RICHMOND HEALTH CARE CENTER in Richmond, TX has an overall rating of 4 out of 5 stars. Its health inspections and quality measures are both 4 stars, but staffing is lower at 2 stars, with reported nurse staffing of 3.68 hours per resident per day below the 4.1-hour federal benchmark; there were no fines in the last 24 months.
Last inspection: September 25, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6771.
Staffing detail
Registered nurses
0.40
Licensed practical nurses
0.87
Nurse aides
2.41
Weekend nursing
3.21
Hours per resident per day.
Total staff turnover: 67%
Registered nurse turnover: 80%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
9.4%6.7%Improving
Residents with a fall causing major injury
2.2%2%No change
Residents with pressure ulcers (bedsores)
2.3%1.6%Improving
Residents with a urinary tract infection
2.2%0%Improving
Residents who lost too much weight
2.5%2.3%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.4%5.7%Improving
Residents whose ability to walk got worse
22.2%13%Improving
Long-stay residents on antianxiety or sleep medication
12.2%16.3%Worsening
Short-stay residents newly given an antipsychotic
—2.3%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
27.5%9.4%Improving
Residents with depressive symptoms
2.6%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
95.7%74%Worsening
Short-stay residents given the seasonal flu vaccine
—57.1%—
Short-stay residents given the pneumonia vaccine
44.1%55.2%Improving
What the inspectors found
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited November 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: K
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited November 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited November 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: F
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The home failed to notify the resident and family in time before a transfer or discharge, including their right to appeal. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 623 — 42 CFR §483.15 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $78,036 in total fines.
Federal fine
Feb 9, 2024
$4,017
Federal fine
Nov 13, 2023
$74,019
Operator & ownership
Ownership
Non profit - Corporation
Chain
Part of HEALTH SERVICES MANAGEMENT · 16 homes · 3 stars avg
Occupancy
52.3 residents on an average day (57% of 92 beds)
Resident voice
Resident council
Medicare history
Certified for 22 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.