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A middle-range Medicare rating. Review each component and visit in person before deciding.
based on 106 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Richland Hills Rehabilitation and Healthcare Center has a middle-range Medicare overall rating. Strengths include effective physical therapy and rehab team. Some reviewers note concerns about neglect regarding hygiene and incontinence care (mentioned by 5 reviewers). Review the health-inspection, staffing, and quality-measure components separately, then visit in person.
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
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Concerns
Rating Trends
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Distribution · 95 analyzed
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.
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 nurses and caregivers are some of the most compassionate people I have seen.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
2
measures
4
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents who lost too much weight
Residents whose bladder or bowel control got worse
Residents whose walking got worse
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
Detailed Medicare record · up to 3-year lookback
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
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.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Federal Penalties
Fine
Nov 21, 2023
$8,190
Eastland Memorial Hospital District
for profit
FOSSIL CREEK HEALTHCARE INC
AMY MUNOZ
The Ensign Group
346 facilities nationwide
Chain avg rating: 2.9/5 · Rank 64 of 84
Owners
Eastland Memorial Hospital District
Owner · Organization
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
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