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Richmond Health Care Center

Nursing Home · Richmond, Texas · CMS Certification Number 676006

1 immediate jeopardy$78,036 in fines

CMS records 23 health citations for Richmond Health Care Center across the three inspection cycles published as of June 2026. 1 is at immediate jeopardy (scope/severity J, K or L) — CMS's finding that a failure caused, or was likely to cause, serious injury, harm, impairment or death to a resident. 13 of them came from a complaint investigation rather than a routine survey. In the most recent cycle alone there is 1 citation.

CMS five-star ratings
Overall rating★★★★☆ 4 of 5
Health inspection★★★★☆ 4 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★☆ 4 of 5

Staffing

Total nurse staffing3.68 hours per resident per day
RN staffing0.40 hours per resident per day
Weekend nurse staffing3.21 hours per resident per day
Total nursing staff turnover66.7%
RN turnover80.0%

Staffing hours are CMS payroll-based figures for the most recent quarter published. Turnover is the share of staff who left over twelve months.

Facility details

Address705 Jackson St, Richmond, TX 77469
Phone(281) 238-8006
CountyFort Bend
Certified beds92
Average residents per day52.3
OwnershipNon profit - Corporation
ChainHealth Services Management
Participates inMedicare and Medicaid
Sprinklers in all required areasYes
Resident / family councilResident

Most recent inspections

Fire Safety Standard2025-09-25
Health Complaint2025-07-10
Health Standard2025-09-25

Fines and penalties

CMS records $78,036 in fines across 2 penalties.

Inspection citations

Citations are published by the Centers for Medicare & Medicaid Services from state inspections. A citation reflects conditions found on the survey date shown and may since have been corrected. Facilities may dispute findings through informal dispute resolution. Always tour a facility and ask about anything you see here.

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2023-11-13 · Tag F0755 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-11-30

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-07-10 · Tag F0880 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-07-28

Provide and implement an infection prevention and control program.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2024-08-29 · Tag F0623 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-09-17

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2024-08-29 · Tag F0677 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-09-14

Provide care and assistance to perform activities of daily living for any resident who is unable.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-08-29 · Tag F0697 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-09-14

Provide safe, appropriate pain management for a resident who requires such services.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-08-29 · Tag F0849 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-09-17

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.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-08-29 · Tag F0880 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-09-14

Provide and implement an infection prevention and control program.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-02-09 · Tag F0567 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-02-27

Honor the resident's right to manage his or her financial affairs.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-02-09 · Tag F0626 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-02-27

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-02-09 · Tag F0655 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-02-28

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-02-09 · Tag F0695 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-02-27

Provide safe and appropriate respiratory care for a resident when needed.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-01-12 · Tag F0609 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-02-05

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-11-13 · Tag F0550 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-11-30

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-11-13 · Tag F0656 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-11-30

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity F — Potential for harm

Survey 2023-11-13 · Tag F0725 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-11-30

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it affected the facility broadly. How the A–L grid works

Scope/severity F — Potential for harm

Survey 2023-11-13 · Tag F0761 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-11-30

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.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it affected the facility broadly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-11-13 · Tag F0880 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-11-30

Provide and implement an infection prevention and control program.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-06-08 · Tag F0620 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-06-15

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.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-06-08 · Tag F0655 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-06-15

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-06-08 · Tag F0755 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-06-15

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-06-08 · Tag F0812 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-06-15

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-06-08 · Tag F0925 · Routine survey · Deficient, Provider has date of correction · Correction reported 2023-06-15

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity C — No harm, minimal risk

Survey 2024-08-29 · Tag F0732 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-09-17

Post nurse staffing information every day.

What this scope/severity letter means: A minor issue found throughout the facility, with little potential for harm. How the A–L grid works

Common questions

Has Richmond Health Care Center been cited for immediate jeopardy?

Yes. CMS records 1 immediate-jeopardy citation (scope/severity J, K or L) for Richmond Health Care Center in data as of June 2026. Immediate jeopardy is CMS's finding that a failure caused, or was likely to cause, serious injury, harm, impairment or death to a resident.

What is the CMS star rating for Richmond Health Care Center?

CMS gives Richmond Health Care Center an overall rating of 4 out of 5 as of June 2026, with 4 for health inspection and 2 for staffing.

How big is Richmond Health Care Center?

Richmond Health Care Center is certified for 92 beds, with an average of 52.3 residents per day in the most recent CMS reporting period.


Ratings and inspection data from the Centers for Medicare & Medicaid Services, June 2026.