GoodStanding

Nursing home report

THE RESERVE AT RICHARDSON

RICHARDSON, TX · Medicare-certified · 129 beds

Needs attention
For-profitChain member
2 of 5 overall

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.

Facility ratings

Health inspections

Staffing

3.3631 hrs/resident/day

Quality measures

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: E

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 2 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found
  5. 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.