Houston, TX

Richard A. Anderson (State Of Texas Veterans Land

5-star overall rating with 4-star inspections with $14,730 in total fines with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

14041 Cottingham Road, Houston, TX

(346) 293-9600

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

117

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

Texvet

Operator or chain grouping

Approved since

2019-11-05

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

9 facilities

Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.61

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.68

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.83

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

4.12

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.29

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

3.62

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.57

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.73

CMS adjusted RN staffing hours

Adjusted total hours

4.91

CMS adjusted total nurse staffing hours

Case-mix index

1.15

Higher values indicate more complex resident acuity

RN turnover

36%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

34%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

562

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

67.47

Composite VBP score used to determine payment impact.

Payment multiplier

1.0210

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

6.33

Performance 37.81% · Measure score 6.33 · Achievement 6.33 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

7.17

Baseline 5.44 hours · Performance 5.12 hours · Measure score 7.17 · Achievement 7.17 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 2 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 2 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 2 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	9.74%	8.2% 1.5 pts better	Numerator 15 · Denominator 154
Staff flu vaccination coverage	32.14%	42% 9.9 pts worse	Numerator 54 · Denominator 168
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.6	2.1 1.5 pts better	1.9 1.3 pts better	Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.6 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.5	2.1 1.6 pts better	1.8 1.3 pts better	Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.5 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.5%	97.1% 1.4 pts better	93.4% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 96.5% · Q2 99.2% · Q3 99.1% · Q4 99.2% · 4Q avg 98.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.0%	3.3% 0.3 pts better	3.3% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.7% · Q3 3.4% · Q4 5.1% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	2.7% 2.7 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	5.7%	3.3% 2.4 pts worse	5.4% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 7.3% · Q3 6.5% · Q4 8.0% · 4Q avg 5.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.1%	18.9% 3.8 pts better	19.6% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 13.8% · Q3 16.8% · Q4 14.2% · 4Q avg 15.1%
Percentage of long-stay residents who received an antipsychotic medication	5.1%	10.8% 5.7 pts better	16.7% 11.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 2.3% · Q3 4.5% · Q4 9.1% · 4Q avg 5.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	15.6%	15.4% 0.2 pts worse	16.3% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 17.7% · Q3 25.2% · Q4 5.1% · 4Q avg 15.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	16.3%	16.1% 0.2 pts worse	14.9% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 18.2% · Q3 20.4% · Q4 12.7% · 4Q avg 16.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.5% 0.5 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.8% 0.8 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	20.4%	15.0% 5.4 pts worse	19.8% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.6% · Q2 17.5% · Q3 21.2% · Q4 15.6% · 4Q avg 20.4%
Percentage of long-stay residents with pressure ulcers	1.6%	4.2% 2.6 pts better	5.1% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.7% · Q3 1.6% · Q4 2.4% · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	91.5%	89.7% 1.8 pts better	81.7% 9.8 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 91.5%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-11 · Fire 2025-09-11

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-08-22 · Fire 2024-08-22

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-06-23 · Fire 2023-06-23

10 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-09-11

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-09-16

E · Potential for more than minimal harm 2025-09-11

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-09-26

E · Potential for more than minimal harm 2025-09-11

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-09-18

E · Potential for more than minimal harm 2024-08-22

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-09-27

E · Potential for more than minimal harm 2024-08-22

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-09-27

D · Potential for more than minimal harm 2024-08-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-27

E · Potential for more than minimal harm 2023-06-23

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-07-31

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-09-11

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-10-20

D · Potential for more than minimal harm 2025-09-11

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-10-20

D · Potential for more than minimal harm 2024-08-22

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-09-13

K · Immediate jeopardy 2024-06-23

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-07-19

E · Potential for more than minimal harm 2024-06-23

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-07-19

D · Potential for more than minimal harm 2023-08-22

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-09-22

E · Potential for more than minimal harm 2023-06-23

F690 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-07

E · Potential for more than minimal harm 2023-06-23

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-08-07

E · Potential for more than minimal harm 2023-06-23

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 2023-08-07

E · Potential for more than minimal harm 2023-06-23