Richard A. Anderson (state of Texas Veterans Land
14041 Cottingham Road, Houston, TX 77048 · Harris County · 120 certified beds · avg 116 residents/day · certified since Nov 5, 2019
Part of chain: TEXVET (9 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Jun 23, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Jul 19, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 11, 2025 | E · Potential for harm, repeated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Sep 11, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Aug 22, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jun 23, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jun 23, 2024 | E · Potential for harm, repeated | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Aug 22, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jun 23, 2023 | E · Potential for harm, repeated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jun 23, 2023 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jun 23, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jun 23, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jun 23, 2023 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jun 23, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jun 23, 2023 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. |
| Jun 23, 2023 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 9 | 0 | E |
| 2024 | 3 | 1 | K ▲ |
| 2025 | 2 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $14,730.
| Date | Type | Amount / length |
|---|---|---|
| Jun 23, 2024 | Fine | $14,730 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.01 | 3.46 | 3.95 | top 4% in Texas; top 13% in the U.S. |
| Registered Nurse hours | 0.68 | 0.44 | 0.69 | top 10% in Texas; top 39% in the U.S. |
| Weekend total nurse staffing | 4.45 | 3.04 | 3.50 | top 4% in Texas; top 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.47 | 0.34 | 0.48 | top 16% in Texas; top 37% in the U.S. |
| Total nursing staff turnover (%) | 33.3 | 55.3 | 45.8 | top 9% in Texas; top 20% in the U.S. |
| RN turnover (%) | 18.8 | 54.6 | 42.9 | top 6% in Texas; top 12% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.08, RN 0.55, weekend 3.62. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
Government - State
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Berkely, John | Individual | Corporate Director | NOT APPLICABLE | 03/08/2019 |
| Fellbaum, Ernest | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/08/2019 |
| Havens, Mark | Individual | Corporate Officer | NOT APPLICABLE | 03/08/2019 |
| Johanns, Kathy | Individual | W-2 Managing Employee | NOT APPLICABLE | 03/08/2019 |
| Studer, Stanley | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/08/2019 |
| Stumberg, Eric | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/08/2019 |
| Stumberg, Louis | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/08/2019 |
| Touchstone Veterans Management LTD. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/21/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Terra Bella Health and Wellness Suites | 2.7 mi | Houston, TX | ★★☆☆☆ | 1/5 | SFF |
| Tuscany Village | 3.8 mi | Pearland, TX | ★★★★☆ | 4/5 | |
| The Colonnades at Reflection Bay | 4.1 mi | Pearland, TX | ★☆☆☆☆ | 1/5 | |
| Thrive Rehabilitation of Pearland | 4.3 mi | Pearland, TX | ★☆☆☆☆ | 1/5 | |
| Oasis at Pearland | 5.0 mi | Pearland, TX | ★☆☆☆☆ | 1/5 | |
| Avir at Courtyard | 5.7 mi | Houston, TX | ★★★★☆ | 5/5 | |
| Avir at Golfcrest | 5.7 mi | Houston, TX | ★★☆☆☆ | 2/5 | |
| Avir at Orem | 5.7 mi | Houston, TX | ★★★★☆ | 4/5 | |
| Afton Oaks Nursing and Rehabilitation Center | 6.3 mi | Houston, TX | ★☆☆☆☆ | 1/5 | abuseSFF |
| Harmony Care at Golfcrest | 6.4 mi | Houston, TX | ★☆☆☆☆ | 1/5 | |
| Holly Hall | 6.6 mi | Houston, TX | ★★★☆☆ | 3/5 | |
| Garden Terrace Healthcare Center of Houston | 6.7 mi | Houston, TX | ★★☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 676479.