Richmond Health Care Center
705 Jackson St, Richmond, TX 77469 · Fort Bend County · 92 certified beds · avg 53 residents/day · certified since Apr 1, 2004
Part of chain: HEALTH SERVICES MANAGEMENT (16 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 · Nov 13, 2023 · F-0755 · triggered by a complaint
The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Why it matters: Weak pharmacy services lead to medication mistakes, delays, and missed drug interactions that can seriously harm residents.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Nov 30, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (23)
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 |
|---|---|---|
| Jul 10, 2025 | D · Potential for harm, one-off | 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. · from a complaint |
| Aug 29, 2024 | E · Potential for harm, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint |
| Aug 29, 2024 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Aug 29, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Aug 29, 2024 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Aug 29, 2024 | D · Potential for harm, one-off | 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. |
| Aug 29, 2024 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to manage their own money and financial affairs. · from a complaint |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed. · from a complaint |
| Feb 9, 2024 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint |
| Feb 9, 2024 | 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. · from a complaint |
| Jan 12, 2024 | D · Potential for harm, one-off | 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 |
| Nov 13, 2023 | ▲ K · Immediate jeopardy, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Nov 13, 2023 | F · Potential for harm, facility-wide | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Nov 13, 2023 | F · Potential for harm, facility-wide | 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. · from a complaint |
| Nov 13, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Nov 13, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Nov 13, 2023 | D · Potential for harm, one-off | 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. · from a complaint |
| Jun 8, 2023 | D · Potential for harm, one-off | The facility required residents to give up Medicare or Medicaid benefits or pay privately as a condition of moving in, or failed to tell residents which types of care it does not provide. Both practices are against the rules. |
| Jun 8, 2023 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Jun 8, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jun 8, 2023 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 8, 2023 | D · Potential for harm, one-off | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 11 | 1 | K ▲ |
| 2024 | 11 | 0 | E |
| 2025 | 1 | 0 | D |
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)
2 fines totaling $78,036.
| Date | Type | Amount / length |
|---|---|---|
| Feb 9, 2024 | Fine | $4,017 |
| Nov 13, 2023 | Fine | $74,019 |
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) | 3.71 | 3.46 | 3.95 | top 24% in Texas; bottom 47% in the U.S. |
| Registered Nurse hours | 0.45 | 0.44 | 0.69 | top 35% in Texas; bottom 30% in the U.S. |
| Weekend total nurse staffing | 3.43 | 3.04 | 3.50 | top 19% in Texas; top 46% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.32 | 0.34 | 0.48 | top 41% in Texas; bottom 37% in the U.S. |
| Total nursing staff turnover (%) | 65.5 | 55.3 | 45.8 | bottom 25% in Texas; bottom 9% in the U.S. |
| RN turnover (%) | 72.7 | 54.6 | 42.9 | bottom 26% in Texas; bottom 9% 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 3.66, RN 0.44, weekend 3.38. Staffing rating: 2/5.
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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Health Services Management, INC. | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 01/01/2024 |
| Health Services Management, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Hsmtx/Richmond, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Hsmtx/Richmond, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/09/2025 |
| Kassam, Zuleikha | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/12/2024 |
| Kassam, Zuleikha | Individual | ADP of the SNF | NOT APPLICABLE | 02/12/2024 |
| Murrell, Edward | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Ngo, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Richmond Realty, LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 01/01/2024 |
| Richmond Realty, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| White, Joshua | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "How do you coordinate hospice care, and can residents stay here while receiving it?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "How are residents' personal funds handled here, and what records can families review?"
- "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 |
|---|---|---|---|---|---|
| Oak Bend Medical Center | 0.5 mi | Richmond, TX | ★★★★☆ | 4/5 | |
| Paradigm at the Brazos | 1.1 mi | Richmond, TX | ★★★★★ | 5/5 | |
| Cambridge Health and Rehabilitation Center | 1.2 mi | Richmond, TX | ★★★☆☆ | 2/5 | |
| Rosenberg Health & Rehabilitation Center | 2.4 mi | Rosenberg, TX | ★☆☆☆☆ | 1/5 | |
| Fort Bend Healthcare Center | 4.5 mi | Rosenberg, TX | ★★★☆☆ | 3/5 | |
| Ignite Medical Resort Sugar Land, LLC | 7.2 mi | Sugar Land, TX | ★☆☆☆☆ | 2/5 | |
| The Crescent | 7.7 mi | Sugar Land, TX | ★☆☆☆☆ | 1/5 | |
| Sugar Land Health Care Center | 8.0 mi | Sugar Land, TX | ★★★☆☆ | 3/5 | |
| Paradigm at First Colony | 11.1 mi | Missouri City, TX | ★☆☆☆☆ | 1/5 | |
| West Houston Rehabilitation and Healthcare Center | 11.2 mi | Houston, TX | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 676006.