Forest Hill Health & Rehabilitation
4403 Forest Hill Avenue, Richmond, VA 23225Map
Medicare/Medicaid certified174 certified beds~130 residents/dayFor profit - Limited Liability company
Last standard health inspection: February 5, 2025
Forest Hill Health & Rehabilitation is a 174-bed for-profit, LLC-owned nursing home in Richmond, Richmond City County, Virginia, serving an average of 130 residents per day. As of CMS data processed June 1, 2026, its overall rating is 1 of 5 stars.
CMS star ratings
CMS scores every nursing home 1–5 stars overall, built from three sub-ratings. moreless
Medicare inspects and measures every certified nursing home, then rolls the results into a 1–5 star overall rating. It combines three parts: health inspections, staffing, and quality measures. Five stars means much better than average — it does not mean perfect. One star means much worse than average — it does not mean every shift is bad. Stars are a screening tool, not a verdict. They can lag reality by months, and they can't see things like how kind the aides are or how the building smells at 7am.
What to do with this: use stars to build a shortlist, then visit in person. Nothing on this site replaces walking the halls.
Health-inspection stars are graded on a curve within each state — never compare stars across state lines. moreless
CMS sets health-inspection star cutoffs separately for each state: roughly the top 10% of homes in a state get 5 stars, the bottom 20% get 1 star, no matter how the state compares to others. That means a 4-star home in one state and a 4-star home in another state may have very different inspection records. The stars tell you how a home compares to its neighbors, not to the whole country. That's why this site shows your state's median next to each star rating — and never a national star comparison.
What to do with this: compare stars only between homes in the same state. To compare across states, use staffing hours — those are real numbers, not curves.
Not all three sub-ratings are equally hard to game: inspections are the most objective, quality measures the least. moreless
The three sub-ratings come from different sources. Health inspections are done on-site by trained state surveyors who show up mostly unannounced — the most objective signal. Staffing comes from payroll records that facilities must submit and CMS audits — quite reliable. Quality measures are partly self-reported by the facility from its own resident assessments — useful, but the facility grades some of its own homework.
What to do with this: when sub-ratings disagree, weigh the inspection star most and the quality-measure star least.
Staffing
Reported hours per resident per day, from payroll records. Hours, unlike stars, can be compared across states.
Hours per resident per day: total staff hours worked, divided by the number of residents. moreless
If a home reports 3.5 total nursing hours per resident per day, that's all nursing staff time across 24 hours — roughly one caregiver-hour every 7 hours per resident, spread across day, evening, and night shifts. On a real floor it decides whether call lights get answered in 5 minutes or 25, whether someone has time to help with dinner, and whether night shift is one aide for a hall or two. Unlike star ratings, hours are actual numbers, so they CAN be compared across state lines.
What to do with this: compare a home's hours to the state and national medians shown, and ask the facility how the hours split across day, evening, and night shifts.
RN (registered nurse) hours
LPN (licensed practical nurse) hours
Nurse aide hours
Total nursing hours
CMS also adjusts these numbers for how sick each home’s residents are — a home with sicker residents needs more staff for the same star. This home’s case-mix-adjusted total: 2.47 (US median, adjusted: 3.78).
CMS also adjusts staffing numbers for how sick each home's residents are. moreless
A home full of short-term rehab patients needs different staffing than a home caring for people with advanced dementia or ventilators. Case-mix adjustment estimates how many hours a home's particular residents need, then scales the reported hours so homes can be compared fairly. A home with sicker residents needs more staff for the same star. This page shows reported (raw payroll) numbers and compares them only to other reported numbers — like with like.
What to do with this: if a home's reported hours look low, check whether its residents may simply need less care — and ask the facility directly.
Staff turnover
Total nursing staff turnover: 70.3% · VA median: 47.8% · RN turnover: 70.8% (VA median: 47.6%)
The share of nursing staff who left within the year. Lower is steadier. moreless
Total nursing staff turnover is the percentage of the home's nurses and aides who stopped working there during the year. Around half of nursing-home staff leaving annually is sadly common in this industry. High turnover means residents are cared for by people who don't know them — which matters enormously for dementia care, pain management, and noticing the small changes that catch problems early. Low turnover usually means staff are treated well enough to stay.
What to do with this: when you visit, ask aides how long they've worked there. Long-tenured aides are the best sign a building has.
Inspections & deficiencies
The last 3 inspection cycles, from CMS’s federal health-survey file. State-only citations and fire-safety surveys are not included — an empty list means nothing federal is in this file, not that nothing ever happened.
Each deficiency gets a letter A–L: how severe it was × how widespread it was. moreless
Surveyors grade every deficiency on a grid. Severity runs from 'potential for minimal harm' up to 'immediate jeopardy to resident health or safety.' Scope runs from isolated (one or a few residents) to pattern to widespread. A and B are paperwork-level; D–F caused no actual harm but had the potential; G–I caused actual harm; J, K, and L mean immediate jeopardy — the most serious finding a surveyor can make. Most citations nationally are D–E.
What to do with this: scan for G or higher. One J/K/L tells you more than ten D's.
Standard surveys are routine; complaint surveys happen because someone reported a problem. moreless
A standard survey is the routine top-to-bottom inspection every home gets on a recurring cycle. A complaint survey happens because a resident, family member, or staff member reported something to the state — surveyors come specifically to investigate it. Infection-control surveys focus on practices like hand hygiene and isolation procedures. A deficiency found during a complaint survey means someone cared enough to report it and a surveyor confirmed enough to cite it.
What to do with this: note which deficiencies came from complaints — they show you what residents and families actually experienced.
The F-number on each deficiency is CMS's code for which federal requirement was violated. moreless
Every federal nursing-home requirement has a tag number. F0686, for example, is the pressure-ulcer requirement; F0600 is freedom from abuse. The tag tells you exactly which rule was broken, and the description next to it is CMS's own plain-language summary of that rule. The same tag appearing across multiple inspections is a pattern worth noticing.
What to do with this: if the same tag repeats across surveys, ask the facility what changed since the last citation.
This data shows federal health surveys only — state-only citations and fire-safety surveys aren't included. moreless
CMS's public deficiency file contains federal health-survey citations. It does not include citations issued under state-only rules, fire-safety (Life Safety Code) surveys, or anything older than three inspection cycles. A facility with no rows here may still have state citations or fire-safety findings. 'No deficiencies in this file' never means 'no violations ever.'
What to do with this: for the full picture, check your state health department's site and medicare.gov/care-compare, which shows fire-safety results separately.
95 deficiencies across the last 3 inspection cycles, in CMS’s federal health-survey file:
- Resident Rights: 20
- Quality of Life and Care: 18
- Resident Assessment and Care Planning: 14
- Infection Control: 10
- Freedom from Abuse, Neglect, and Exploitation: 9
- Environmental: 7
- Nutrition and Dietary: 5
- Nursing and Physician Services: 5
- Pharmacy Service: 4
- Administration: 3
February 5, 2025Standard surveyTag F0550D — no actual harm, potential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Deficient, Provider has date of correction · corrected May 26, 2025
February 5, 2025Standard surveyTag F0554D — no actual harm, potential for more than minimal harm, isolated
Allow residents to self-administer drugs if determined clinically appropriate.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard + Complaint surveyTag F0558E — no actual harm, potential for more than minimal harm, pattern
Reasonably accommodate the needs and preferences of each resident.
Deficient, Provider has date of correction · corrected May 26, 2025
February 5, 2025Standard + Complaint surveyTag F0567D — no actual harm, potential for more than minimal harm, isolated
Honor the resident's right to manage his or her financial affairs.
Deficient, Provider has date of correction · corrected May 26, 2025
February 5, 2025Standard + Complaint surveyTag F0578D — no actual harm, potential for more than minimal harm, isolated
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard surveyTag F0582D — no actual harm, potential for more than minimal harm, isolated
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard surveyTag F0583D — no actual harm, potential for more than minimal harm, isolated
Keep residents' personal and medical records private and confidential.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard + Complaint surveyTag F0584F — no actual harm, potential for more than minimal harm, widespread
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard + Complaint surveyTag F0586D — no actual harm, potential for more than minimal harm, isolated
Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard + Complaint surveyTag F0600D — no actual harm, potential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected March 20, 2025
Show 85 more deficiencies
February 5, 2025Standard + Complaint surveyTag F0602E — no actual harm, potential for more than minimal harm, pattern
Protect each resident from the wrongful use of the resident's belongings or money.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard + Complaint surveyTag F0607D — no actual harm, potential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard + Complaint surveyTag F0609D — no actual harm, potential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard + Complaint surveyTag F0610D — no actual harm, potential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard surveyTag F0623D — no actual harm, potential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard + Complaint surveyTag F0641D — no actual harm, potential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard surveyTag F0645D — no actual harm, potential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard + Complaint surveyTag F0657E — no actual harm, potential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard surveyTag F0658D — no actual harm, potential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Deficient, Provider has date of correction · corrected May 26, 2025
February 5, 2025Standard + Complaint surveyTag F0677D — no actual harm, potential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard surveyTag F0685D — no actual harm, potential for more than minimal harm, isolated
Assist a resident in gaining access to vision and hearing services.
Deficient, Provider has date of correction · corrected May 26, 2025
February 5, 2025Standard surveyTag F0686D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard surveyTag F0687D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate foot care.
Deficient, Provider has date of correction · corrected May 26, 2025
February 5, 2025Standard surveyTag F0688E — no actual harm, potential for more than minimal harm, pattern
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Complaint surveyTag F0689K — immediate jeopardy to resident health or safety, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard + Complaint surveyTag F0690D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Deficient, Provider has date of correction · corrected May 26, 2025
February 5, 2025Standard surveyTag F0692D — no actual harm, potential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard + Complaint surveyTag F0755D — no actual harm, potential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard surveyTag F0760D — no actual harm, potential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Deficient, Provider has date of correction · corrected May 26, 2025
February 5, 2025Standard surveyTag F0791E — no actual harm, potential for more than minimal harm, pattern
Provide or obtain dental services for each resident.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard + Complaint surveyTag F0803D — no actual harm, potential for more than minimal harm, isolated
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard + Complaint surveyTag F0804D — no actual harm, potential for more than minimal harm, isolated
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Deficient, Provider has date of correction · corrected May 26, 2025
February 5, 2025Complaint surveyTag F0835K — immediate jeopardy to resident health or safety, pattern
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard + Complaint surveyTag F0880D — no actual harm, potential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction · corrected May 26, 2025
February 5, 2025Standard + Complaint surveyTag F0914D — no actual harm, potential for more than minimal harm, isolated
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard + Complaint surveyTag F0925F — no actual harm, potential for more than minimal harm, widespread
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Deficient, Provider has date of correction · corrected March 20, 2025
February 5, 2025Standard + Complaint surveyTag F0947E — no actual harm, potential for more than minimal harm, pattern
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Deficient, Provider has date of correction · corrected March 20, 2025
March 28, 2024Complaint surveyTag F0559D — no actual harm, potential for more than minimal harm, isolated
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Deficient, Provider has date of correction · corrected May 10, 2024
March 28, 2024Complaint surveyTag F0563D — no actual harm, potential for more than minimal harm, isolated
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Deficient, Provider has date of correction · corrected May 10, 2024
March 28, 2024Complaint surveyTag F0573D — no actual harm, potential for more than minimal harm, isolated
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Deficient, Provider has date of correction · corrected May 10, 2024
March 28, 2024Complaint surveyTag F0584D — no actual harm, potential for more than minimal harm, isolated
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Deficient, Provider has date of correction · corrected May 10, 2024
March 28, 2024Complaint surveyTag F0624D — no actual harm, potential for more than minimal harm, isolated
Prepare residents for a safe transfer or discharge from the nursing home.
Deficient, Provider has date of correction · corrected May 10, 2024
March 28, 2024Complaint surveyTag F0656D — no actual harm, potential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has date of correction · corrected May 10, 2024
March 28, 2024Complaint surveyTag F0657D — no actual harm, potential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Deficient, Provider has date of correction · corrected May 10, 2024
March 28, 2024Complaint surveyTag F0658E — no actual harm, potential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Deficient, Provider has date of correction · corrected May 10, 2024
March 28, 2024Complaint surveyTag F0660D — no actual harm, potential for more than minimal harm, isolated
Plan the resident's discharge to meet the resident's goals and needs.
Deficient, Provider has date of correction · corrected May 10, 2024
March 28, 2024Complaint surveyTag F0675D — no actual harm, potential for more than minimal harm, isolated
Honor each resident's preferences, choices, values and beliefs.
Deficient, Provider has date of correction · corrected May 10, 2024
March 28, 2024Complaint surveyTag F0677D — no actual harm, potential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Deficient, Provider has date of correction · corrected May 10, 2024
March 28, 2024Complaint surveyTag F0686D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Deficient, Provider has date of correction · corrected May 10, 2024
March 28, 2024Complaint surveyTag F0698D — no actual harm, potential for more than minimal harm, isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Deficient, Provider has date of correction · corrected May 10, 2024
March 28, 2024Complaint surveyTag F0804D — no actual harm, potential for more than minimal harm, isolated
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Deficient, Provider has date of correction · corrected May 10, 2024
March 28, 2024Complaint surveyTag F0842D — no actual harm, potential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Deficient, Provider has date of correction · corrected May 10, 2024
March 28, 2024Complaint surveyTag F0921D — no actual harm, potential for more than minimal harm, isolated
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Deficient, Provider has date of correction · corrected May 10, 2024
July 14, 2022Standard surveyTag F0550D — no actual harm, potential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0561D — no actual harm, potential for more than minimal harm, isolated
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0563D — no actual harm, potential for more than minimal harm, isolated
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0584E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0609D — no actual harm, potential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0645D — no actual harm, potential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0655D — no actual harm, potential for more than minimal harm, isolated
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0657E — no actual harm, potential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0658E — no actual harm, potential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0686G — actual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0689D — no actual harm, potential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0692D — no actual harm, potential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0725E — no actual harm, potential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0727E — no actual harm, potential for more than minimal harm, pattern
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0730E — no actual harm, potential for more than minimal harm, pattern
Observe each nurse aide's job performance and give regular training.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0745D — no actual harm, potential for more than minimal harm, isolated
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0761E — no actual harm, potential for more than minimal harm, pattern
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0802E — no actual harm, potential for more than minimal harm, pattern
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0803D — no actual harm, potential for more than minimal harm, isolated
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0835F — no actual harm, potential for more than minimal harm, widespread
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0842D — no actual harm, potential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0850F — no actual harm, potential for more than minimal harm, widespread
Hire a qualified full-time social worker in a facility with more than 120 beds.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0880F — no actual harm, potential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0881E — no actual harm, potential for more than minimal harm, pattern
Implement a program that monitors antibiotic use.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0882F — no actual harm, potential for more than minimal harm, widespread
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0883E — no actual harm, potential for more than minimal harm, pattern
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0885F — no actual harm, potential for more than minimal harm, widespread
Report COVID19 data to residents and families.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0886E — no actual harm, potential for more than minimal harm, pattern
Perform COVID19 testing on residents and staff.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0887E — no actual harm, potential for more than minimal harm, pattern
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0888E — no actual harm, potential for more than minimal harm, pattern
Ensure staff are vaccinated for COVID-19
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0908D — no actual harm, potential for more than minimal harm, isolated
Keep all essential equipment working safely.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0909D — no actual harm, potential for more than minimal harm, isolated
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0919D — no actual harm, potential for more than minimal harm, isolated
Make sure that a working call system is available in each resident's bathroom and bathing area.
Deficient, Provider has date of correction · corrected August 25, 2022
July 14, 2022Standard surveyTag F0943E — no actual harm, potential for more than minimal harm, pattern
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Deficient, Provider has date of correction · corrected August 25, 2022
April 8, 2021Standard surveyTag F0584E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Deficient, Provider has date of correction · corrected May 4, 2021
April 8, 2021Standard surveyTag F0602D — no actual harm, potential for more than minimal harm, isolated
Protect each resident from the wrongful use of the resident's belongings or money.
Deficient, Provider has date of correction · corrected May 4, 2021
April 8, 2021Standard surveyTag F0607E — no actual harm, potential for more than minimal harm, pattern
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Deficient, Provider has date of correction · corrected May 4, 2021
April 8, 2021Standard surveyTag F0727D — no actual harm, potential for more than minimal harm, isolated
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Deficient, Provider has date of correction · corrected May 4, 2021
April 8, 2021Standard surveyTag F0755D — no actual harm, potential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Deficient, Provider has date of correction · corrected May 4, 2021
April 8, 2021Standard surveyTag F0791D — no actual harm, potential for more than minimal harm, isolated
Provide or obtain dental services for each resident.
Deficient, Provider has date of correction · corrected May 4, 2021
April 8, 2021Standard surveyTag F0880E — no actual harm, potential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction · corrected May 4, 2021
April 8, 2021Standard surveyTag F0921D — no actual harm, potential for more than minimal harm, isolated
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Deficient, Provider has date of correction · corrected May 4, 2021
Fines & penalties
CMS can fine a home or stop paying for new admissions. Shown per CMS's current data window (~3 years) — not all-time. moreless
When deficiencies are serious or aren't fixed, CMS can impose a fine (a civil money penalty) or a payment denial — refusing to pay for new Medicare/Medicaid admissions until the home fixes the problem. Payment denials hit harder than most fines because they stop revenue. CMS's public dataset covers a rolling window of roughly the last three years, so the totals here are recent history, not an all-time record. Many facilities have no penalties in the window — that's common, not remarkable.
What to do with this: a recent large fine deserves a direct question on your visit — what happened, and what changed?
Fines: 1 totaling $80,132 — per CMS data (rolling ~3-year window).
| Date | Type | Amount / length |
|---|---|---|
| February 5, 2025 | Fine | $80,132 |
Ownership & chain
Who actually owns and controls the facility — individuals, companies, and their stakes. moreless
Nursing homes are often owned through layers: an operating company, a property company, management companies, and individual investors with percentage stakes. CMS publishes who holds 5%-or-greater interests and who has operational control. Ownership matters because it sets the budget: research has linked some ownership structures, especially certain chains and investment vehicles, to lower staffing. That's a pattern across the industry, not a verdict on any one building.
What to do with this: know who owns the home before you sign anything, and ask the administrator who actually sets the staffing budget.
Part of Hill Valley Healthcare (44 facilities). Chain average overall rating: 1.9★ — this facility: 1★.
Most US nursing homes belong to a chain. The chain's average rating is context for this home's rating. moreless
A chain is a group of facilities sharing an owner or operator. Chains share budgets, policies, and management practices, so a chain's average rating tells you something about the company behind the building. A home rating well above its chain's average may have an unusually strong local team; one below it may be the chain's neglected building. Either way, the chain sets the constraints the local staff work within.
What to do with this: if the chain average is low, ask the administrator what this building does differently.
| Owner / manager | Role | Stake | Since |
|---|---|---|---|
| Va 6 SNF Operations Holdings LLC (Organization) | 5% or greater direct ownership interest | 100% | 12/01/2022 |
| Idels, Shimon (Individual) | Corporate officer | NOT APPLICABLE | 12/01/2022 |
| Idels, Shimon (Individual) | Operational/managerial control | NOT APPLICABLE | 12/01/2022 |
Nearby facilities in Richmond City County
Most families compare 2–3 homes. Same county, sorted by overall rating:
Visiting? Go in with questions.
Built from this facility’s own CMS data — bring them on the tour.
- Their total nursing staff turnover (70.3%) is above the VA median (47.8%) — ask how long the aides on your person's unit have worked there.
- CMS data shows 1 fine totaling $80,132 in its current data window — ask what the citations were for and what changed afterward.
- Their weekend total nurse staffing (2.71/resident/day) is lower than their overall figure (3.04) — ask who covers weekends and how shifts are filled when someone calls out.
- Their last standard health inspection was February 5, 2025 — ask what's improved since then.
- CMS records that this facility has a resident council — ask to speak with a council member before deciding.
- They have 174 certified beds and serve an average of 130 residents per day — ask which unit your person would be on and who staffs it overnight.
- They report 3.04 total nursing hours per resident per day (VA median: 3.45) — ask how those hours split across day, evening, and night shifts.
Data: Centers for Medicare & Medicaid Services (data.cms.gov), processing date June 1, 2026. This site is not affiliated with CMS or any government agency.