Richmond Health Care Center
705 Jackson St · Richmond, TX · 77469 · 2812388006
92 certified beds Non profit - Corporation Chain: Health Services Management
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
67% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.68 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.40 | 0.55–0.75 |
| Weekend hours / resident-day | 3.21 | ≈ weekday level |
| Nursing turnover / year | 67% | median 45% |
| Fines (3-yr window) | 2 · $78,036 |
Inspection citations (23 in the current record)
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Potential for harm · D July 10, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 28, 2025 · Infection Control
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Potential for harm · E August 29, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 14, 2024 · Quality of Life and Care
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Potential for harm · D August 29, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected September 14, 2024 · Quality of Life and Care
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Potential for harm · D August 29, 2024
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected September 17, 2024 · Administration
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Potential for harm · D August 29, 2024
Provide and implement an infection prevention and control program.
Corrected September 14, 2024 · Infection Control
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Potential for harm · E August 29, 2024 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected September 17, 2024 · Resident Rights
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No harm found · C August 29, 2024
Post nurse staffing information every day.
Corrected September 17, 2024 · Nursing and Physician Services
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Potential for harm · D February 9, 2024 · found via complaint
Honor the resident's right to manage his or her financial affairs.
Corrected February 27, 2024 · Resident Rights
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Potential for harm · D February 9, 2024 · found via complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected February 27, 2024 · Resident Rights
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Potential for harm · D February 9, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 28, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 9, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 27, 2024 · Quality of Life and Care
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Potential for harm · D January 12, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K November 13, 2023 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 30, 2023 · Pharmacy Service
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Potential for harm · D November 13, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 30, 2023 · Resident Rights
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Potential for harm · D November 13, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 30, 2023 · Resident Assessment and Care Planning
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Potential for harm · F November 13, 2023 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected November 30, 2023 · Nursing and Physician Services
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Potential for harm · F November 13, 2023 · found via complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected November 30, 2023 · Pharmacy Service
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Potential for harm · D November 13, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 30, 2023 · Infection Control
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Potential for harm · D June 8, 2023
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Corrected June 15, 2023 · Resident Rights
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Potential for harm · D June 8, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 15, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 8, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 15, 2023 · Pharmacy Service
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Potential for harm · D June 8, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 15, 2023 · Nutrition and Dietary
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Potential for harm · D June 8, 2023
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected June 15, 2023 · Environmental
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 9, 2024 | Fine | $4,017 |
| November 13, 2023 | Fine | $74,019 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676006 · certified since April 1, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.