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Nursing home report

Cambridge Health and Rehabilitation Center

Richmond, TX · Medicare-certified · 158 beds

Needs attention
For-profitChain member
3 of 5 overall

Cambridge Health and Rehabilitation Center (Richmond, TX) has a 3 out of 5 star overall rating, with a 2-star health inspection rating, 3-star staffing, and 5-star quality measures. Reported nurse staffing is 3.30 hours per resident per day versus the 4.1 federal benchmark, and the facility had $18,821 in fines in the last 24 months plus a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.302 hrs/resident/day

Quality measures

Last inspection: March 25, 2026Penalties, last 24 months: $18,821recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.302.

Staffing detail

Registered nurses
0.57
Licensed practical nurses
0.87
Nurse aides
1.86
Weekend nursing
2.96

Hours per resident per day.

Total staff turnover: 39%
Registered nurse turnover: 33%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

2.1%Worsening

Residents with a fall causing major injury

1.3%Worsening

Residents with pressure ulcers (bedsores)

4.4%Worsening

Residents with a urinary tract infection

0%Steady

Residents who lost too much weight

3%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

11.1%Worsening

Residents whose ability to walk got worse

6.7%Worsening
Show all measures

Long-stay residents on antianxiety or sleep medication

11.9%Improving

Short-stay residents newly given an antipsychotic

0.4%Improving

Residents with a long-term catheter

0%Steady

Residents with new or worsening incontinence

9.3%Improving

Residents with depressive symptoms

2.7%Improving

Long-stay residents given the seasonal flu vaccine

94.8%Steady

Long-stay residents given the pneumonia vaccine

99.5%Steady

Short-stay residents given the seasonal flu vaccine

72.4%Steady

Short-stay residents given the pneumonia vaccine

79.9%Worsening

What the inspectors found

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: K

The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited September 2023 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: K

The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited September 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 726 — 42 CFR §483.35 — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited February 2026 — isolated incident, actual harm.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: G

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal payment denial was recorded.

  4. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. PENALTY

    A federal fine of $18,821 was recorded.

Penalties & enforcement

On record with Medicare: 4 fines · $68,342 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Feb 26, 2026

    12 days
  • Federal fine

    Jan 10, 2025

    $18,821
  • Federal fine

    Feb 1, 2024

    $16,448
  • Federal fine

    Aug 30, 2023

    $19,676
  • Federal fine

    Aug 30, 2023

    $13,397

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
Occupancy
118.9 residents on an average day (75% of 158 beds)
Resident voice
Resident council
Medicare history
Certified for 24 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.