The Reserve at Richardson has an overall rating of 2 out of 5 stars, with especially weak staffing at 1 star and nurse staffing below the federal benchmark (3.36 vs. 4.1 hours per resident per day). It also has recent federal penalties, including $21,645 in fines in the last 24 months, while its health inspection rating is 3 stars and quality measures rating is 4 stars.
Last inspection: December 2, 2025Penalties, last 24 months: $21,645recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3631.
Staffing detail
Registered nurses
0.25
Licensed practical nurses
1.04
Nurse aides
2.07
Weekend nursing
2.89
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 63%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
2.2%Improving
Residents with a fall causing major injury
0%Steady
Residents with pressure ulcers (bedsores)
4.6%Improving
Residents with a urinary tract infection
1.4%Improving
Residents who lost too much weight
1.2%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
20.1%Improving
Residents whose ability to walk got worse
15.3%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
24.9%Worsening
Short-stay residents newly given an antipsychotic
0.4%Improving
Residents with a long-term catheter
0.7%Improving
Residents with new or worsening incontinence
13.3%Worsening
Residents with depressive symptoms
1%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2025 — 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 reasonably accommodate each resident’s needs and preferences. Cited June 2025 — limited pattern, potential for harm.
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F-Tag 558 — 42 CFR §483.10 — S/S: E
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited March 2025 — limited pattern, potential for harm.
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F-Tag 695 — 42 CFR §483.25(i) — S/S: E
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 March 2025 — limited pattern, potential for harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — 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 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 4 health deficiencies.
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INSPECTION
Health inspection found 9 health deficiencies.
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PENALTY
A federal fine of $21,645 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $21,645 in total fines.
Federal fine
Mar 10, 2025
$21,645
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of HAMILTON COUNTY HOSPITAL DISTRICT · 10 homes · 2.2 stars avg
Occupancy
86.5 residents on an average day (67% of 129 beds)
Resident voice
Resident council
Medicare history
Certified for 7 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.