Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Richmond Health Care Center during CMS and state inspections, most recent first.
A resident with dementia and other health issues did not receive timely incontinence care, resulting in a saturated brief and linens. The assigned CNA failed to check her assignment and did not provide care from morning until late afternoon. Interviews with staff confirmed that CNAs are required to check residents every two hours, but this protocol was not followed, leading to potential health risks.
A facility failed to send a 30-day discharge notice to the State Long-Term Care Ombudsman for a resident with Alzheimer's and dementia. The notice, sent to the resident's family, contained incorrect Ombudsman contact information. The error was discovered when the family contacted the Ombudsman directly. The facility did not maintain evidence of sending the notice, as required by policy.
A resident with severe cognitive impairment and multiple medical conditions experienced inadequate pain management at the facility. Despite being prescribed pain medication, the resident continued to suffer from penile pain, which was not effectively communicated to the physician. A skin tear was observed, but the nurse did not report it, citing the resident's confusion. The facility's policy required notifying the practitioner if pain was not controlled, which was not followed.
A facility failed to ensure proper communication and documentation between the LTC facility and a hospice provider for a resident receiving hospice services. Despite the resident's care plan indicating the need for hospice care, there was no documentation of coordination or communication with the hospice provider after a certain date. Interviews revealed confusion among staff about the documentation process, and the facility did not adhere to its Hospice Services Facility Agreement, resulting in the deficiency.
A facility failed to maintain an effective infection control program when a CNA did not follow proper hand hygiene during incontinence care for a resident with dementia and other health issues. The CNA did not wash hands before entering the room, between glove changes, or after completing care, despite attending a hand hygiene in-service. Interviews with the DON and Administrator confirmed the failure to meet hand hygiene expectations, posing a risk of cross-contamination.
The facility did not post updated daily nurse staffing information, as required by policy. Observations revealed outdated postings, and interviews confirmed the oversight occurred due to the absence of the receptionist and staffing coordinator. The responsibility for posting was not reassigned promptly, leading to non-compliance with the facility's policy.
A resident with dementia was found with unexplained skin tears on her neck, and the facility failed to report the incident to the state agency within the required timeframe. Interviews and observations did not clarify the cause of the injuries, and the facility's policy lacked a specified timeframe for reporting such incidents.
Failure to Provide Timely Incontinence Care
Penalty
Summary
The facility failed to provide necessary care for a resident who was unable to perform activities of daily living, specifically incontinence care. The resident, a male with a history of dementia, cerebral infarction, and benign prostatic hyperplasia, was found with a saturated brief, linens, and mattress, indicating that he had not received the required care. The resident's care plan specified that he should be checked every two hours for incontinence, but this was not adhered to on the day in question. Interviews with staff revealed that the assigned CNA did not check her assignment and was unaware she was responsible for the resident's care. As a result, the resident was not changed from 6:00 AM until after 3:30 PM, leading to a lack of personal hygiene and potential health risks. The Director of Nursing and the Administrator confirmed that the CNAs should have been checking on the residents every two hours, and the failure to do so could lead to adverse effects such as skin breakdown and infections.
Failure to Notify Ombudsman of Resident Discharge
Penalty
Summary
The facility failed to ensure that a copy of the 30-day discharge notice for a resident was sent to the representative of the State Long-Term Care Ombudsman. The resident, a female with Alzheimer's disease, bipolar disorder, and dementia, was admitted to the facility and required living on a secured unit due to a wandering risk. The discharge notice, dated August 1, 2024, was sent to the resident's family member but contained incorrect contact information for the Ombudsman, listing details for a different county. The Ombudsman for the correct county did not receive a copy of the notice, which was only discovered after the family contacted them directly. Interviews revealed that the facility's administrator acknowledged the error and stated that the notice was not sent via certified mail to the Ombudsman. The facility's policy requires that the transfer/discharge notice be provided to the resident and their representative, including the correct contact information for the Ombudsman. However, the facility did not maintain evidence that the notice was sent to the Ombudsman, as required by their policy. This oversight could potentially impact the resident's ability to contest the discharge.
Inadequate Pain Management for Resident
Penalty
Summary
The facility failed to provide adequate pain management for a resident, leading to a deficiency in care. The resident, who had severe cognitive impairment and multiple medical conditions including end-stage renal disease and a right below-knee amputation, was prescribed Tylenol with Codeine and Tylenol for pain management. Despite receiving the scheduled medication, the resident continued to experience pain, specifically penile pain, which was not effectively communicated to the physician or addressed by the nursing staff. The Assistant Director of Nursing (ADON) was unaware of the resident's pain complaint, and the Administrator expected staff to follow protocol by notifying the physician if pain relief was not achieved. Further observations revealed a skin tear near the urethral opening of the resident's penis, which had been present for weeks. The resident expressed pain during an assessment, but the nurse did not inform the doctor, attributing the resident's pain to confusion and its intermittent nature. The facility's pain management policy required staff to notify the practitioner if the resident's pain was not controlled by the current treatment regimen, which was not adhered to in this case.
Lack of Communication and Documentation for Hospice Services
Penalty
Summary
The facility failed to ensure effective communication and documentation between the long-term care facility and the hospice provider for a resident receiving hospice services. The resident, a female with dysphagia, cognitive communication deficit, and under palliative care, was admitted to the facility and later readmitted. Despite being under hospice care, there was no documentation of coordination of care or communication with the hospice provider after a certain date. The resident's care plan indicated the need for special attention for comfort and hospice care, but the facility did not maintain the required hospice forms and documentation to ensure adequate end-of-life care. Interviews with facility staff revealed a lack of clarity and responsibility regarding the documentation process. The RN responsible for the resident was unable to find documentation of hospice visits in the hospice binder and was unsure who was responsible for ensuring hospice documentation. The DON acknowledged the need for current hospice plans of care and intended to contact the hospice company for updates. The Medical Records/HR staff mentioned that hospice documentation was received randomly and was not reviewed before being uploaded to the electronic medical records system. The facility's Hospice Services Facility Agreement outlined the need for obtaining specific hospice information, but this was not adhered to, leading to the deficiency.
Infection Control Deficiency Due to Improper Hand Hygiene
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by the actions of CNA A during the provision of incontinence care for Resident #53. Resident #53, a male with a history of dementia, cerebral infarction, and benign prostatic hyperplasia, required extensive assistance with activities of daily living. During an observation, CNA A did not perform hand hygiene before entering the resident's room or before donning clean gloves. While providing peri care, CNA A used wipes from a multi-use packet without changing gloves and attempted to apply clean linen with soiled gloves. The surveyor intervened when CNA A attempted to retrieve new linen, gown, and brief without changing gloves. After doffing the soiled gloves, CNA A did not wash or sanitize her hands before donning new gloves and continued to touch clean items with potentially contaminated gloves. Interviews with CNA A, the Director of Nursing (DON), and the Administrator revealed that the facility's expectations for hand hygiene were not met. CNA A acknowledged the risk of infection and cross-contamination due to improper hand hygiene. The DON and Administrator both emphasized the importance of washing or sanitizing hands before, during, and after providing care to prevent the spread of infection. Despite attending an in-service on hand hygiene, CNA A did not adhere to the facility's hand hygiene policy, which requires hand hygiene before donning gloves and immediately after removing them. The facility's policies on hand hygiene and standard precautions were not followed, leading to a potential risk of cross-contamination and infection transmission.
Failure to Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that the daily nursing staffing information was posted and readily accessible for review. On two separate observations, the staffing information posted was outdated, showing the date 08/20/2024, while the observations were made on 08/27/2024 and 08/28/2024. This lapse was confirmed through interviews with the Activities Director and the Administrator, who revealed that the receptionist, responsible for posting the staffing information, was on leave, and the task was overlooked by the staff covering her duties. The Administrator and the Director of Nursing (DON) acknowledged the oversight, stating that the responsibility for posting the daily staffing information fell on the nursing staff after the receptionist and staffing coordinator were both unavailable. The facility's policy requires that the Nurse Staffing Sheet be posted daily in a clear and readable format in a prominent place accessible to residents and visitors. The failure to update the staffing information as per the policy could affect residents, visitors, vendors, and emergency personnel by not providing timely access to the necessary staffing details.
Failure to Report Alleged Abuse
Penalty
Summary
The facility failed to report an alleged violation involving abuse immediately within 2 hours to the state agency when a resident with dementia was found with skin tears on both sides of her neck. The resident, who had severe cognitive impairment, was unable to explain how she sustained the injuries. The incident was discovered on 1/10/2024, but the administration did not report it to the state agency, placing current residents at risk for abuse. Observations on 1/12/2024 revealed the resident had a skin tear and bruise on the right side of her neck and a bandage on the left side. Interviews with staff and other residents did not provide any clear explanation for the injuries. The Director of Nursing (DON) suggested that the resident might have scratched herself, but the resident's Responsible Party (RP) had recently cut her nails, making this unlikely. The DON acknowledged that the incident should have been reported as an injury of unknown origin, but it was not. Interviews with the resident's family member and other staff indicated that there had been previous behavioral issues with the resident's roommate, who had used profanity and exhibited combative behavior. However, there was no direct evidence linking the roommate to the injuries. The facility's policy stated that injuries of unknown source, especially those in suspicious locations like the neck, should be reported, but the timeframe for reporting was not specified in the policy.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Richmond
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Oak Bend Medical Center | 0.5 mi | ★★★★★ | 0 | 0 |
| Paradigm At The Brazos | 1.1 mi | ★★★★★ | 0 | 0 |
| Cambridge Health And Rehabilitation Center | 1.2 mi | ★★★★★ | 8 | 0 |
| Rosenberg Health & Rehabilitation Center | 2.5 mi | ★★★★★ | 5 | 1 |
| Fort Bend Healthcare Center | 4.5 mi | ★★★★★ | 6 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.