7Risk Axes

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

How we calculate
SeverityElevated

92th national percentile — 16.7% high-severity citations

ChronicityLow

17th national percentile — 1 repeat citations

Staffing integrityClean

None on file

Fire safetyWatch

4 citations

Weekend staffing dropModerate

40th national percentile — 14.2%

Contract staff shareWatch

62th national percentile — 2.7%

Clinical trendElevated

91th national percentile — 3/5 measures worsened

Staffing gapWatch

Reported 3.61 vs expected 3.83 · −0.22 hr/res/day

Recent Health Violations

Health inspection citations from official Medicare records

12 citations on file
F-0567
D
Honor the resident's right to manage his or her financial affairs
Minimal Harm

Honor the resident's right to manage his or her financial affairs.

Survey date: Jan 15, 2026 · Isolated — no actual harm with potential for more
F-0644
D
Coordinate assessments with the pre-admission screening and resident rev…
Minimal Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey date: Jan 15, 2026 · Isolated — no actual harm with potential for more
F-0641
E
Ensure each resident receives an accurate assessment
Potential Harm

Ensure each resident receives an accurate assessment.

Survey date: Jun 26, 2025 · Pattern — no actual harm with potential for more
F-0812
F
Procure food from sources approved or considered satisfactory and store,…
Potential Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey date: Jun 26, 2025 · Widespread — no actual harm with potential for more

Recent Fire Safety Violations

Fire safety inspection citations from official Medicare records

4 citations on file
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: Jun 26, 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: May 23, 2024 · Widespread — no actual harm
F-0929
F
Ensure precautions for handling oxygen cylinders and equipment are corre…
Potential Harm

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Survey date: May 23, 2024 · Widespread — no actual harm with potential for more
F-0521
C
Ensure heating and ventilation systems that have been properly installed…
Minimal Harm↻ Repeat

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

Survey date: Mar 31, 2023 · Widespread — no actual harm

Better Nearby Options

Within 25 km · sorted by overall risk percentile

Full nearby list
Facility
CMS
Risk %ile
Tier
Brazos Healthcare Center
2.7 km · Lake Jackson, TX
★★★
CMS
41th
Risk %ile
Similar risk
OAK VILLAGE HEALTHCARE
5.9 km · LAKE JACKSON, TX
★★★★★
CMS
43th
Risk %ile
Similar risk
CREEKSIDE VILLAGE
2.1 km · RICHWOOD, TX
★★★★
CMS
44th
Risk %ile
Similar risk