Nursing Home Record

Government - State · 120 certified beds · CMS number 676479

Richard A. Anderson (State of Texas Veterans Land, Houston, TX

CMS records 13 health deficiencies at Richard A. Anderson (State of Texas Veterans Land in Houston, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Sep 11, 2025. The highest severity cited is K (immediate jeopardy to resident health or safety). 1 citation was at the immediate jeopardy level. CMS lists 1 fine totaling $14,730 in the last three years.

Inspections and deficiencies

CMS findings for Richard A. Anderson (State of Texas Veterans Land as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Richard A. Anderson (State of Texas Veterans Land may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (2 deficiencies)

Standard inspection Sep 11, 2025. CMS counts 2 health deficiencies and 3 fire safety deficiencies in this cycle.

Sep 11, 2025 · Standard inspection

2 deficiencies, highest E

F692 · Nutrition and hydration

Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Oct 20, 2025

F641 · Accurate resident assessments

Requirement cited (CMS): Ensure each resident receives an accurate assessment.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 20, 2025
Previous cycle: 1 deficiency (standard inspection Aug 22, 2024)

Standard inspection Aug 22, 2024. CMS counts 1 health deficiency and 3 fire safety deficiencies in this cycle.

Aug 22, 2024 · Standard inspection

1 deficiency, highest D

F759 · Medication error rate under 5 percent

Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 13, 2024
Earlier cycle: 10 deficiencies (standard inspection Jun 23, 2023)

Standard inspection Jun 23, 2023. CMS counts 10 health deficiencies and 1 fire safety deficiency in this cycle.

Jun 23, 2024 · Complaint inspection

2 deficiencies, highest K

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Jul 19, 2024

F609 · Reporting suspected abuse and crimes

Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jul 19, 2024

Jun 23, 2023 · Standard inspection

8 deficiencies, highest E

F919 · Working call system

Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 7, 2023

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 7, 2023

F814 · Garbage disposal

Requirement cited (CMS): Dispose of garbage and refuse properly.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 7, 2023

F761 · Drug labeling and secure storage

Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 7, 2023

F759 · Medication error rate under 5 percent

Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 7, 2023

F695 · Respiratory and oxygen care

Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 7, 2023

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 7, 2023

F644 · Coordinating with PASARR screening

Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 7, 2023

Tags cited in more than one inspection

1 tag cited on more than one inspection date at Richard A. Anderson (State of Texas Veterans Land; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F759 Medication error rate under 5 percent2Aug 22, 2024; Jun 23, 2023

Fines and payment denials

DateTypeAmount / length
Jun 23, 2024Fine$14,730

Staffing and CMS ratings

Total nurse staff hours per resident per day
4.08 h (above the Texas median of 3.27 h)
RN hours per resident per day
0.55 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
3.62 h
Nursing staff turnover
33.3% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
5 of 5
Health inspection rating
4 of 5
Staffing rating
5 of 5
Quality measure rating
5 of 5

CMS figures for Richard A. Anderson (State of Texas Veterans Land, copied as published; Texas medians are ours.

Facility details

Address
14041 Cottingham Road, Houston, TX 77048
Phone
(346) 293-9600
County
Harris
Accepts
Medicare and Medicaid
Ownership
Government - State
Chain (CMS)
Texvet
Certified beds
120
Average residents per day
115.8
In Medicare/Medicaid since
Nov 5, 2019
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • How do nurses double-check medications before giving them? (F759, cited 2 times)
  • Who at the home is responsible for reporting incidents to the state? (F609, cited 1 time)
  • How does the home check that resident assessments match what staff actually observe? (F641, cited 1 time)
  • If a resident has a mental health condition or intellectual disability, how are PASARR recommendations included in their care? (F644, cited 1 time)

Other nursing homes in Houston and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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