The Reserve at Richardson
1610 Richardson Dr · Richardson, TX · 75080 · 9726008219
129 certified beds For profit - Limited Liability company Chain: Hamilton County Hospital District
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
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.
RN staffing in the bottom 10% nationally
0.25 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.36 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.25 | 0.55–0.75 |
| Weekend hours / resident-day | 2.89 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | 1 · $21,645 |
Inspection citations (26 in the current record)
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Potential for harm · D December 2, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected December 9, 2025 · Resident Rights
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Potential for harm · D December 2, 2025 · 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 December 9, 2025 · Pharmacy Service
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Potential for harm · E June 18, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected July 10, 2025 · Resident Rights
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Potential for harm · D June 18, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · D June 18, 2025 · 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 July 10, 2025 · Pharmacy Service
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Potential for harm · D June 18, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected July 10, 2025 · Infection Control
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Potential for harm · D March 13, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 4, 2025 · Resident Rights
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Potential for harm · E March 13, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 13, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 13, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · D March 13, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · E March 13, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · D March 13, 2025
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 April 4, 2025 · Pharmacy Service
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Potential for harm · E March 13, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 4, 2025 · Nutrition and Dietary
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Potential for harm · D March 13, 2025
Provide and implement an infection prevention and control program.
Corrected April 4, 2025 · Infection Control
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Immediate jeopardy · J March 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 2, 2025 · Quality of Life and Care
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Potential for harm · D February 15, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 8, 2024 · Nutrition and Dietary
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Potential for harm · D February 15, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 8, 2024 · Resident Rights
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Potential for harm · E February 15, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 8, 2024 · Quality of Life and Care
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Potential for harm · D February 15, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 8, 2024 · Quality of Life and Care
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Potential for harm · D February 15, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 8, 2024 · Infection Control
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Potential for harm · D January 12, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected February 9, 2023 · Resident Rights
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Potential for harm · D January 12, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 9, 2023 · Resident Assessment and Care Planning
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Potential for harm · D January 12, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 9, 2023 · Quality of Life and Care
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Potential for harm · D January 12, 2023
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected February 9, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 10, 2025 | Fine | $21,645 |
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 676448 · certified since June 22, 2018. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.