be heard throughout the facility
Minimal Harm

Install a fire alarm system that can be heard throughout the facility.

Survey date: Jan 22, 2026 · Widespread — no actual harm
F-0347
E
Properly provide smoke detection systems in areas open to corridors
Potential Harm

Properly provide smoke detection systems in areas open to corridors.

Survey date: Jan 22, 2026 · Pattern — no actual harm with potential for more
F-0293
E
Have properly located and lighted "Exit" signs
Potential Harm

Have properly located and lighted "Exit" signs.

Survey date: Jan 22, 2026 · 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
Southern Oaks Therapy and Living Center
17.0 km · Dallas, TX
★★★
CMS
19th
Risk %ile
Lower risk
VENTANA BY BUCKNER
16.2 km · DALLAS, TX
★★★★★
CMS
22th
Risk %ile
Lower risk
Highland Meadows
21.5 km · ROCKWALL, TX
★★★★★
CMS
26th
Risk %ile
Lower risk