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.
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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
PENALTY
A federal payment denial was recorded.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
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.