Henrico Health & Rehabilitation Center
561 North Airport Drive, Highland Springs, VA 23075Map
Medicare/Medicaid certified120 certified beds~98 residents/dayFor profit - Limited Liability company
What Special Focus status means moreless
CMS keeps a short national list of nursing homes with the most persistent serious problems — the Special Focus Facility (SFF) program. SFF homes get inspected about twice as often and must improve or face termination from Medicare/Medicaid. 'SFF candidate' means the home qualifies for the list but isn't on it yet (the list has limited slots per state). Some SFF homes do graduate and improve; the designation means CMS is watching closely right now.
What to do with this: ask the administrator where the home is in the SFF process and what the improvement plan is. Verify status at medicare.gov/care-compare.
Last standard health inspection: January 15, 2026
Henrico Health & Rehabilitation Center is a 120-bed for-profit, LLC-owned nursing home in Highland Springs, Henrico County, Virginia, serving an average of 98 residents per day. As of CMS data processed June 1, 2026, its overall rating is not available. CMS does not rate this facility because of a history of serious quality issues — it is in the Special Focus Facility program.
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: 3.01 (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: 55% · VA median: 47.8% · RN turnover: 66.7% (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.
77 deficiencies across the last 3 inspection cycles, in CMS’s federal health-survey file:
- Resident Rights: 15
- Quality of Life and Care: 15
- Resident Assessment and Care Planning: 10
- Nutrition and Dietary: 8
- Freedom from Abuse, Neglect, and Exploitation: 8
- Infection Control: 6
- Environmental: 5
- Pharmacy Service: 4
- Administration: 4
- Nursing and Physician Services: 2
January 15, 2026Standard 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 February 11, 2026
January 15, 2026Standard 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 February 11, 2026
January 15, 2026Standard 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 February 11, 2026
January 15, 2026Standard surveyTag F0695D — no actual harm, potential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Deficient, Provider has date of correction · corrected February 11, 2026
January 15, 2026Standard surveyTag F0756D — no actual harm, potential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Deficient, Provider has date of correction · corrected February 11, 2026
January 15, 2026Standard surveyTag F0761D — no actual harm, potential for more than minimal harm, isolated
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 February 11, 2026
January 15, 2026Standard surveyTag F0803E — no actual harm, potential for more than minimal harm, pattern
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 February 11, 2026
January 15, 2026Standard surveyTag F0804E — no actual harm, potential for more than minimal harm, pattern
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Deficient, Provider has date of correction · corrected February 11, 2026
January 15, 2026Standard surveyTag F0812E — no actual harm, potential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has date of correction · corrected February 11, 2026
January 15, 2026Standard surveyTag F0814E — no actual harm, potential for more than minimal harm, pattern
Dispose of garbage and refuse properly.
Deficient, Provider has date of correction · corrected February 11, 2026
Show 67 more deficiencies
January 15, 2026Standard surveyTag F0849E — no actual harm, potential for more than minimal harm, pattern
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Deficient, Provider has date of correction · corrected February 11, 2026
January 15, 2026Standard surveyTag F0908F — no actual harm, potential for more than minimal harm, widespread
Keep all essential equipment working safely.
Deficient, Provider has date of correction · corrected February 11, 2026
January 15, 2026Standard surveyTag F0921F — no actual harm, potential for more than minimal harm, widespread
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 February 11, 2026
July 22, 2025Complaint 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 November 4, 2025
July 22, 2025Complaint 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 November 4, 2025
May 13, 2025Complaint surveyTag F0600G — actual 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 June 11, 2025
May 13, 2025Complaint 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 June 11, 2025
May 13, 2025Complaint 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 June 11, 2025
May 13, 2025Complaint 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 June 11, 2025
February 24, 2025Complaint surveyTag F0552D — no actual harm, potential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Deficient, Provider has date of correction · corrected March 21, 2025
February 24, 2025Complaint 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 March 21, 2025
February 24, 2025Complaint 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 March 21, 2025
February 24, 2025Complaint surveyTag F0684D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has date of correction · corrected March 21, 2025
February 24, 2025Complaint 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 March 21, 2025
September 6, 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 October 1, 2024
September 6, 2024Complaint surveyTag F0689J — immediate jeopardy to resident health or safety, 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 October 1, 2024
September 6, 2024Complaint surveyTag F0921E — no actual harm, potential for more than minimal harm, pattern
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 October 1, 2024
September 6, 2024Complaint surveyTag F0925E — no actual harm, potential for more than minimal harm, pattern
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Deficient, Provider has date of correction · corrected October 1, 2024
May 8, 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 July 16, 2024
May 8, 2024Complaint 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 July 16, 2024
May 8, 2024Complaint surveyTag F0757D — no actual harm, potential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Deficient, Provider has date of correction · corrected July 16, 2024
December 7, 2023Complaint 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 January 12, 2024
December 7, 2023Complaint surveyTag F0695D — no actual harm, potential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Deficient, Provider has date of correction · corrected January 12, 2024
October 4, 2023Standard surveyTag F0553D — no actual harm, potential for more than minimal harm, isolated
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Deficient, Provider has date of correction · corrected November 19, 2023
October 4, 2023Standard 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 November 19, 2023
October 4, 2023Standard + Complaint surveyTag F0565D — no actual harm, potential for more than minimal harm, isolated
Honor the resident's right to organize and participate in resident/family groups in the facility.
Deficient, Provider has date of correction · corrected November 19, 2023
October 4, 2023Standard + Complaint surveyTag F0580D — no actual harm, potential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Deficient, Provider has date of correction · corrected November 19, 2023
October 4, 2023Standard 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 November 19, 2023
October 4, 2023Standard + Complaint 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 November 19, 2023
October 4, 2023Standard + Complaint surveyTag F0600G — actual 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 November 19, 2023
October 4, 2023Standard + Complaint surveyTag F0607K — immediate jeopardy to resident health or safety, pattern
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Deficient, Provider has date of correction · corrected November 19, 2023
October 4, 2023Standard + 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 November 19, 2023
October 4, 2023Standard + 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 November 19, 2023
October 4, 2023Standard + Complaint surveyTag F0637D — no actual harm, potential for more than minimal harm, isolated
Assess the resident when there is a significant change in condition
Deficient, Provider has date of correction · corrected November 19, 2023
October 4, 2023Standard + Complaint 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 November 19, 2023
October 4, 2023Standard 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 November 19, 2023
October 4, 2023Standard + Complaint 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 January 12, 2024
October 4, 2023Standard + 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 November 19, 2023
October 4, 2023Standard + Complaint surveyTag F0689E — no actual harm, potential for more than minimal harm, 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 November 19, 2023
October 4, 2023Standard + Complaint surveyTag F0692E — no actual harm, potential for more than minimal harm, pattern
Provide enough food/fluids to maintain a resident's health.
Deficient, Provider has date of correction · corrected November 19, 2023
October 4, 2023Standard surveyTag F0695D — no actual harm, potential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Deficient, Provider has date of correction · corrected January 12, 2024
October 4, 2023Standard + Complaint surveyTag F0699G — actual harm, isolated
Provide care or services that was trauma informed and/or culturally competent.
Deficient, Provider has date of correction · corrected November 19, 2023
October 4, 2023Standard + Complaint surveyTag F0726G — actual harm, isolated
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Deficient, Provider has date of correction · corrected November 19, 2023
October 4, 2023Standard + Complaint surveyTag F0742G — actual harm, isolated
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Deficient, Provider has date of correction · corrected November 19, 2023
October 4, 2023Standard 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 November 19, 2023
October 4, 2023Standard + 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 November 19, 2023
October 4, 2023Standard + Complaint surveyTag F0803F — no actual harm, potential for more than minimal harm, widespread
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 November 19, 2023
October 4, 2023Standard + Complaint surveyTag F0804F — no actual harm, potential for more than minimal harm, widespread
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Deficient, Provider has date of correction · corrected November 19, 2023
October 4, 2023Standard surveyTag F0809E — no actual harm, potential for more than minimal harm, pattern
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Deficient, Provider has date of correction · corrected November 19, 2023
October 4, 2023Standard surveyTag F0838G — actual harm, isolated
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Deficient, Provider has date of correction · corrected November 19, 2023
October 4, 2023Standard + Complaint surveyTag F0867D — no actual harm, potential for more than minimal harm, isolated
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Deficient, Provider has date of correction · corrected November 19, 2023
October 4, 2023Standard 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 November 19, 2023
October 4, 2023Standard surveyTag F0887F — no actual harm, potential for more than minimal harm, widespread
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 November 19, 2023
October 4, 2023Standard + Complaint surveyTag F0925E — no actual harm, potential for more than minimal harm, pattern
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Deficient, Provider has date of correction · corrected November 19, 2023
October 4, 2023Standard + Complaint surveyTag F0949E — no actual harm, potential for more than minimal harm, pattern
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Deficient, Provider has date of correction · corrected November 19, 2023
July 25, 2023Complaint 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 August 15, 2023
September 10, 2021Standard surveyTag F0568D — no actual harm, potential for more than minimal harm, isolated
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Deficient, Provider has date of correction · corrected October 14, 2021
September 10, 2021Standard surveyTag F0576D — no actual harm, potential for more than minimal harm, isolated
Ensure residents have reasonable access to and privacy in their use of communication methods.
Deficient, Provider has date of correction · corrected November 30, 2021
September 10, 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 November 30, 2021
September 10, 2021Standard 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 January 12, 2022
September 10, 2021Standard surveyTag F0625D — no actual harm, potential for more than minimal harm, isolated
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Deficient, Provider has date of correction · corrected November 30, 2021
September 10, 2021Standard 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 November 30, 2021
September 10, 2021Standard surveyTag F0812E — no actual harm, potential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has date of correction · corrected October 14, 2021
September 10, 2021Standard surveyTag F0880L — immediate jeopardy to resident health or safety, widespread
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction · corrected January 12, 2022
September 10, 2021Standard 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 January 12, 2022
September 10, 2021Standard surveyTag F0886L — immediate jeopardy to resident health or safety, widespread
Perform COVID19 testing on residents and staff.
Deficient, Provider has date of correction · corrected January 12, 2022
September 10, 2021Standard 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 January 12, 2022
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: 3 totaling $260,247 — per CMS data (rolling ~3-year window).
| Date | Type | Amount / length |
|---|---|---|
| February 24, 2025 | Fine | $132,741 |
| September 6, 2024 | Fine | $23,196 |
| October 4, 2023 | Fine | $104,310 |
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 Lifeworks Rehab (66 facilities). Chain average overall rating: 2.1★.
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 |
|---|---|---|---|
| Henrico Holdings 1 LLC (Organization) | 5% or greater direct ownership interest | 100% | 05/28/2021 |
| Ak 2003 Family Trust (Organization) | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/28/2021 |
| Al 2003 Family Trust (Organization) | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/28/2021 |
| Central Bay LLC (Organization) | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/28/2021 |
| Charles 1994 Family Grantor Trust (Organization) | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/28/2021 |
| Edward 1998 Family Grantor Trust (Organization) | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/28/2021 |
| Golden 2017 Family Grantor Trust (Organization) | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/28/2021 |
| Golden 2017 LLC (Organization) | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/28/2021 |
| Matt 2002 Family Grantor Trust (Organization) | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/28/2021 |
| Matt 2002 LLC (Organization) | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/28/2021 |
| Nathan 5604 & Family LLC (Organization) | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/28/2021 |
| Nathan 5604 Family Grantor Trust (Organization) | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/28/2021 |
| Nathan 5604 LLC (Organization) | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/28/2021 |
| Pivotal Central LLC (Organization) | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/28/2021 |
| Sas 1998 Family Trust (Organization) | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/28/2021 |
| Saul 2012 Family Grantor Trust (Organization) | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/28/2021 |
| Wilson, Lakeshia (Individual) | Corporate director | NOT APPLICABLE | 10/26/2023 |
| Rybst Central Manager LLC (Organization) | Operational/managerial control | NOT APPLICABLE | 05/28/2021 |
| Wilson, Lakeshia (Individual) | W-2 managing employee | NOT APPLICABLE | 10/26/2023 |
Nearby facilities in Henrico 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.
- CMS lists this facility as a Special Focus Facility — ask where the home is in the program and what the improvement plan is.
- Their reported RN hours (0.44/resident/day) are below the VA median (0.51) — ask how nights and weekends are staffed.
- Their total nursing staff turnover (55%) is above the VA median (47.8%) — ask how long the aides on your person's unit have worked there.
- CMS data shows 3 fines totaling $260,247 in its current data window — ask what the citations were for and what changed afterward.
- Their weekend total nurse staffing (3.19/resident/day) is lower than their overall figure (3.78) — ask who covers weekends and how shifts are filled when someone calls out.
- Their last standard health inspection was January 15, 2026 — ask what's improved since then.
- CMS records that this facility has a resident council — ask to speak with a council member before deciding.
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.