7Risk Axes

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

How we calculate
SeverityWatch

67th national percentile — 6.1% high-severity citations

ChronicityElevated

88th national percentile — 12 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

9 citations

Weekend staffing dropWatch

65th national percentile — 17.5%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapAligned

Reported 2.82 vs expected 2.47 · +0.35 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

33 citations on file
F-0641
D
Ensure each resident receives an accurate assessment
Minimal Harm

Ensure each resident receives an accurate assessment.

Survey date: Jul 31, 2025 · Isolated — no actual harm with potential for more
F-0657
D
Develop the complete care plan within 7 days of the comprehensive assess…
Minimal Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey date: Jul 31, 2025 · Isolated — no actual harm with potential for more
F-0690
D
Provide appropriate care for residents who are continent or incontinent …
Minimal Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey date: Jul 31, 2025 · Isolated — no actual harm with potential for more
F-0755
D
Provide pharmaceutical services to meet the needs of each resident and e…
Minimal Harm

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

Survey date: Jul 31, 2025 · Isolated — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

9 citations on file
F-0353
E
Inspect, test, and maintain automatic sprinkler systems
Potential Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: Jul 31, 2025 · Pattern — no actual harm with potential for more
F-0355
E
Properly select, install, inspect, or maintain portable fire extinguishe…
Potential Harm

Properly select, install, inspect, or maintain portable fire extinguishes.

Survey date: Jul 31, 2025 · Pattern — no actual harm with potential for more
F-0521
C
Ensure heating and ventilation systems that have been properly installed…
Minimal Harm

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Survey date: Jul 31, 2025 · Widespread — no actual harm
F-0923
E
Have proper medical gas storage and administration areas
Potential Harm

Have proper medical gas storage and administration areas.

Survey date: Jul 31, 2025 · 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
LEGEND OAKS HEALTHCARE AND REHABILITATION - NEW BR
20.9 km · NEW BRAUNFELS, TX
★★★
CMS
32th
Risk %ile
Lower risk
Avir at Walnut Springs
2.5 km · SEGUIN, TX
★★★★★
CMS
44th
Risk %ile
Similar risk