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 HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Winniestowell Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Hsmtxrichmond Llc
- Administrator
- Takeysha Jones
Texas HHS licensing registry · as of April 16, 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 HHS 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.