Richmond, TX

Richmond Health Care Center

4-star overall rating with 4-star inspections with $78,036 in total fines with 1 recent health deficiencies

705 Jackson St, Richmond, TX

(281) 238-8006

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Health Services Management

Operator or chain grouping

Approved since

2004-04-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

16 facilities

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

Changed ownership

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

0.36

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.90

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.41

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

3.67

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.26

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

3.01

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.22

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.38

CMS adjusted RN staffing hours

Adjusted total hours

3.94

CMS adjusted total nurse staffing hours

Case-mix index

1.27

Higher values indicate more complex resident acuity

RN turnover

100%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

72%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,041

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

Performance score

14.21

Composite VBP score used to determine payment impact.

Payment multiplier

0.9813

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

Performance 67.86% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

2.84

Baseline 3.51 hours · Performance 3.89 hours · Measure score 2.84 · Achievement 2.84 · Improvement 1.16

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.17%	10.72% 0.4 pts worse	No Different than the National Rate · Eligible stays 42 · Observed rate 14.29% · Lower 95% interval 7.96%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.3	1.02 0.3 pts worse
Drug regimen review with follow-up	95.65%	95.27% 0.4 pts better	Numerator 22 · Denominator 23
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 23
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	4.35%	2.29% 2.1 pts worse	Numerator 1 · Denominator 23 · Adjusted rate 2.35%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 59
Staff flu vaccination coverage	10.96%	42% 31 pts worse	Numerator 8 · Denominator 73
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
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	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	5.1	2.1 3 pts worse	1.9 3.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 5.1 · Observed 4.0 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.2	2.1 0.1 pts worse	1.8 0.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.8 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	94.7%	97.1% 2.4 pts worse	93.4% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 90.2% · Q2 95.7% · Q3 98.2% · Q4 94.2% · 4Q avg 94.7%
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	1.9%	3.3% 1.4 pts better	3.3% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 1.8% · Q4 3.8% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.0%	2.7% 0.7 pts better	11.4% 9.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.6% · Q3 0.0% · Q4 2.9% · 4Q avg 2.0%
Percentage of long-stay residents who lose too much weight	5.2%	3.3% 1.9 pts worse	5.4% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.5% · Q3 6.7% · Q4 6.5% · 4Q avg 5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	17.5%	18.9% 1.4 pts better	19.6% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 12.2% · Q3 20.4% · Q4 17.4% · 4Q avg 17.5%
Percentage of long-stay residents who received an antipsychotic medication	8.7%	10.8% 2.1 pts better	16.7% 8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 9.1% · Q3 9.1% · Q4 10.0% · 4Q avg 8.7% · 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	26.0%	15.4% 10.6 pts worse	16.3% 9.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 22.2% · Q3 32.8% · Q4 25.0% · 4Q avg 26.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	28.7%	16.1% 12.6 pts worse	14.9% 13.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.0% · Q2 18.4% · Q3 37.8% · Q4 17.9% · 4Q avg 28.7% · 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	0.5%	0.8% 0.3 pts better	1.7% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.1%	15.0% 3.1 pts worse	19.8% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 27.5% · Q3 20.6% · Q4 8.7% · 4Q avg 18.1%
Percentage of long-stay residents with pressure ulcers	4.8%	4.2% 0.6 pts worse	5.1% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 2.3% · Q3 3.6% · Q4 3.6% · 4Q avg 4.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	64.1%	89.7% 25.6 pts worse	81.7% 17.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 59.1% · Q2 44.1% · Q3 72.4% · Q4 81.2% · 4Q avg 64.1%
Percentage of short-stay residents who newly received an antipsychotic medication	2.2%	1.5% 0.7 pts worse	1.6% 0.6 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	57.1%	88.0% 30.9 pts worse	79.7% 22.6 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 57.1%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-25 · Fire 2025-09-25

1 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-08-29 · Fire 2024-08-29

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2023-06-08 · Fire 2023-06-08

16 health deficiencies

Top issue: Resident Rights (4 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-29

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-09-14

E · Potential for more than minimal harm 2024-08-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-14

E · Potential for more than minimal harm 2024-08-29

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-09-14

D · Potential for more than minimal harm 2024-08-29

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-09-14

E · Potential for more than minimal harm 2023-06-08

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-06-15

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-28

E · Potential for more than minimal harm 2024-08-29

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-09-17

E · Potential for more than minimal harm 2024-08-29

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-14

D · Potential for more than minimal harm 2024-08-29

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-09-14

D · Potential for more than minimal harm 2024-08-29

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2024-09-17

D · Potential for more than minimal harm 2024-08-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-14

C · Minimal harm 2024-08-29

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-09-17

D · Potential for more than minimal harm 2024-02-09

F567 · Resident Rights Deficiencies

Health

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

Corrected 2024-02-27

D · Potential for more than minimal harm 2024-02-09

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2024-02-27

D · Potential for more than minimal harm 2024-02-09

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-02-28

D · Potential for more than minimal harm 2024-02-09

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-02-27

D · Potential for more than minimal harm 2024-01-12

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 2024-02-05

K · Immediate jeopardy 2023-11-13

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2023-11-30

F · Potential for more than minimal harm 2023-11-13

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-11-30

F · Potential for more than minimal harm 2023-11-13

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 2023-11-30

D · Potential for more than minimal harm 2023-11-13

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-11-13

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-11-13