The Monarch at Richardson
Assisted Living & Memory Care · Richardson, TX
The Monarch at Richardson
Assisted Living & Memory Care · Richardson, TX
The Monarch at Richardson accepts Medicaid and Medicare.
Situated at 1493 Richardson Drive in Richardson’s northern Richardson area, The Monarch at Richardson operates a 124-bed nursing home serving short-stay rehabilitation, long-term care, memory care, and assisted living populations. The facility, owned by Dallas County Hospital District and administered by Kim Horn, accepts Medicare, Medicaid, and private-pay admissions.
Operational and regulatory performance reveals systemic challenges.
The facility carries a 2-star CMS overall rating, 33.6% below Texas norms, with Health Inspection results marginally above the state average (3.8% better). Q4 2025 census of 82 personnel (81 employees, 1 contractor) included: 7 RNs, 11 LPNs, 28 CNAs, 5 speech-language pathologists, 4 social workers, 3 PT assistants, 3 respiratory therapists. State inspection history since 2023 recorded 10 surveys (Texas average 7.4) with 41 health citations (Texas average 25.9). Deficiency concentration: Pharmacy Services 8 (20%), Quality of Life/Care 7 (17%), Resident Rights 6 (15%), Infection Control 4 (10%). Federal penalties: $18K total.
Most concerning, quality-of-life outcomes deteriorated substantially. Long-stay residents showed 23% increase in ADL dependency (42% worse than the state average) and 5.1% fall-injury rate (57% worse). Short-stay residents experienced catastrophic fall outcomes: 4.4% with major injury, representing 465% above the Texas average.
Programming includes Valero™ Memory Care and Valero™ Signature Programs (holistic wellness framework), with 28 dedicated Alzheimer’s units.
Dining emphasizes fine-dining service alongside housekeeping, laundry, medication management, transportation, and fitness activities.
An active Resident Council provides governance participation.
Staffing hours
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Hours per resident per day vs Texas averages
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
25m
−5% State avg: 26m per day · National avg: 42m per day
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
50m
−14% State avg: 58m per day · National avg: 52m per day
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
1h 57m
−5% State avg: 2h 4m per day · National avg: 2h 24m per day
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 5m
Avg State avg: 3h 3m per day · National avg: 3h 30m per day
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
6m
+40% State avg: 4m per day · National avg: 4m per day
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
23m
+11% State avg: 20m per day · National avg: 29m per day
3 of 6 metrics below state avg
114-bed community Rank #272 / 980Bed count — State benchmarkedThis home is ranked 272nd out of 980 homes we track in Texas for bed count. Shows this facility's certified or reported bed count compared to other Texas facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score: 39 / 100 Rank #754 / 1345Walk Score — State benchmarkedThis home is ranked 754th out of 1,345 homes we track in Texas for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Texas facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Texas that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Facility TypeType B
ExpirationJanuary 11, 2028
CountyDallas
License Number307643
CMS Certification Number676098
QualificationNursing
The Monarch at Richardson is legally operated by Sabra Trs Holdings, LLC, and administered by Kim Horn.
Management CompanyRICHARDSON SA OPCO, LLC
OwnerDallas County Hospital District
Ownership TypeLimited Liability Company (LLC)
Alzheimer's Units
28 units
Total beds
114 units
Staffing
Key information about the people who lead and staff this community.
Administrator Emailkhorn@themonarchrichardson.com
Inspection History
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Overall vs. TX average
2 Worse
Metrics worse than Texas average:
• Health citations (100% above)
• Inspections with citations (100% above) 2 Better Metrics better than Texas average:
• Total citations (38% below)
• Life safety citations (83% below)
• Health citations (100% above)
• Inspections with citations (100% above) 2 Better Metrics better than Texas average:
• Total citations (38% below)
• Life safety citations (83% below)
Citations
|
This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
|
5 | 8 | This facility has 38% fewer total citations than a typical Texas assisted living residence (5 vs. TX avg 8).↓ 38% better |
|
Health citations
Citations related to resident care, clinical practices, and day-to-day operations.
|
4 | 2 | This facility has 100% more health citations than a typical Texas assisted living residence (4 vs. TX avg 2).↑ 100% worse |
|
Life safety citations
Citations related to building safety — fire prevention, emergency egress, and similar.
|
1 | 6 | This facility has 83% fewer life safety citations than a typical Texas assisted living residence (1 vs. TX avg 6).↓ 83% better |
Inspections
|
This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
|
2 | 1 | This facility has 100% more inspections with citations than a typical Texas assisted living residence (2 vs. TX avg 1).↑ 100% worse |
What does this home offer?
Pets Allowed
Places of interest near The Monarch at Richardson
1.5 miles from city center
Estimated distance in miles from Richardson's city center to The Monarch at Richardson's address, calculated via Google Maps.
— 4.7 miles to nearest hospital (Baylor Scott & White Medical Center - Plano)
Calculate Travel Distance to The Monarch at Richardson
Add your location
Compare Assisted Living around Richardson
Info below is compiled from the TX Health & Human Services Commission (HHSC), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
|
City and state of the facility. Used for mapping and state-average comparisons.
|
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
|
Indicates whether residents are allowed to have pets in the facility.
|
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
|
Number of years the company has been in operation.
|
Name of the licensed owner, operator, or managing entity as filed with the state. Useful for grouping facilities under the same organization.
|
Total count of citations (cited regulatory issues) recorded in the selected reporting period. Read alongside inspection counts for context.
|
Citations tied to health-related standards (as categorized by the state). Subset of overall citation activity.
|
Citations tied to life safety or environmental standards (as categorized by the state). Often distinct from health-line citations.
|
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
|
|---|---|---|---|---|---|---|---|---|---|---|---|
| Twin Rivers |
AL
MC
RC
|
Richardson |
122
Facility
122
TX AVG
78
Rank
#178 / 980
| Yes |
28
Facility
28
TX AVG
42
Rank
#956 / 1,345
| - | Vop Twin Rivers, LLC |
18
Facility
18
TX AVG
6
Rank
#769 / 839
| 11 | 7 | - |
| The Monarch at Richardson |
AL
MC
|
Richardson |
114
Facility
114
TX AVG
78
Rank
#272 / 980
| Yes |
39
Facility
39
TX AVG
42
Rank
#754 / 1,345
| - | Sabra Trs Holdings, LLC |
5
Facility
5
TX AVG
6
Rank
#372 / 839
| 4 | 1 | - |
| Appletree Court |
AL
MC
|
Richardson |
110
Facility
110
TX AVG
78
Rank
#287 / 980
| No |
68
Facility
68
TX AVG
42
Rank
#158 / 1,345
|
26
Facility
26
TX AVG
21
Rank
#152 / 587
| Spe Appletree Court Management LLC |
3
Facility
3
TX AVG
6
Rank
#220 / 839
| - | 3 | - |
| The Wellington at Arapaho |
AL
IL
RC
|
Richardson |
57
Facility
57
TX AVG
78
Rank
#616 / 980
| Yes |
58
Facility
58
TX AVG
42
Rank
#325 / 1,345
|
24
Facility
24
TX AVG
21
Rank
#177 / 587
| Triad Senior Living IV LP |
16
Facility
16
TX AVG
6
Rank
#746 / 839
| - | 16 | Studio / 1 Bed / 2 Bed |
| The Heritage House of Richardson |
AL
HC
HOS
PC
|
Richardson |
9
Facility
9
TX AVG
78
Rank
#915 / 980
| No |
11
Facility
11
TX AVG
42
Rank
#1,215 / 1,345
|
9
Facility
9
TX AVG
21
Rank
#432 / 587
| The Heritage House Of Plano, LLC |
4
Facility
4
TX AVG
6
Rank
#293 / 839
| 4 | - | Private / Semi-Private Rooms |
Financial Assistance for
Assisted Living in Texas
The Monarch at Richardson is located in Richardson, Texas.
Here are the financial assistance programs available to residents in Texas.
Frequently Asked Questions about The Monarch at Richardson
Who is the owner of The Monarch at Richardson?
The Monarch at Richardson is legally operated by Sabra Trs Holdings, LLC, and administered by Kim Horn.
Is The Monarch at Richardson in a walkable area?
The Monarch at Richardson has a walk score of 39. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
What is the license number of The Monarch at Richardson?
According to TX state health department records, The Monarch at Richardson's license number is 307643.
When does The Monarch at Richardson's license expire?
According to TX state health department records, The Monarch at Richardson's license expires on January 11, 2028.
Are pets allowed at The Monarch at Richardson?
Yes, The Monarch at Richardson allows residents to bring their pets.
Who is the administrator of The Monarch at Richardson?
Kim Horn is the administrator of The Monarch at Richardson.
How many beds does The Monarch at Richardson have?
The Monarch at Richardson has 114 beds.
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