The Reserve at Richardson in Richardson, TX has a 3-star overall rating, with 3-star health inspections, 2-star staffing, and 4-star quality measures. It reports 3.49 nurse hours per resident per day versus the 4.1 federal benchmark, $14,069 in fines in the last 24 months, and a recent federal penalty.
Last inspection: May 21, 2026Penalties, last 24 months: $14,069recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4878.
Staffing detail
Registered nurses
0.23
Licensed practical nurses
1.05
Nurse aides
2.21
Weekend nursing
3.22
Hours per resident per day.
Total staff turnover: 34%
Registered nurse turnover: 57%
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
2.9%2.4%No change
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
9.2%4.5%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%2.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19%11.4%Improving
Residents whose ability to walk got worse
—10.4%—
Long-stay residents on antianxiety or sleep medication
20.8%18.4%Improving
Short-stay residents newly given an antipsychotic
0%1.4%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
11.9%6.6%Improving
Residents with depressive symptoms
0%0%No change
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
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
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 home failed to protect residents’ right to organize and take part in resident and family groups. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 565 — 42 CFR §483.10 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — 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 14 health deficiencies.
See what inspectors found
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.
See what inspectors found
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $14,069 was recorded.
PENALTY
A federal fine of $21,645 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $14,069 in total fines.
Federal fine
Mar 10, 2025
$14,069
Operator & ownership
Ownership
Government - Hospital district
Chain
Part of HAMILTON COUNTY HOSPITAL DISTRICT · 10 homes · 2.3 stars avg
Occupancy
79.6 residents on an average day (62% of 129 beds)
Resident voice
Resident council
Medicare history
Certified for 8 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.