The Monarch At Richardson
State licensed1493 Richardson Drive, Richardson, TX 75080
Assisted LivingMemory Care
Assisted livingState-licensed (Texas HHSC)24-hour personal care
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Medicare-certifiedSkilled Nursing
The Reserve at Richardson
Richardson, TexasMedicare inspection record
About The Reserve at Richardson
The Reserve at Richardson provides compassionate skilled nursing and rehabilitation care in Richardson, Texas, where experienced clinicians focus on healing and recovery. Our team creates personalized care plans that help patients regain strength and independence after surgery or illness.
Community at a glance
Capacity
129 residents
Location
Richardson, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1610 RICHARDSON DR, Richardson, Texas 75080
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on May 21, 2026, state inspectors cited 16 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 29 minutes with each resident a day, about the same as the Texas average.
Medicare fined The Reserve at Richardson once in the last three years, $14,069 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 29 minutes |
| Registered nurse time per resident, per day | 14 minutesBelow the Texas average |
| Nursing staff who left in the past year | 34%Below the Texas average |
Inspections
35 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
May 21, 2026 · Standard inspection · 14 citations
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jun 5, 2026Honor the resident's right to organize and participate in resident/family groups in the facility.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jun 5, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jun 5, 2026Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jun 5, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jun 5, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jun 5, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 5, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 5, 2026Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 5, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 5, 2026Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 5, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 5, 2026Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jun 5, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 5, 2026
December 2, 2025 · Complaint investigation · 2 citations
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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Dec 9, 2025Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 9, 2025
June 18, 2025 · Complaint investigation · 4 citations+
Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jul 10, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jul 10, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jul 10, 2025Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 10, 2025
March 13, 2025 · Standard inspection · 9 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Apr 4, 2025Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Apr 4, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Apr 4, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 4, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Apr 4, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 4, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 4, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 4, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Apr 4, 2025
March 10, 2025 · Complaint investigation · 1 citation+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintAlready fixed by Feb 2, 2025
February 15, 2024 · Standard inspection · 5 citations+
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Mar 8, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Mar 8, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Mar 8, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Mar 8, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 8, 2024
Fines and payment denials
1 fine totaling $14,069 in the last three years.
- March 10, 2025Fine: $14,069
About the home, per Medicare
- Ownership
- Government - Hospital district
- Legal business name
- Hamilton County Hospital District
- Medicare-certified beds
- 129
- Average residents per day
- 80
- Accepts
- Medicare and Medicaid
- First certified
- June 22, 2018
- Part of a chain
- Hamilton County Hospital District, 10 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 676448
Location
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1610 RICHARDSON DRRichardson, TX 75080
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Questions about The Reserve at Richardson
How did The Reserve at Richardson do on its last inspection?+
State inspectors visited on May 21, 2026 and cited 16 health deficiencies, 2 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at The Reserve at Richardson?+
Nurses and aides spend 3 hours 29 minutes with each resident per day, including 14 minutes from registered nurses. 34% of nursing staff left over the past year.
Has The Reserve at Richardson been fined by Medicare?+
Yes. Medicare fined The Reserve at Richardson once in the last three years, totaling $14,069.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.