Worth Considering
1
Facilities graded B or better with zero fines
Best Nursing Homes in Richmond, Texas
1 of 4 nursing homes in Richmond (25%) meet our strict criteria. The Texas statewide average is 29%.
1 recommended · 1 caution · 2 avoid · data
City Average
3.8
★
+0.00 vs state
Total Beds
342
across 4 facilities
High Risk Facilities
2
2 Grade F
$163,938 in combined fines
Zero Fines
1
/4
passed all inspections
Nurse Availability
0 min
RN time per resident daily
Below CMS recommendation
Why This One?
The nursing home market in Richmond, Texas, is adequate but has notable concerns, with only 25% of facilities recommended. Families should be aware of the fines totaling $146,378 across two facilities and consider the top-rated PARADIGM AT THE BRAZOS for quality care.
Exceptional (Grade A, Trust Score 90+)
- 1 PARADIGM AT THE BRAZOS (93) — Paradigm at the Brazos stands out with an excellent CMS 5★ rating and a Trust Score of 93/100, reflecting its commitment to high-quality care. With an impressive A grade and no federal fines, this facility ensures a safe and supportive environment for its 56 residents, making it a top choice for nursing care in Richmond.
The other 3 Richmond facilities didn't qualify — 2 carry Grade D or F ratings and 3 have fines totaling $163K.
Recommended
Paradigm at the Brazos stands out with an excellent CMS 5★ rating and a Trust Score of 93/100, reflecting its commitment to high-quality care. With an impressive A grade and no federal fines, this facility ensures a safe and supportive environment for its 56 residents, making it a top choice for nursing care in Richmond.
Proceed with Caution
These facilities don't meet our recommendation criteria but may still be viable options.
Hidden Gem
Staffing Comparison
Staffing levels are the strongest predictor of care quality
| Metric | Top Facility | Richmond Avg | CMS Minimum |
|---|---|---|---|
| RN Hours / Resident / Day | 0.00 | 0.00 | 0.75 |
| CMS Star Rating | 5 stars | 3.8 stars | — |
| Deficiencies / Inspection | 0 | 0.0 | — |
Facilities to Avoid
These facilities have significant quality concerns.
What Disqualified the Other 3?
Our criteria: Trust Grade B or better (score 70+) AND zero fines in 3 years
- Grade F facilities
- 2 Grade F — critical inspection failures
- Facilities with fines
- 3 Have fines totaling $163,938
- Caution group
- 1 Had good grades but fines disqualified them
Questions Richmond Families Should Ask
Based on what we found in local inspection data
-
1
"What is your current CMS star rating and Trust Score?"
Richmond's city average is 3.8 stars
-
2
"Have you received any fines in the past 3 years?"
3 of 4 Richmond facilities have fines
-
3
"How many RN hours per resident do you provide daily?"
CMS recommends 45 min; Richmond avg is 0 min
-
4
"What were your most recent inspection findings?"
Richmond facilities average 0.0 deficiencies per inspection
Explore Nearby Cities
Houston has strong options, but nearby cities add even more choices
Houston at a Glance
Good News
- 12 facilities meet our strict criteria—20% of the market
- 3 exceptional A-grade facilities with 5-star CMS ratings
- 24 facilities with zero fines in the past 3 years
Be Aware
- 30 facilities carry Grade F—nearly half the market
- $3.2M+ in total fines across 37 facilities
- Worst facility has $448,216 in fines alone
Key Numbers
- Average Trust Score: 48.6 (dragged down by 30 F-grades)
- 82% for-profit, 13% non-profit, 5% government
- 9.4 average deficiencies per facility
Frequently Asked Questions
How many nursing homes in Richmond, TX are recommended?
1 of 4 nursing homes in Richmond (25%) meet our strict criteria of excellent inspection results and a clean record with no fines.
What makes a nursing home in Richmond "recommended"?
A facility earns our recommendation when it achieves a Trust Grade of B or better (score of 70+) AND has zero fines in the past three years. This combination indicates consistent quality care and regulatory compliance.
How should I evaluate nursing homes in Richmond?
Look beyond star ratings. Check for recent fines, abuse citations, staffing levels (especially RN hours), and inspection deficiencies. Visit in person during different times of day to observe care quality firsthand.