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.
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.
| 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.
| 27m per day | ▲ 4% State avg: 26m per day · National avg: 41m 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.
| 54m per day | ▼ 5% State avg: 57m 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.
| 2h 2m per day | ■ Avg State avg: 2h 1m per day · National avg: 2h 20m 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.
| 3h 9m per day | ▲ 6% State avg: 2h 59m per day · National avg: 3h 26m 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.
| 6m per day | ▲ 50% 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.
| 28m per day | ▲ 40% State avg: 20m per day · National avg: 28m per day |
The Monarch at Richardson is legally operated by Sabra Trs Holdings, LLC, and administered by Kim Horn.
Key information about the people who lead and staff this community.
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.
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.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 6 | 6 | This facility has total citations in line with the Texas average (6 vs. TX avg 6).— At avg |
|
Health citations
Citations related to resident care, clinical practices, and day-to-day operations.
| 6 | 2 | This facility has 200% more health citations than a typical Texas assisted living residence (6 vs. TX avg 2).↑ 200% worse |
|
Life safety citations
Citations related to building safety — fire prevention, emergency egress, and similar.
| 6 | 6 | This facility has life safety citations in line with the Texas average (6 vs. TX avg 6).— At avg |
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 |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
2.21
In line with Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.80
13% better than Texas averageTexas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.2%
20% worse than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.0%
8% better than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
4.4%
465% worse than Texas averageTexas average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Pets Allowed
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)
Add your location
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.
| The Monarch at Richardson | AL MC | Richardson | 124
Facility
124
TX AVG
79
Rank
#174 / 972 | Yes |
39
Facility
39
TX AVG
41
Rank
#752 / 1389 | - | Sabra Trs Holdings, LLC | 12
Facility
12
TX AVG
6
Rank
#521 / 823 | 6 | 6 | - |
| Twin Rivers | AL MC RC | Richardson | 122
Facility
122
TX AVG
79
Rank
#190 / 972 | Yes |
28
Facility
28
TX AVG
41
Rank
#954 / 1389 | - | Vop Twin Rivers, LLC | 7
Facility
7
TX AVG
6
Rank
#587 / 823 | - | 7 | - |
| Appletree Court | AL MC | Richardson | 110
Facility
110
TX AVG
79
Rank
#298 / 972 | No |
68
Facility
68
TX AVG
41
Rank
#158 / 1389 | 26
Facility
26
TX AVG
21
Rank
#151 / 585 | Spe Appletree Court Management LLC | 3
Facility
3
TX AVG
6
Rank
#319 / 823 | - | 3 | - |
| The Wellington at Arapaho | AL IL RC | Richardson | 57
Facility
57
TX AVG
79
Rank
#618 / 972 | Yes |
58
Facility
58
TX AVG
41
Rank
#326 / 1389 | 23
Facility
23
TX AVG
21
Rank
#176 / 585 | Triad Senior Living IV LP | 16
Facility
16
TX AVG
6
Rank
#779 / 823 | - | 16 | Studio / 1 Bed / 2 Bed |
| The Heritage House of Richardson | AL HC HOS PC | Richardson | 9
Facility
9
TX AVG
79
Rank
#915 / 972 | No |
11
Facility
11
TX AVG
41
Rank
#1213 / 1389 | 9
Facility
9
TX AVG
21
Rank
#431 / 585 | The Heritage House Of Plano, LLC | 0
Facility
0
TX AVG
6
Rank
#1 / 823 | - | - | Private / Semi-Private Rooms |
The Monarch at Richardson is located in Richardson, Texas.
Here are the financial assistance programs available to residents in Texas.
The Monarch at Richardson is legally operated by Sabra Trs Holdings, LLC, and administered by Kim Horn.
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.
According to TX state health department records, The Monarch at Richardson's license number is 307643.
According to TX state health department records, The Monarch at Richardson's license expires on January 11, 2028.
Yes, The Monarch at Richardson allows residents to bring their pets.
Kim Horn is the administrator of The Monarch at Richardson.
The Monarch at Richardson has 124 beds.
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