For profit - Limited Liability company · 158 certified beds · CMS number 675901

Cambridge Health and Rehabilitation Center, Richmond, TX

CMS records 31 health deficiencies at Cambridge Health and Rehabilitation Center in Richmond, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 10, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level. CMS lists 2 fines totaling $35,269 in the last three years.

Inspections and deficiencies

CMS findings for Cambridge Health and Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Cambridge Health and Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (15 deficiencies)

Standard inspection Jul 10, 2026. CMS counts 15 health deficiencies and 1 fire safety deficiency in this cycle.

Jul 10, 2026 · Standard inspection

7 deficiencies, highest E

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 3, 2026

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 3, 2026

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 3, 2026

F655 · Baseline care plan within 48 hours

Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 3, 2026

F645 · Pre-admission screening for mental disorder or intellectual disability

Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 3, 2026

F627 · Permitted transfers, discharge planning, and return rights

Requirement cited (CMS): Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Aug 3, 2026

F561 · Making everyday choices

Requirement cited (CMS): Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Aug 3, 2026

Mar 25, 2026 · Complaint inspection

3 deficiencies, highest D

F880 · Infection prevention and control program

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

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 23, 2026

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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 23, 2026

F583 · Personal privacy and confidential records

Requirement cited (CMS): Keep residents' personal and medical records private and confidential.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 23, 2026

Feb 26, 2026 · Complaint inspection

4 deficiencies, highest G

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 3, 2026

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
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Mar 3, 2026

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Mar 3, 2026

F584 · Safe, clean, homelike surroundings

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 3, 2026

Dec 23, 2025 · Complaint inspection

1 deficiency, highest D

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 Jan 21, 2026
Previous cycle: 5 deficiencies (standard inspection May 15, 2025)

Standard inspection May 15, 2025. CMS counts 5 health deficiencies and 2 fire safety deficiencies in this cycle.

May 15, 2025 · Standard + complaint inspection

2 deficiencies, highest D

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 23, 2025

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date May 23, 2025

Apr 3, 2025 · Complaint inspection

1 deficiency, highest D

F880 · Infection prevention and control program

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

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 9, 2025

Jan 10, 2025 · Complaint inspection

2 deficiencies, highest G

F686 · Pressure ulcer prevention and care

Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Jan 11, 2025

F657 · Care plan timing and team review

Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 1, 2025
Earlier cycle: 11 deficiencies (standard inspection Mar 14, 2024)

Standard inspection Mar 14, 2024. CMS counts 11 health deficiencies and 2 fire safety deficiencies in this cycle.

Mar 14, 2024 · Standard + complaint inspection

4 deficiencies, highest D

F842 · Complete, confidential medical records

Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 22, 2024

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 Mar 22, 2024

F755 · Pharmacy services and a consultant pharmacist

Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 22, 2024

F684 · Quality of care

Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Mar 22, 2024

Feb 1, 2024 · Complaint inspection

1 deficiency, highest K

F686 · Pressure ulcer prevention and care

Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Feb 8, 2024

Sep 29, 2023 · Complaint inspection

6 deficiencies, highest K

F726 · Competent nurses and nurse aides

Requirement cited (CMS): 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.

Severity
J Immediate jeopardy to resident health or safety, isolated
Status
Correction date Sep 30, 2023

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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 30, 2023

F678 · CPR and basic life support

Requirement cited (CMS): Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Severity
K Immediate jeopardy to resident health or safety, pattern
Status
Correction date Sep 30, 2023

F656 · Comprehensive person-centered care plan

Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 30, 2023

F610 · Investigating and responding to allegations

Requirement cited (CMS): Respond appropriately to all alleged violations.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 30, 2023

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
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Sep 30, 2023

Tags cited in more than one inspection

6 tags cited on more than one inspection date at Cambridge Health and Rehabilitation Center; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F656 Comprehensive person-centered care plan3Jul 10, 2026; Feb 26, 2026; Sep 29, 2023
F755 Pharmacy services and a consultant pharmacist3Jul 10, 2026; May 15, 2025; Mar 14, 2024
F686 Pressure ulcer prevention and care2Jan 10, 2025; Feb 1, 2024
F689 Accident prevention and supervision2Feb 26, 2026; Sep 29, 2023
F842 Complete, confidential medical records2Feb 26, 2026; Mar 14, 2024
F880 Infection prevention and control program2Mar 25, 2026; Apr 3, 2025

Fines and payment denials

DateTypeAmount / length
Jan 10, 2025Fine$18,821
Feb 1, 2024Fine$16,448

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.24 h (about the same as the Texas median of 3.27 h)
RN hours per resident per day
0.43 h (above the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.95 h
Nursing staff turnover
40.6% (Texas median 52.1%)
Administrators who left
0
CMS overall rating
2 of 5
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measure rating
5 of 5

CMS figures for Cambridge Health and Rehabilitation Center, copied as published; Texas medians are ours.

Facility details

Address
1106 Golfview, Richmond, TX 77469
Phone
(281) 344-9191
County
Fort Bend
Accepts
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Chain (CMS)
The Ensign Group
Certified beds
158
Average residents per day
119.9
In Medicare/Medicaid since
Sep 27, 2001
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 are a resident's goals and preferences written into the care plan? (F656, cited 3 times)
  • How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 3 times)
  • How often are residents who spend a lot of time in bed or a wheelchair repositioned and checked for skin problems? (F686, cited 2 times)
  • How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 2 times)

Other nursing homes in Richmond 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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