Texas average 7.4
Last Health inspection on Jun 2025

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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.
The Monarch at Richardson is legally operated by Sabra Trs Holdings, Llc, and administrated 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.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
| 6 | 6 | This facility has total citations in line with the Texas average (6 vs. TX avg 6).— At avg |
|
Health citations
| 6 | 2 | This facility has 200% more health citations than a typical Texas nursing home (6 vs. TX avg 2).↑ 200% worse |
|
Life safety citations
| 6 | 6 | This facility has life safety citations in line with the Texas average (6 vs. TX avg 6).— At avg |
|
Citations per year
| 3 | 3 | This facility has citations per year in line with the Texas average (3 vs. TX avg 3).— At avg |
Inspections
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Inspections with citations
| 2 | 1 | This facility has 100% more inspections with citations than a typical Texas nursing home (2 vs. TX avg 1).↑ 100% worse |
Texas average 7.4
Last Health inspection on Jun 2025
Texas average 25.9
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).
Texas average: 2
Texas average: 0.4
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
| Certified Nursing Assistant | 28 | 0 | 28 | 11,812 | 92 | 100% | 9.7 |
| Licensed Practical Nurse | 11 | 0 | 11 | 4,232 | 92 | 100% | 10 |
| Registered Nurse | 7 | 0 | 7 | 3,387 | 92 | 100% | 10.2 |
| Medication Aide/Technician | 6 | 0 | 6 | 2,805 | 92 | 100% | 9.6 |
| RN Director of Nursing | 4 | 0 | 4 | 1,451 | 69 | 75% | 8.2 |
| Physical Therapy Assistant | 3 | 0 | 3 | 1,084 | 81 | 88% | 6.6 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 890 | 84 | 91% | 7.2 |
| Qualified Social Worker | 4 | 0 | 4 | 746 | 67 | 73% | 5.8 |
| Physical Therapy Aide | 4 | 0 | 4 | 545 | 66 | 72% | 4.9 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Speech Language Pathologist | 5 | 0 | 5 | 489 | 52 | 57% | 6.1 |
| Dietitian | 1 | 0 | 1 | 347 | 42 | 46% | 8.3 |
| Occupational Therapy Aide | 1 | 0 | 1 | 36 | 8 | 9% | 4.5 |
| Medical Director | 0 | 1 | 1 | 6 | 3 | 3% | 2 |
| Other Dietary Services Staff | 1 | 0 | 1 | 5 | 2 | 2% | 2.6 |
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)
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
22% of new residents, usually for short-term rehab.
38% of new residents, often for short stays.
40% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for The Monarch at Richardson based on CMS SNF Cost Reports.
Most residents stay for extended periods and receive ongoing daily care.
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)
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The Monarch at Richardson is located in Richardson, Texas.
Here are the financial assistance programs available to residents in Texas.
The legal owner and operator of The Monarch at Richardson is Sabra Trs Holdings, Llc.
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.
Kim Horn is the administrator of The Monarch at Richardson.
The Monarch at Richardson has 124 beds.
The Monarch at Richardson has had 6 recently reported deficiencies.
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