Richland Hills Rehabilitation and Healthcare Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 75 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (15 vs median 8.0)
- High staff turnover (67%)
- High RN turnover (71%)
Below average in Texas · Critically understaffed (RN) · Below chain average · $15,633 in fines
What this means for your family
This facility shows signs of improvement under new leadership, particularly regarding therapy and administration. However, the history of severe neglect regarding hygiene and medication is a major red flag; families should perform unannounced visits and specifically verify the protocol for responding to call buttons and managing medication timing.
Google Reviews
Google Reviews
75 reviews on Google“Families considering Richland Hills should be aware of a significant divide between recent positive reports of improved leadership and a history of severe neglect allegations. While some reviewers praise the therapy team and new management, multiple families have reported critical issues including medication errors, hygiene neglect, and unresponsive call buttons.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical therapy and rehab team
- Responsive new administration and leadership
- Friendly and compassionate nursing staff
- Welcoming, small-facility atmosphere
Concerns
- Neglect regarding hygiene and incontinence care (mentioned by 5 reviewers)
- Delayed or inaccurate medication administration (mentioned by 4 reviewers)
- Unresponsive call buttons and slow staff response (mentioned by 4 reviewers)
- Inconsistent food temperature and quality (mentioned by 2 reviewers)
- Staffing shortages and reliance on temporary agencies (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 64 analyzed
How They Respond to Reviews
The facility provides personalized responses that frequently use the reviewer's name and acknowledge specific details. For negative reviews, they consistently use a professional tone to offer direct contact information for resolution and highlight recent management or operational improvements.
Questions for Your Tour
- 1It is great to hear that the new leadership team is very responsive; how has that new administration changed the way you communicate updates to families?
- 2We are very impressed with the reputation of your physical therapy and rehab team; could you tell us more about how they work with residents on their daily mobility goals?
- 3What specific protocols do you have in place to ensure medication is administered accurately and on a consistent schedule?
- 4How do you ensure that call buttons are answered promptly, especially during shift changes or busy periods?
- 5What steps are taken to ensure residents receive consistent, high-quality hygiene and incontinence care throughout the day?
- 6Could you describe the dining experience, specifically how you ensure meals are served at the appropriate temperature and quality?
Personalized based on this facility's data
Key Review Excerpts
“My mom had a debilitating stroke and has regained her speech since being here. The nurses and therapists have been kind and I understand they are doing their best.”
“The therapy team is the best and Sunny (Director of Rehab) makes sure all residents receive the best therapy possible with even the smallest spaces they have great equipment to utilize.”
“I was impressed with how the director of nursing is leading her staff to make it a great place to be. They are striving.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
3
measures
2
measures
Residents on antipsychotic medication
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents who lost too much weight
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints triggering 15 deficiencies, indicating ongoing concerns about care quality and safety. The facility shows persistent problems with accident prevention and safety supervision, medication management, and infection control across multiple surveys from 2022 to 2025. While all deficiencies report correction dates, the recurring nature of issues in critical areas like resident safety and medication errors suggests systemic challenges that families should carefully evaluate.
Dec 5, 2025Complaint4
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Feb 27, 2025Routine11
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Pharmacy Service Deficiencies
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.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Feb 27, 2025Complaint1
Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Jul 10, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
May 17, 2024Complaint2
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Jan 25, 2024Routine10
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
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.
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Federal Penalties
Fine
Nov 21, 2023
$8,190
Fine
Jul 10, 2023
$7,443
Ownership & Operations
Who Operates This Facility
Eastland Memorial Hospital District
for profit
FOSSIL CREEK HEALTHCARE INC
AMY MUNOZ
Chain Affiliation
The Ensign Group
338 facilities nationwide
Chain avg rating: 2.9/5 · Rank 64 of 84
Ownership & Management
Owners
Eastland Memorial Hospital District
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
75 reviews from families & visitors
Official Website
Visit richlandhillsrehab.com
Medicare data downloads
Original nursing home datasets
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