Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: TEXVET (9 facilities, chain avg rating 2.7★)
4/5
Health inspection rating (on-site)
inspected Sep 11, 2025
1
Serious findings on record
most recent Jun 23, 2024
$14,730
Fines, last 3 years
5.01
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, pattern · 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): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jul 19, 2024 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 14 inspection findings. Open the full record below to read every finding.
E · Potential for more than minimal harm, pattern
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. F-0692
D · Potential for more than minimal harm, isolated
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
D · Potential for more than minimal harm, isolated
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. F-0759
View all 14 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
Date
Severity
What the facility was cited for
Sep 11, 2025
E · Potential for more than minimal harm, pattern
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Sep 11, 2025
D · Potential for more than minimal harm, isolated
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Aug 22, 2024
D · Potential for more than minimal harm, isolated
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. · F-0759
Jun 23, 2024
▲ K · Immediate jeopardy, pattern
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 · F-0689
Jun 23, 2024
E · Potential for more than minimal harm, pattern
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 · F-0609
Aug 22, 2023
D · Potential for more than minimal harm, isolated
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 · F-0684
Jun 23, 2023
E · Potential for more than minimal harm, pattern
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. · F-0690
Jun 23, 2023
E · Potential for more than minimal harm, pattern
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. · F-0759
Jun 23, 2023
E · Potential for more than minimal harm, pattern
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. · F-0761
Jun 23, 2023
E · Potential for more than minimal harm, pattern
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. · F-0880
Jun 23, 2023
D · Potential for more than minimal harm, isolated
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. · F-0644
Jun 23, 2023
D · Potential for more than minimal harm, isolated
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. · F-0695
Jun 23, 2023
D · Potential for more than minimal harm, isolated
The facility did not dispose of garbage and refuse properly. · F-0814
Jun 23, 2023
D · Potential for more than minimal harm, isolated
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. · F-0919
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 2).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations:
9
Serious citations (G–L):
0
2024
All citations:
3
Serious citations (G–L):
1
2025
All citations:
2
Serious citations (G–L):
0
All bars start at zero. Exact values and supporting details remain below.
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.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
Date
Type
Amount / length
Jun 23, 2024
Fine
$14,730
Nurse staffing (from payroll records, adjusted for how much care residents need)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
5.01
Texas average:
3.46
U.S. average:
3.95
Registered Nurse hours
This facility:
0.68
Texas average:
0.44
U.S. average:
0.69
Weekend total nurse staffing
This facility:
4.45
Texas average:
3.04
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.08 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
No verified facility-specific private-pay price is available in our data for Richard A. Anderson (state of Texas Veterans Land. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
All 8 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Texvet — 9 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
CMS records place this facility in Harris, TX — 97 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $14,730
Most serious findings on record:
▲ Jun 23, 2024 (F-0689, Immediate jeopardy, pattern): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Questions for the administrator:
☐ "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 plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 33% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"
While you're there, notice:
☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)
Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676479 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)