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Assisted Living in Richardson

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

The Monarch at Richardson

Assisted Living in Richardson

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

The Monarch at Richardson

Overview of The Monarch at Richardson

The Monarch at Richardson is a luxurious memory care with an assisted living community that provides a comfortable environment in a stimulating atmosphere. The upscale home in Richardson offers a professional care staff that ensures that residents can create memorable moments through the elevated lifestyle and experiences provided in the community. A home that encourages, empowers, and elevates the lifestyles of its seniors for an enhanced aging experience.
The Monarch’s residential living is centered on the independence and flexibility of its residents through amenities and services such fitness classes, medication management, fine-dining style experience, housekeeping, laundry, and transportation services. Exclusive programs include its Valero™ Memory Care Program and Valero™ Signature Programs that focus on holistic wellness.

(972) 284-0516

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
2/5
Texas average: 3.0/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
3/5
Texas average: 2.9/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
1/5
Texas average: 2.4/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
4/5
Texas average: 4.0/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
3h 35m per day

This home provides 5% less nursing time per resident than the Texas average.

Texas average: 3h 47m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 114

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Texas average
Occupancy rate 42.6%
Residents per day (avg) 83
Occupancy rate
42.6%
Residents per day (avg)
83

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

22% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

38% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

40% of new residents, often for long-term daily care.

Typical stay 8 - 9 months

Finances and operations

Governmental community
Operated by state authorities.
Home revenue
$5.1M
Operating deficit
-$609.4K
Governmental community Operated by state authorities.
Home revenue
$5.1M
Operating deficit
-$609.4K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.9M
37.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.6M
Total costs $5.6M
Bed community size
114-bed community
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 39 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

License Details

Facility TypeAssisted Living
StatusLicensed
ExpirationJanuary 11, 2028
CountyDALLAS

Additional Licensing Details

License Number307643
CMS Certification Number676098

Ownership & Operating Entity

The Monarch at Richardson is legally operated by Sabra Trs Holdings, Llc, and administrated by Kim Horn.

Management CompanyRICHARDSON SA OPCO, LLC
OwnerSABRA TRS HOLDINGS, LLC
Ownership TypeLimited Liability Company (LLC)

Type Of Units

Alzheimer's Units
28 units
Total beds
114 units

Staffing

Key information about the people who lead and staff this community.

Leadership

Administrator Email [email protected]

Memory & Specialized Care

1 service
Alzheimer's Certification

Contact The Monarch at Richardson

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.

Results

2 with citations

0 without citations

Texas average: 1 inspection with citations

2 total citations

1 health citation 1 life safety citation

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

Texas average: 6 citations

Texas average: 2 health citations

Texas average: 6 life safety citations

Health Inspection History

Inspections
Total health inspections 10

Texas average 7.4


Last Health inspection on Jun 2025

Total health citations 41

Texas average 25.9

Citations per inspection
4.1

Texas average 3.67


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

25 of 41 citations resulted from standard inspections; 14 of 41 resulted from complaint investigations; and 2 of 41 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Texas average

Texas average: 2


Serious Health citations More info 0
100% better than Texas average

Texas average: 0.4

0 critical citations More info Texas average: 2

0 serious citations More info Texas average: 0.4

40 moderate citations More info Texas average: 23

1 minor citation More info Texas average: 0.4
Citations history (last 3 years)
Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Jun 26, 2025
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jun 26, 2025
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Jun 26, 2025
Corrected

Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Jun 26, 2025
Corrected

Compare Assisted Living around Richardson The information below is reported by the Texas Health and Human Services Commission.

Filter by care type
The Monarch at Richardson
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Richardson
124
No
39
-
A+
Sabra Trs Holdings, Llc
2
1
1
-
Appletree Court
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Richardson
110
No
68
26
-
Spe Appletree Court Management Llc
3
0
3
-
The Heritage House of Richardson
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Richardson
9
No
11
9
-
The Heritage House Of Plano, Llc
0
0
0
Private / Semi-Private Rooms
Evergreen at Richardson
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Richardson
-
No
47
-
-
-
0
0
0
-
The El Dorado-Sky Active Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Richardson
-
No
60
-
-
-
0
0
0
-

Places of interest near The Monarch at Richardson

Address 1.5 miles from city center — 4.7 miles to nearest hospital (Baylor Scott & White Medical Center - Plano)

Calculate Travel Distance to The Monarch at Richardson

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 77
Employees 76
Contractors 1
Staff to resident ratio 0.96:1
36% worse than Texas average

Texas average ratio: 1.51:1

Avg staff/day 35
Average shift 9 hours
11% better than Texas average

Texas average: 8.1 hours

Total staff hours (quarter) 28,591
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.5 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 28
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.4 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

0%

6 contractor hours this quarter

Medical Director: 1
Staff by category
Certified Nursing Assistant2802811,81691100%9.4
Licensed Practical Nurse130135,55691100%10.5
Medication Aide/Technician5052,76191100%9.7
Registered Nurse7071,6728796%9.5
RN Director of Nursing4041,5776976%8.6
Speech Language Pathologist4049328391%7.7
Physical Therapy Assistant4049228796%5.8
Qualified Social Worker2026676673%7
Dietitian1015206167%8.5
Nurse Practitioner1015206571%8
Mental Health Service Worker1015206571%8
Administrator1014966268%8
Respiratory Therapy Technician2024785763%6.7
Physical Therapy Aide2021123437%2.9
Occupational Therapy Aide10136910%4
Medical Director011633%2
28 Certified Nursing Assistant
% of Days 100%
13 Licensed Practical Nurse
% of Days 100%
5 Medication Aide/Technician
% of Days 100%
7 Registered Nurse
% of Days 96%
4 RN Director of Nursing
% of Days 76%
4 Speech Language Pathologist
% of Days 91%
4 Physical Therapy Assistant
% of Days 96%
2 Qualified Social Worker
% of Days 73%
1 Dietitian
% of Days 67%
1 Nurse Practitioner
% of Days 71%
1 Mental Health Service Worker
% of Days 71%
1 Administrator
% of Days 68%
2 Respiratory Therapy Technician
% of Days 63%
2 Physical Therapy Aide
% of Days 37%
1 Occupational Therapy Aide
% of Days 10%
1 Medical Director
% of Days 3%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
80 residents
Residents by payment source
Medicare
8 residents (10%)
Medicaid
44 residents (55%)
Private pay or other
28 residents (35%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.7
13% worse than Texas average

Texas average: 8.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 17.4
9% worse than Texas average

Texas average: 16.0

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 23.0%
42% worse than Texas average

Texas average: 16.2%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 11.9%
27% better than Texas average

Texas average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 17.4%
11% worse than Texas average

Texas average: 15.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.1%
57% worse than Texas average

Texas average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.7%
28% worse than Texas average

Texas average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.4%
56% better than Texas average

Texas average: 0.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.1%
9% better than Texas average

Texas average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.2%
60% better than Texas average

Texas average: 2.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 10.0%
27% worse than Texas average

Texas average: 7.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with Texas average

Texas average: 97.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with Texas average

Texas average: 97.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 88.8%
In line with Texas average

Texas average: 90.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.4%
68% worse than Texas average

Texas average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 93.3%
6% better than Texas average

Texas average: 88.0%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $18K
78% lower than Texas average

Texas average: $80K

Number of fines 3
21% more fines than Texas average

Texas average: 2.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Texas average

Texas average: 0.2

Fines amount comparison
Fines amount comparison
This facility $18K
Texas average $80K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. May 8, 2023
$2K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Apr 17, 2023
$5K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 28, 2023
$10K

Last updated: Jan 2026

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Financial Aid for Texas Seniors

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Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled, Texas resident, Medicaid-eligible, care need (not always nursing home level).

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Large state; rural access challenges.

Texas Community Care Services

TX CCS

Age 60+, Texas resident, at risk of decline.

~$2,000/month (individual, varies).

$5,000 (individual).

Limited funding; high demand in urban areas.

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+, TX resident; no income/asset limits.

None; donations encouraged.

Not assessed.

28 AAAs; includes Meals on Wheels in some areas.

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled, TX resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIHEAP)

Texas Comprehensive Energy Assistance Program (CEAP)

Age 60+ prioritized, TX resident, low-income.

~$3,970/month (185% FPL).

Not assessed.

Priority for elderly/disabled; covers gas, electric, propane.

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed.

High rural demand; includes grandparent caregivers.

Senior Community Service Employment Program (SCSEP)

Texas SCSEP

Age 55+, unemployed, low-income, TX resident.

~$1,983/month (125% FPL).

Not specified.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, TX resident, wartime service, ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth).

High veteran population; supports rural/urban needs.

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+, TX resident, homeowner (homestead).

None; tax-based eligibility.

Not assessed.

$25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+, TX resident, low-income.

~$2,322/month (185% FPL).

Not assessed.

Vouchers (~$50/season); serves ~20,000 via 28 AAAs.

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