Every one of the 15 certified facilities here, with its CMS rating, nurse staffing hours and enforcement record. Not a shortlist.
3 of these hold the top CMS rating of five. 6 sit at one. Registered nurse cover averages 0.57 hours per resident per day across the county. That is the number worth comparing, and it is the one families rarely see.
CMS overall rating first. Ties go to higher registered nurse hours.
| Facility | City | Overall | Health | Staffing | RN hrs | Beds | Fines |
|---|---|---|---|---|---|---|---|
| SPJST Rest Home No 2 | Needville | 5 | 5 | 4 | 0.73 | 58 | $12,649 |
| PARADIGM AT THE BRAZOS | Richmond | 5 | 5 | 3 | 0.57 | 56 | $0 |
| OAK BEND MEDICAL CENTER | Richmond | 5 | 5 | 1 | 0.00 | 36 | $17,560 |
| RICHMOND HEALTH CARE CENTER | Richmond | 4 | 4 | 2 | 0.44 | 92 | $78,036 |
| Fort Bend Healthcare Center | Rosenberg | 3 | 3 | 1 | 0.48 | 56 | $22,929 |
| Cambridge Health and Rehabilitation Center | Richmond | 3 | 2 | 2 | 0.43 | 158 | $68,342 |
| Windsor Quail Valley Post-Acute Healthcare | Missouri City | 3 | 3 | 2 | 0.40 | 120 | $52,036 |
| Sugar Land Health Care Center | Sugar Land | 3 | 3 | 2 | 0.31 | 150 | $30,494 |
| Park Manor of Quail Valley | Missouri City | 2 | 2 | 2 | 0.24 | 125 | $0 |
| Paradigm at Katy | Katy | 1 | 1 | 1 | 1.01 | 125 | $241,445 |
| Chelsea Gardens | Missouri City | 1 | 2 | 4 | 0.92 | 60 | $64,918 |
| IGNITE MEDICAL RESORT SUGAR LAND, LLC | Sugar Land | 1 | 2 | 1 | 0.72 | 90 | $155,401 |
| The Crescent | Sugar Land | 1 | 1 | 2 | 0.69 | 112 | $107,921 |
| Rosenberg Health & Rehabilitation Center | Rosenberg | 1 | 1 | 2 | 0.57 | 124 | $97,334 |
| PARADIGM AT FIRST COLONY | Missouri City | 1 | 1 | 1 | 0.47 | 150 | $211,113 |
The overall rating folds together inspections, staffing and quality measures. Inspections carry the most weight.
Staffing hours are the number to read on your own. A five-rated home with thin registered nurse cover is a different place at three in the morning.
Visit before you decide. Go without an appointment. The record here tells you where to look, not what you will find.
| Ownership | Facilities |
|---|---|
| For profit - Limited Liability company | 5 |
| Non profit - Corporation | 4 |
| Government - Hospital district | 2 |
| For profit - Partnership | 2 |
| For profit - Corporation | 1 |
| For profit - Individual | 1 |
Source: CMS Provider Information (Care Compare), retrieved 3 August 2026.