Richmond Health Care Center
705 JACKSON ST, Richmond, TX, 77469
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation · Chain: Health Services Management
- Certified beds
- 92 · avg 54 residents/day
- Total nursing staff turnover
- 71.7% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 100% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $78,036 total
State licensing & capacity
- License number
- 311754
- Service type
- Medicare/medicaid
- Licensed capacity
- 92 beds
- Bed type breakdown
- 24 Medicare-only · 68 Medicaid/Medicare
- Current license effective
- January 1, 2024
- Current license expires
- January 1, 2027
- Initial license date
- February 1, 1990
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Winniestowell Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Hsmtxrichmond Llc
- Administrator
- Takeysha Jones
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Health Services Management chain — 16 facilities across 2 states. Chain-wide average overall rating 3.1 / 5.
Disclosed owners (9 on record)
- Hsmtx/richmond, Llc
Adp of The Snf · since 2025
- Zuleikha Kassam
Operational/managerial Control · since 2024
- Edward r Murrell
Corporate Director · since 2024
- Health Services Management, Inc.
5% or Greater Mortgage Interest · 100% · since 2024
- Joshua l White
Operational/managerial Control · since 2024
- Michael Ngo
Adp of The Snf · since 2024
+ 3 additional owners on the federal record.
Recent change of ownership
January 2024 (2 years ago) · acquired from Richmond Health Care Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 23)
- D0880·Jul 10, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0623·Aug 29, 2024Complaint
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D0880·Aug 29, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0849·Aug 29, 2024
Administration Deficiencies
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.
- D0697·Aug 29, 2024
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
- E0677·Aug 29, 2024
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- C0732·Aug 29, 2024
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- D0695·Feb 9, 2024Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Federal penalties
By year
- 20241 fine · $4,017
- 20231 fine · $74K
Most recent events
- Feb 9, 2024Fine · $4,017
- Nov 13, 2023Fine · $74K
Largest single fine on record: $74K.
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: Aug 29, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Richmond Health Care Center is a 92-bed nursing home in Richmond, Fort Bend County, licensed through 2027 and operated by Health Services Management under a hospital district licensee. CMS rates it 4 stars overall, but the staffing component drops to 2 stars — the lowest third of Texas nursing homes on that measure. Two CMS fines totaling $78,036 have been assessed, and the facility is running at roughly 59% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 220 minutes of nursing care per day — roughly 21 minutes less than at a 4-star-staffing facility in Texas, which sets its threshold at 241 minutes. About 31% of Texas nursing homes share this 2-star staffing rating, so the gap from the 4-star benchmark is real but not unusual for the rating tier.
Nursing staff turnover runs at a very high level: about 7 in 10 nursing staff left in the past year. A long-stay resident will likely go through two or three primary caregivers over the course of a year. RN turnover is more acute — all 10 in 10 registered nurses who worked here departed in the same period, meaning continuity of skilled nursing oversight is a live concern.
One administrator has turned over in the past year. Combined with the staffing and turnover picture, this signals a period of leadership flux that residents and their families would be navigating alongside.
Two CMS fines totaling $78,036 have been levied against this facility. The state median fine total for Texas nursing homes that receive fines is $20,699 — this facility's total is roughly 3.8 times that figure. About 30% of Texas nursing homes have zero fines on record.
The facility is operating at approximately 59% of its 92 licensed beds, with about 54 residents on an average day. At the same time, high nursing staff and RN turnover are present — a combination that can reflect difficulty attracting both residents and staff.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing coverage on nights and weekends
With a 2-star staffing rating and 220 minutes of daily nursing care per resident, ask how many nurses and aides are on duty during overnight and weekend shifts specifically.
RN presence and continuity
All registered nurses on record turned over in the past year — ask how many RNs are currently employed and how many hours per day an RN is physically on site.
Background on the two CMS fines
Two fines totaling $78,036 have been assessed; ask what deficiencies triggered each fine and what changes were made in response.
Current administrator tenure
One administrator turned over in the past year — ask how long the current administrator has been in the role and who oversees day-to-day operations.
Reasons behind low occupancy
The facility is running at about 59% capacity; ask whether the open beds reflect a waitlist pause, staffing constraints, or another factor affecting admissions.
Resident Council meetings and access
A Resident Council is on record but no Family Council — ask how often the Resident Council meets and how families raise concerns directly with management.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.