Cycle 1
Health 2025-05-07 · Fire 2025-05-07
1 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Richmond, TX
Oak Bend Medical Center
5-star overall rating with 5-star inspections with $17,560 in total fines with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1705 Jackson St, Richmond, TX
(281) 238-7858
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
36
Certified beds
Average residents
39
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Oakbend Medical Center
Operator or chain grouping
Approved since
1988-10-06
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
5 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
0.74
Registered nurse staffing · state 0.44 · national 0.68
LPN hours / resident day
0.75
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
1.26
Nurse aide staffing · state 2.01 · national 2.35
Total nurse hours
2.75
All reported nurse hours · state 3.40 · national 3.89
Licensed hours
1.49
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
2.45
Weekend nurse staffing · state 2.99 · national 3.43
Weekend RN hours
0.71
Weekend registered nurse coverage · state 0.34 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.68
CMS adjusted RN staffing hours
Adjusted total hours
2.51
CMS adjusted total nurse staffing hours
Case-mix index
1.50
Higher values indicate more complex resident acuity
RN turnover
64%
Annual RN turnover · state 52% · national 45%
Total nurse turnover
74%
Annual nurse turnover · state 52% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,943
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.03
Composite VBP score used to determine payment impact.
Payment multiplier
0.9912
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.21
Baseline 17.69% · Performance 19.02% · Measure score 5.21 · Achievement 5.21 · Improvement 0
Healthcare-associated infections
10
Baseline 4.98% · Performance 4.53% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
0
Performance 68.42% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0
Performance 1.31 hours · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.19% |
10.72%
2.5 pts worse
|
No Different than the National Rate · Eligible stays 244 · Observed rate 14.75% · Lower 95% interval 9.37% |
| Discharge to community | 66.32% |
50.57%
15.7 pts better
|
Better than the National Rate · Eligible stays 233 · Observed rate 60.52% · Lower 95% interval 60.46% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 0% |
95.27%
95.3 pts worse
|
Numerator 0 · Denominator 113 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 113 |
| Discharge self-care score | 66.33% |
53.69%
12.6 pts better
|
Numerator 65 · Denominator 98 |
| Discharge mobility score | 52.04% |
50.94%
1.1 pts better
|
Numerator 51 · Denominator 98 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 113 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 4.53% |
7.12%
2.6 pts better
|
No Different than the National Rate · Eligible stays 149 · Observed rate 1.34% · Lower 95% interval 2.83% |
| Staff COVID-19 vaccination coverage | 66.67% |
8.2%
58.5 pts better
|
Numerator 18 · Denominator 27 |
| Staff flu vaccination coverage | 89.47% |
42%
47.5 pts better
|
Numerator 17 · Denominator 19 |
| Discharge function score | 61.22% |
56.45%
4.8 pts better
|
Numerator 60 · Denominator 98 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 0.99% |
96.28%
95.3 pts worse
|
Numerator 1 · Denominator 101 |
| Resident COVID-19 vaccinations up to date | 98.68% |
25.2%
73.5 pts better
|
Numerator 75 · Denominator 76 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 15.4% |
89.7%
74.3 pts worse
|
81.7%
66.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 4.2% · Q3 7.4% · Q4 47.9% · 4Q avg 15.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.1% |
12.0%
3.9 pts better
|
12.0%
3.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.1% · Observed 8.6% · Expected 11.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 7.2% |
1.5%
5.7 pts worse
|
1.6%
5.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 8.4% · Q3 5.6% · Q4 5.5% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.2% |
88.0%
6.2 pts better
|
79.7%
14.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.6% |
25.9%
9.3 pts better
|
23.9%
7.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.6% · Observed 18.5% · Expected 26.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-06 · Fire 2024-03-06
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2023-02-13 · Fire 2023-02-13
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-05-07
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-20
F · Potential for more than minimal harm
2025-05-07
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-05-21
E · Potential for more than minimal harm
2025-05-07
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-13
E · Potential for more than minimal harm
2024-03-06
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-03-07
E · Potential for more than minimal harm
2024-03-06
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-03-07
D · Potential for more than minimal harm
2023-02-13
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-02-14
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-05-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-26
F · Potential for more than minimal harm
2023-07-14
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-08-01
E · Potential for more than minimal harm
2023-02-13
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-02-23
D · Potential for more than minimal harm
2023-02-13
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-02-23
C · Minimal harm
2023-02-13
F851 · Administration Deficiencies
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2023-03-07
Penalties and ownership
What sits behind the stars
$3,798
2024-01-08
Fine
Fine · fine $3,798
Fine
$8,469
2023-12-18
Fine
Fine · fine $8,469
Fine
$5,293
2023-08-07
Fine
Fine · fine $5,293
Fine
Ownership
Freudenberger, Joseph
Corporate Director · Individual
Hammel, Jeffrey
Corporate Director · Individual
Hammel, Jeffrey
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Richmond Health Care Center
Richmond, TX
4-star overall rating with 4-star inspections with $78,036 in total fines with 1 recent health deficiencies
#2
Paradigm At The Brazos
Richmond, TX
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Cambridge Health And Rehabilitation Center
Richmond, TX
3-star overall rating with 2-star inspections with $68,342 in total fines with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Jump out