Skilled nursing facility · CMS certification number 676006
RICHMOND HEALTH CARE CENTER
RICHMOND, Texas · Medicare and Medicaid · 92 certified beds in Care Compare
Download RICHMOND HEALTH CARE CENTER’s record (CSV, each figure with its worksheet, line and column)
In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $78,036.00 · Payment denials: 0. The most recent penalty on file: February 9, 2024, Fine, $4,017. Every penalty on file ↓
RICHMOND HEALTH CARE CENTER: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2025, covering September 1, 2024 to August 31, 2025 (364 days), and CMS processed it on February 17, 2026.
- Net patient revenue rose from $3.0M in fiscal year 2024 to $4.3M in fiscal year 2025.
- Its result from service to patients: −$1.1M (2023), −$826K (2024), −$1.2M (2025).
- Its cost reports on file run from fiscal year 2004 to fiscal year 2025.
- Its net patient revenue of $4.3M ranks 367th of the 484 nursing facilities in Texas whose latest cost report on file is fiscal year 2025.
- 4 of the 5 nursing facilities in Texas closest in size to it, whose latest cost report on file is fiscal year 2025, also report a loss on service to patients.
RICHMOND HEALTH CARE CENTER: Medicare cost reports
Form CMS-2540-10: every report is settled.
| Form CMS-2540-10 | 2025 · report 1447859 | 2024 · report 1404604 | 2023 · report 1386882 | 2022 · report 1359380 | 2021 · report 1328983 | 2020 · report 1289042 | 2019 · report 1284895 | 2018 · report 1243943 | 2017 · report 1210601 | 2016 · report 1194207 | 2015 · report 1181546 | 2014 · report 1108081 | 2013 · report 1074263 | 2012 · report 1045283 | 2011 · report 1014795 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | September 1, 2024 | January 1, 2024 | January 1, 2023 | January 1, 2022 | January 1, 2021 | January 1, 2020 | January 1, 2019 | January 1, 2018 | January 1, 2017 | January 1, 2016 | January 1, 2015 | January 1, 2014 | January 1, 2013 | January 1, 2012 | January 1, 2011 |
| Period ended | August 31, 2025 | August 31, 2024 | December 31, 2023 | December 31, 2022 | December 31, 2021 | December 31, 2020 | December 31, 2019 | December 31, 2018 | December 31, 2017 | December 31, 2016 | December 31, 2015 | December 31, 2014 | December 31, 2013 | December 31, 2012 | December 31, 2011 |
| Days, where not a full year | — | 243 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Processed by CMS | February 17, 2026 | March 4, 2025 | June 26, 2024 | July 20, 2023 | August 4, 2022 | July 15, 2021 | May 27, 2021 | September 27, 2019 | August 24, 2018 | June 19, 2018 | December 28, 2017 | August 17, 2015 | July 30, 2014 | August 1, 2013 | October 26, 2012 |
| Total patient revenue | $5,587,942 | $4,111,494 | $5,996,225 | $5,310,314 | $3,684,365 | $4,308,536 | $5,683,404 | $6,528,191 | $6,438,074 | $6,251,858 | $5,898,440 | $8,342,404 | $3,754,451 | $4,449,023 | $3,674,993 |
| Contractual allowances and discounts | $1,305,088 | $1,083,972 | $1,545,102 | $1,070,541 | $950,870 | $1,099,692 | $1,818,043 | $2,032,059 | $2,029,250 | $2,246,194 | $2,551,211 | $2,391,540 | $1,078,694 | $963,477 | $421,678 |
| Net patient revenue | $4,282,854 | $3,027,522 | $4,451,123 | $4,239,773 | $2,733,495 | $3,208,844 | $3,865,361 | $4,496,132 | $4,408,824 | $4,005,664 | $3,347,229 | $5,950,864 | $2,675,757 | $3,485,546 | $3,253,315 |
| Total operating expenses | $5,462,685 | $3,853,602 | $5,544,864 | $5,066,693 | $4,200,853 | $4,421,896 | $4,634,328 | $4,598,483 | $4,594,703 | $4,860,363 | $4,418,187 | $4,152,025 | $3,501,814 | $3,761,450 | $3,570,045 |
| Net income from service to patients | −$1,179,831 | −$826,080 | −$1,093,741 | −$826,920 | −$1,467,358 | −$1,213,052 | −$768,967 | −$102,351 | −$185,879 | −$854,699 | −$1,070,958 | $1,798,839 | −$826,057 | −$275,904 | −$316,730 |
| Total other income | $289,582 | $149 | $54,840 | $325,312 | $353,008 | $252,632 | $7,326 | $153 | $2,147 | $2,740 | $1,646 | — | — | $170 | $50,816 |
| Net income after other income | −$890,249 | −$825,931 | −$1,038,901 | −$501,608 | −$1,114,350 | −$960,420 | −$761,641 | −$102,198 | −$183,732 | −$851,959 | −$1,069,312 | $1,798,839 | −$826,057 | −$275,734 | −$265,914 |
| Net income | −$890,249 | −$825,931 | −$1,038,901 | −$501,608 | −$1,114,350 | −$960,420 | −$761,641 | −$102,198 | −$183,732 | −$851,959 | −$1,069,312 | $1,798,839 | −$826,057 | −$275,734 | −$265,914 |
| Total facility beds, all components | 92 | 92 | 92 | 92 | 92 | 92 | 92 | 92 | 92 | 92 | 92 | 92 | 92 | 92 | 92 |
| Bed days available, all components | 33,580 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 865 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 15,656 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 3,247 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 19,768 | 13,069 | 20,548 | 16,562 | 11,868 | 13,450 | 18,893 | 21,648 | 21,081 | 18,763 | 19,620 | 19,225 | 17,285 | 19,612 | 17,902 |
| Medicare discharges | 14 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 78 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 62 | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 154 | 117 | 159 | 176 | 110 | 107 | 150 | 144 | 123 | 133 | 146 | 143 | 79 | 99 | 85 |
| Average length of stay, Medicare, in days | 61.79 | 68.5 | 49.83 | 90.62 | 49.52 | 59.09 | 54.47 | 63.64 | 84.64 | 74.95 | 52.46 | 59.93 | 69.26 | 71.6 | 75.53 |
| Average length of stay, Medicaid, in days | 200.72 | 175.03 | 266.3 | 141.53 | 240.67 | 215.38 | 223.94 | 222.08 | 278.46 | 263 | 248.4 | 205.75 | 340.08 | 294.74 | 296.41 |
| Average length of stay, all patients, in days | 128.36 | 111.7 | 129.23 | 94.1 | 107.89 | 125.7 | 125.95 | 150.33 | 171.39 | 141.08 | 134.38 | 134.44 | 218.8 | 198.1 | 210.61 |
Net income, fiscal years 2025, 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
Form CMS-2540-96: every report is settled.
| Form CMS-2540-96 | 2010 · report 414511 | 2009 · report 381289 | 2008 · report 354029 | 2007 · report 320095 | 2006 · report 292008 | 2005 · report 265197 | 2004 · report 244885 |
|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | January 1, 2007 | January 1, 2006 | January 1, 2005 | April 1, 2004 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 | December 31, 2005 | December 31, 2004 |
| Days, where not a full year | — | — | — | — | — | — | 274 |
| Processed by CMS | August 3, 2011 | July 14, 2010 | August 6, 2009 | July 23, 2008 | August 15, 2007 | October 26, 2006 | March 13, 2006 |
| Net patient revenue | $3,667,495 | $4,217,557 | $4,300,043 | $4,171,606 | $3,657,131 | $2,983,753 | $2,853,382 |
| Total operating expenses | $3,811,850 | $3,994,416 | $4,040,045 | $3,777,995 | $3,403,935 | $3,171,832 | $2,841,867 |
| Net income from service to patients | −$144,355 | $223,141 | $259,998 | $393,611 | $253,196 | −$188,079 | $11,515 |
| Total other income | $6,924 | $7,125 | $25,189 | $26,159 | $36,279 | $782 | $1,358 |
| Net income | −$137,431 | $230,266 | $285,187 | $419,770 | $289,475 | −$187,297 | $12,873 |
| Total facility beds, all components | 92 | 92 | 92 | 99 | 99 | 99 | 99 |
| Total patient days, all components | 21,428 | 24,899 | 28,168 | 28,804 | 26,238 | 25,529 | 27,109 |
| Total discharges, all components | 95 | 122 | 122 | 119 | 96 | 110 | 97 |
| Average length of stay, Medicare, in days | 92.16 | 55.76 | 76.22 | 104.06 | 176.31 | 60.82 | 199 |
| Average length of stay, Medicaid, in days | 296.27 | 294.71 | 296.73 | 295.55 | 297.17 | 294.05 | 290.69 |
| Average length of stay, all patients, in days | 225.56 | 204.09 | 230.89 | 242.05 | 273.31 | 232.08 | 279.47 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004. Checked against the form’s own arithmetic: what that check shows.
RICHMOND HEALTH CARE CENTER: nurse staffing hours by quarter →
Who owns RICHMOND HEALTH CARE CENTER, as filed with CMS
Care Compare
- 5% OR GREATER MORTGAGE INTEREST: HEALTH SERVICES MANAGEMENT, INC. (organization), since 01/01/2024; RICHMOND REALTY, LLC (organization), since 01/01/2024
- ADP OF THE SNF: HEALTH SERVICES MANAGEMENT, INC. (organization), since 01/01/2024; HSMTX/RICHMOND, LLC (organization), since 03/09/2025; KASSAM, ZULEIKHA (individual), since 02/12/2024; NGO, MICHAEL (individual), since 01/01/2024; RICHMOND REALTY, LLC (organization), since 01/01/2024
- CORPORATE DIRECTOR: MURRELL, EDWARD (individual), since 01/01/2024
- OPERATIONAL/MANAGERIAL CONTROL: HSMTX/RICHMOND, LLC (organization), since 01/01/2024; KASSAM, ZULEIKHA (individual), since 02/12/2024; WHITE, JOSHUA (individual), since 01/01/2024
Ownership percentage for each: NOT APPLICABLE.
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of WINNIE-STOWELL HOSPITAL DISTRICT (enrollment ID O20240304000728).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: WINNIE-STOWELL HOSPITAL DISTRICT (organization), 100.00%, since 01/01/2024
- 5% OR GREATER MORTGAGE INTEREST: HEALTH SERVICES MANAGEMENT, INC. (organization), 100.00%, since 01/01/2024; RICHMOND REALTY, LLC (organization), 100.00%, since 01/01/2024
- ADP OF THE SNF: HEALTH SERVICES MANAGEMENT, INC. (organization), since 01/01/2024; HSMTX/RICHMOND, LLC (organization), since 03/09/2025; MICHAEL NGO (individual), since 01/01/2024; RICHMOND REALTY, LLC (organization), since 01/01/2024; ZULEIKHA KASSAM (individual), since 02/12/2024; No owner named in the filing (individual), since 01/01/2024
- CORPORATE DIRECTOR: EDWARD R MURRELL (individual), 0.00%, since 01/01/2024
- OPERATIONAL/MANAGERIAL CONTROL: HSMTX/RICHMOND, LLC (organization), 100.00%, since 01/01/2024; JOSHUA L WHITE (individual), since 01/01/2024; ZULEIKHA KASSAM (individual), since 02/12/2024
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: No: WINNIE-STOWELL HOSPITAL DISTRICT; HEALTH SERVICES MANAGEMENT, INC.; RICHMOND REALTY, LLC; HEALTH SERVICES MANAGEMENT, INC.; HSMTX/RICHMOND, LLC; RICHMOND REALTY, LLC; HSMTX/RICHMOND, LLC.
Private equity company, real estate investment trust and holding company: Paused by CMS: MICHAEL NGO; ZULEIKHA KASSAM; No owner named in the filing; EDWARD R MURRELL; JOSHUA L WHITE; ZULEIKHA KASSAM.
Changes in ownership
- June 1, 2025, enrollment ownership file; first listed: HEALTH SERVICES MANAGEMENT, INC. (ADP OF THE SNF), associated since January 1, 2024; HEALTH SERVICES MANAGEMENT, INC. (5% OR GREATER MORTGAGE INTEREST), associated since January 1, 2024; RICHMOND REALTY, LLC (ADP OF THE SNF), associated since January 1, 2024; RICHMOND REALTY, LLC (5% OR GREATER MORTGAGE INTEREST), associated since January 1, 2024; a listing under ADP OF THE SNF with no owner named, associated since January 1, 2024; MICHAEL NGO (ADP OF THE SNF), associated since January 1, 2024; HSMTX/RICHMOND, LLC (ADP OF THE SNF), associated since March 9, 2025; ZULEIKHA KASSAM (ADP OF THE SNF), associated since February 12, 2024; ZULEIKHA KASSAM (OPERATIONAL/MANAGERIAL CONTROL), associated since February 12, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-06-01.csv
- June 3, 2024, enrollment ownership file; no longer listed: HEALTH SERVICES MANAGEMENT, INC. (OPERATIONAL/MANAGERIAL CONTROL); SCOTT FISHER (DIRECTOR); KEVIN BAXTER (OPERATIONAL/MANAGERIAL CONTROL); KEVIN BAXTER (DIRECTOR); BRIAN JACKSON (DIRECTOR); JOSHUA L WHITE (OPERATIONAL/MANAGERIAL CONTROL); JOSHUA L WHITE (DIRECTOR); JIM SHATZ (OPERATIONAL/MANAGERIAL CONTROL); JIM SHATZ (DIRECTOR); DEBBIE PECK (OPERATIONAL/MANAGERIAL CONTROL); DEBBIE PECK (DIRECTOR); first listed: JOSHUA L WHITE (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2024; WINNIE-STOWELL HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since January 1, 2024; EDWARD R MURRELL (DIRECTOR), associated since January 1, 2024; HSMTX/RICHMOND, LLC (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- January 5, 2024, enrollment ownership file; no longer listed: JAMES USSERY (OPERATIONAL/MANAGERIAL CONTROL); JAMES USSERY (DIRECTOR); WILLIAM H NEELY (DIRECTOR); first listed: SCOTT FISHER (DIRECTOR), associated since March 22, 2023; BRIAN JACKSON (DIRECTOR), associated since March 22, 2023; DEBBIE PECK (OPERATIONAL/MANAGERIAL CONTROL), associated since August 22, 2023; DEBBIE PECK (DIRECTOR), associated since August 28, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
Recent changes on this record
- September 1, 2026: provider_name: Richmond Health Care Center (capital letters changed). NH_ProviderInfo_Sep2026_3.csv
- August 7, 2026: A deficiency was cited under tag F 0684, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 7, 2026: A deficiency was cited under tag F 0583, scope and severity D. NH_HealthCitations_Oct2026.csv
- August 7, 2026: A deficiency was cited under tag F 0689, scope and severity E. NH_HealthCitations_Oct2026.csv
- August 7, 2026: A deficiency was cited under tag F 0600, scope and severity G. NH_HealthCitations_Oct2026.csv
Inspections of RICHMOND HEALTH CARE CENTER
- Cycle 1: health September 25, 2025 (4 deficiencies), fire safety September 25, 2025 (0)
- Cycle 2: health August 29, 2024 (7 deficiencies), fire safety August 29, 2024 (4)
- Cycle 3: health June 8, 2023 (16 deficiencies), fire safety June 8, 2023 (1)
Deficiencies cited at RICHMOND HEALTH CARE CENTER
27 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 17 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0583, resident rights: August 7, 2026 (D, from a complaint, corrected August 31, 2026).
- F 0600, freedom from abuse, neglect, and exploitation: August 7, 2026 (G, from a complaint, corrected August 31, 2026).
- F 0684, quality of life and care: August 7, 2026 (D, from a complaint, corrected August 31, 2026).
- F 0689, quality of life and care: August 7, 2026 (E, from a complaint, corrected August 31, 2026).
- F 0880, infection control: July 10, 2025 (D, from a complaint, corrected July 28, 2025); August 29, 2024 (D, corrected September 14, 2024); November 13, 2023 (D, from a complaint, corrected November 30, 2023).
- F 0623, resident rights: August 29, 2024 (E, from a complaint, corrected September 17, 2024).
- F 0677, quality of life and care: August 29, 2024 (E, corrected September 14, 2024).
- F 0697, quality of life and care: August 29, 2024 (D, corrected September 14, 2024).
- F 0732, nursing and physician services: August 29, 2024 (C, corrected September 17, 2024).
- F 0849, administration: August 29, 2024 (D, corrected September 17, 2024).
- F 0567, resident rights: February 9, 2024 (D, from a complaint, corrected February 27, 2024).
- F 0626, resident rights: February 9, 2024 (D, from a complaint, corrected February 27, 2024).
- F 0655, resident assessment and care planning: February 9, 2024 (D, from a complaint, corrected February 28, 2024); June 8, 2023 (D, corrected June 15, 2023).
- F 0695, quality of life and care: February 9, 2024 (D, from a complaint, corrected February 27, 2024).
- F 0609, freedom from abuse, neglect, and exploitation: January 12, 2024 (D, from a complaint, corrected February 5, 2024).
- F 0550, resident rights: November 13, 2023 (D, from a complaint, corrected November 30, 2023).
- F 0656, resident assessment and care planning: November 13, 2023 (D, from a complaint, corrected November 30, 2023).
- F 0725, nursing and physician services: November 13, 2023 (F, from a complaint, corrected November 30, 2023).
- F 0755, pharmacy service: November 13, 2023 (K, from a complaint, corrected November 30, 2023); June 8, 2023 (D, corrected June 15, 2023).
- F 0761, pharmacy service: November 13, 2023 (F, from a complaint, corrected November 30, 2023).
- F 0620, resident rights: June 8, 2023 (D, corrected June 15, 2023).
- F 0812, nutrition and dietary: June 8, 2023 (D, corrected June 15, 2023).
- F 0925, environmental: June 8, 2023 (D, corrected June 15, 2023).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| February 9, 2024 | Fine | $4,017 | 112383 | ||
| November 13, 2023 | Fine | $74,019 | 111772 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
RICHMOND HEALTH CARE CENTER in Care Compare
- Ownership Type: Non profit - Corporation
- Legal Business Name: WINNIE-STOWELL HOSPITAL DISTRICT
- Date First Approved to Provide Medicare and Medicaid Services: 2004-04-01
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: Y
- County/Parish: Fort Bend
- Telephone Number: 2812388006
- Chain Name: HEALTH SERVICES MANAGEMENT
- Chain ID: 257
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 55.2
- Overall Rating: 2
- Health Inspection Rating: 2
- QM Rating: 4
- Long-Stay QM Rating: 4
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
Other nursing facilities in RICHMOND and Texas
Report a figure on RICHMOND HEALTH CARE CENTER’s record that differs from its CMS file, quoting 676006.