7Risk Axes

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

How we calculate
SeverityElevated

91th national percentile — 16.1% high-severity citations

ChronicityElevated

80th national percentile — 10 repeat citations

Staffing integrityClean

None on file

Fire safetyElevated

8 citations

Weekend staffing dropModerate

39th national percentile — 14.1%

Contract staff shareLow

17th national percentile — 0.0%

Clinical trendLow

10th national percentile — 0/5 measures worsened

Staffing gapElevated

Reported 3.19 vs expected 3.49 · −0.30 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

31 citations on file
F-0726
D
Ensure that nurses and nurse aides have the appropriate competencies to …
Minimal Harm

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Survey date: Dec 4, 2025 · Isolated — no actual harm with potential for more
F-0689
J
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: Aug 14, 2025 · Isolated — immediate jeopardy
F-0558
E
Reasonably accommodate the needs and preferences of each resident
Potential Harm

Reasonably accommodate the needs and preferences of each resident.

Survey date: May 22, 2025 · Pattern — no actual harm with potential for more
F-0677
D
Provide care and assistance to perform activities of daily living for an…
Minimal Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey date: May 22, 2025 · 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-0321
E
Ensure that special areas are constructed so that walls can resist fire …
Potential Harm

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Survey date: May 22, 2025 · Pattern — no actual harm with potential for more
F-0324
D
Provide properly protected cooking facilities
Minimal Harm

Provide properly protected cooking facilities.

Survey date: May 22, 2025 · Isolated — no actual harm with potential for more
F-0353
D
Inspect, test, and maintain automatic sprinkler systems
Minimal Harm

Inspect, test, and maintain automatic sprinkler systems.

Survey date: May 22, 2025 · Isolated — no actual harm with potential for more
F-0372
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating…
Minimal Harm

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

Survey date: May 22, 2025 · Isolated — 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
LEGACY NURSING AND REHABILITATION
782 m · CAMERON, TX
★★
CMS
43th
Risk %ile
Similar risk
HERITAGE HOUSE NURSING AND REHABILITATION
22.8 km · ROSEBUD, TX
★★★★
CMS
46th
Risk %ile
Similar risk