Cambridge Health and Rehabilitation Center
1106 Golfview · Richmond, TX · 77469 · 2813449191
158 certified beds For profit - Limited Liability company Chain: The Ensign Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $18,821 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.30 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.57 | 0.55–0.75 |
| Weekend hours / resident-day | 2.96 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | 4 · $68,342 |
Inspection citations (26 in the current record)
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Potential for harm · D March 25, 2026 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected April 23, 2026 · Resident Rights
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Potential for harm · D March 25, 2026 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 23, 2026 · Quality of Life and Care
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Potential for harm · D March 25, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 23, 2026 · Infection Control
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Actual harm · G February 26, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 3, 2026 · Resident Assessment and Care Planning
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Actual harm · G February 26, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 3, 2026 · Quality of Life and Care
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Potential for harm · E February 26, 2026 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected March 3, 2026 · Resident Rights
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Potential for harm · D February 26, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 3, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 23, 2025 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 21, 2026 · Resident Assessment and Care Planning
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Potential for harm · D May 15, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 23, 2025 · Pharmacy Service
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Potential for harm · D May 15, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 23, 2025 · Nutrition and Dietary
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Potential for harm · D April 3, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 9, 2025 · Infection Control
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Actual harm · G January 10, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 11, 2025 · Quality of Life and Care
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Potential for harm · D January 10, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 14, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 22, 2024 · Quality of Life and Care
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Potential for harm · D March 14, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 22, 2024 · Pharmacy Service
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Potential for harm · D March 14, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 14, 2024 · found via complaint
Dispose of garbage and refuse properly.
Corrected March 22, 2024 · Nutrition and Dietary
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Immediate jeopardy · K February 1, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 8, 2024 · Quality of Life and Care
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Immediate jeopardy · K September 29, 2023 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected September 30, 2023 · Quality of Life and Care
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Immediate jeopardy · J September 29, 2023 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected September 30, 2023 · Nursing and Physician Services
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Potential for harm · D September 29, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 30, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 29, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected September 30, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 29, 2023 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 30, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 29, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 30, 2023 · Quality of Life and Care
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Immediate jeopardy · J August 30, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 6, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 10, 2025 | Fine | $18,821 |
| February 1, 2024 | Fine | $16,448 |
| August 30, 2023 | Fine | $13,397 |
| August 30, 2023 | Fine | $19,676 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675901 · certified since September 27, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.