Parham Health Care & Rehab Center
2400 E Parham Road, Richmond, VA 23228Map
Medicare/Medicaid certified180 certified beds~135 residents/dayFor profit - Limited Liability company
What the abuse icon means moreless
CMS flags a facility with its abuse icon when inspectors cited it for abuse that harmed a resident within the past year, or for abuse that could have harmed a resident in each of the last two years. CMS shows this same icon on its own Care Compare site, and caps the facility's ratings while it's flagged. The icon is removed when newer inspections come back clean. The deficiency list below will contain the underlying citations — read them.
What to do with this: read the abuse-related citations below, and ask the facility directly what happened and what changed. Verify the current status at medicare.gov/care-compare.
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: April 28, 2025
Parham Health Care & Rehab Center is a 180-bed for-profit, LLC-owned nursing home in Richmond, Henrico County, Virginia, serving an average of 135 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: 2.95 (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: 55.9% · VA median: 47.8% · RN turnover: 45.5% (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.
126 deficiencies across the last 3 inspection cycles, in CMS’s federal health-survey file:
- Quality of Life and Care: 27
- Resident Rights: 26
- Resident Assessment and Care Planning: 14
- Environmental: 13
- Freedom from Abuse, Neglect, and Exploitation: 11
- Pharmacy Service: 10
- Infection Control: 9
- Nutrition and Dietary: 8
- Administration: 6
- Nursing and Physician Services: 2
March 19, 2026Complaint 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 March 30, 2026
March 19, 2026Complaint surveyTag F0760E — no actual harm, potential for more than minimal harm, pattern
Ensure that residents are free from significant medication errors.
Deficient, Provider has date of correction · corrected April 29, 2026
February 13, 2026Complaint 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 March 30, 2026
February 13, 2026Complaint surveyTag F0583E — no actual harm, potential for more than minimal harm, pattern
Keep residents' personal and medical records private and confidential.
Deficient, Provider has date of correction · corrected March 30, 2026
February 13, 2026Complaint surveyTag F0585D — no actual harm, potential for more than minimal harm, isolated
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Deficient, Provider has date of correction · corrected March 30, 2026
February 13, 2026Complaint 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 March 30, 2026
February 13, 2026Complaint 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 March 30, 2026
February 13, 2026Complaint surveyTag F0760E — no actual harm, potential for more than minimal harm, pattern
Ensure that residents are free from significant medication errors.
Deficient, Provider has date of correction · corrected April 29, 2026
February 13, 2026Complaint surveyTag F0805G — actual harm, isolated
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Deficient, Provider has date of correction · corrected March 30, 2026
February 13, 2026Complaint 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 March 30, 2026
Show 116 more deficiencies
February 13, 2026Complaint 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 March 30, 2026
December 17, 2025Complaint 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 January 27, 2026
December 17, 2025Complaint 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 March 30, 2026
December 17, 2025Complaint 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 March 30, 2026
December 17, 2025Complaint surveyTag F0583E — no actual harm, potential for more than minimal harm, pattern
Keep residents' personal and medical records private and confidential.
Deficient, Provider has date of correction · corrected March 30, 2026
December 17, 2025Complaint 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 March 30, 2026
December 17, 2025Complaint surveyTag F0585D — no actual harm, potential for more than minimal harm, isolated
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Deficient, Provider has date of correction · corrected March 30, 2026
December 17, 2025Complaint surveyTag F0600K — immediate jeopardy to resident health or safety, pattern
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 January 27, 2026
December 17, 2025Complaint 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 March 30, 2026
December 17, 2025Complaint 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 January 27, 2026
December 17, 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 January 27, 2026
December 17, 2025Complaint surveyTag F0610E — no actual harm, potential for more than minimal harm, pattern
Respond appropriately to all alleged violations.
Deficient, Provider has date of correction · corrected January 27, 2026
December 17, 2025Complaint 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 March 30, 2026
December 17, 2025Complaint 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 January 27, 2026
December 17, 2025Complaint 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 March 30, 2026
December 17, 2025Complaint 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 January 27, 2026
December 17, 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 January 27, 2026
December 17, 2025Complaint 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 30, 2026
December 17, 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 30, 2026
December 17, 2025Complaint surveyTag F0730D — no actual harm, potential for more than minimal harm, isolated
Observe each nurse aide's job performance and give regular training.
Deficient, Provider has date of correction · corrected January 27, 2026
December 17, 2025Complaint surveyTag F0760E — no actual harm, potential for more than minimal harm, pattern
Ensure that residents are free from significant medication errors.
Deficient, Provider has date of correction · corrected April 29, 2026
December 17, 2025Complaint 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 30, 2026
December 17, 2025Complaint surveyTag F0805G — actual harm, isolated
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Deficient, Provider has date of correction · corrected March 30, 2026
December 17, 2025Complaint 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 March 30, 2026
December 17, 2025Complaint 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 March 30, 2026
December 17, 2025Complaint 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 January 27, 2026
December 17, 2025Complaint surveyTag F0865F — no actual harm, potential for more than minimal harm, widespread
Have a plan that describes the process for conducting QAPI and QAA activities.
Deficient, Provider has date of correction · corrected January 27, 2026
December 17, 2025Complaint surveyTag F0868D — no actual harm, potential for more than minimal harm, isolated
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Deficient, Provider has date of correction · corrected January 27, 2026
December 17, 2025Complaint 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 March 30, 2026
December 17, 2025Complaint 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 January 27, 2026
December 17, 2025Complaint 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 March 30, 2026
December 17, 2025Complaint surveyTag F0924D — no actual harm, potential for more than minimal harm, isolated
Put firmly secured handrails on each side of hallways.
Deficient, Provider has date of correction · corrected March 30, 2026
December 17, 2025Complaint surveyTag F0926D — no actual harm, potential for more than minimal harm, isolated
Have policies on smoking.
Deficient, Provider has date of correction · corrected March 30, 2026
December 17, 2025Complaint surveyTag F0942D — no actual harm, potential for more than minimal harm, isolated
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Deficient, Provider has date of correction · corrected March 30, 2026
December 17, 2025Complaint surveyTag F0943D — no actual harm, potential for more than minimal harm, isolated
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 March 30, 2026
December 17, 2025Complaint surveyTag F0944D — no actual harm, potential for more than minimal harm, isolated
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Deficient, Provider has date of correction · corrected March 30, 2026
December 17, 2025Complaint surveyTag F0945D — no actual harm, potential for more than minimal harm, isolated
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Deficient, Provider has date of correction · corrected March 30, 2026
December 17, 2025Complaint surveyTag F0946D — no actual harm, potential for more than minimal harm, isolated
Provide training in compliance and ethics.
Deficient, Provider has date of correction · corrected March 30, 2026
September 3, 2025Complaint 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 September 24, 2025
September 3, 2025Complaint 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 September 24, 2025
September 3, 2025Complaint 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 September 24, 2025
September 3, 2025Complaint 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 September 24, 2025
September 3, 2025Complaint 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 September 24, 2025
April 28, 2025Standard + Complaint 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 June 12, 2025
April 28, 2025Standard surveyTag F0558D — no actual harm, potential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Deficient, Provider has date of correction · corrected June 12, 2025
April 28, 2025Standard 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 June 12, 2025
April 28, 2025Standard surveyTag F0565E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to organize and participate in resident/family groups in the facility.
Deficient, Provider has date of correction · corrected June 12, 2025
April 28, 2025Standard surveyTag F0580E — no actual harm, potential for more than minimal harm, pattern
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 June 12, 2025
April 28, 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 September 24, 2025
April 28, 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 June 12, 2025
April 28, 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 June 12, 2025
April 28, 2025Standard 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 12, 2025
April 28, 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 June 12, 2025
April 28, 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 June 12, 2025
April 28, 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 June 12, 2025
April 28, 2025Standard 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 June 12, 2025
April 28, 2025Standard 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 June 12, 2025
April 28, 2025Standard surveyTag F0677E — no actual harm, potential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Deficient, Provider has date of correction · corrected September 24, 2025
April 28, 2025Standard + Complaint surveyTag F0686G — actual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Deficient, Provider has date of correction · corrected June 12, 2025
April 28, 2025Standard surveyTag F0687D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate foot care.
Deficient, Provider has date of correction · corrected June 12, 2025
April 28, 2025Standard + Complaint 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 June 12, 2025
April 28, 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 June 12, 2025
April 28, 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 June 12, 2025
April 28, 2025Standard 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 June 12, 2025
April 28, 2025Standard surveyTag F0697E — no actual harm, potential for more than minimal harm, pattern
Provide safe, appropriate pain management for a resident who requires such services.
Deficient, Provider has date of correction · corrected June 12, 2025
April 28, 2025Standard surveyTag F0698E — no actual harm, potential for more than minimal harm, pattern
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Deficient, Provider has date of correction · corrected June 12, 2025
April 28, 2025Standard surveyTag F0700D — no actual harm, potential for more than minimal harm, isolated
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Deficient, Provider has date of correction · corrected June 12, 2025
April 28, 2025Standard surveyTag F0742E — no actual harm, potential for more than minimal harm, pattern
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 June 12, 2025
April 28, 2025Standard 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 September 24, 2025
April 28, 2025Standard surveyTag F0760E — no actual harm, potential for more than minimal harm, pattern
Ensure that residents are free from significant medication errors.
Deficient, Provider has date of correction · corrected June 12, 2025
April 28, 2025Standard 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 June 12, 2025
April 28, 2025Standard + Complaint 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 June 12, 2025
April 28, 2025Standard surveyTag F0809F — no actual harm, potential for more than minimal harm, widespread
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 September 24, 2025
April 28, 2025Standard + Complaint surveyTag F0835D — no actual harm, potential for more than minimal harm, isolated
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Deficient, Provider has date of correction · corrected June 12, 2025
April 28, 2025Standard + Complaint surveyTag F0880K — immediate jeopardy to resident health or safety, pattern
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction · corrected June 12, 2025
April 28, 2025Standard surveyTag F0908E — no actual harm, potential for more than minimal harm, pattern
Keep all essential equipment working safely.
Deficient, Provider has date of correction · corrected June 12, 2025
April 28, 2025Standard + Complaint 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 June 12, 2025
April 28, 2025Standard 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 September 24, 2025
April 28, 2025Standard 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 September 24, 2025
February 13, 2024Complaint 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 March 12, 2024
February 13, 2024Complaint 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 March 12, 2024
September 14, 2023Complaint 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 October 23, 2023
September 14, 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 October 23, 2023
September 14, 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 October 23, 2023
September 14, 2023Complaint 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 October 23, 2023
September 14, 2023Complaint 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 October 23, 2023
September 14, 2023Complaint 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 October 23, 2023
September 14, 2023Complaint surveyTag F0755E — no actual harm, potential for more than minimal harm, pattern
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 October 23, 2023
September 14, 2023Complaint surveyTag F0760E — no actual harm, potential for more than minimal harm, pattern
Ensure that residents are free from significant medication errors.
Deficient, Provider has date of correction · corrected October 23, 2023
September 14, 2023Complaint 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 23, 2023
September 14, 2023Complaint 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 23, 2023
April 27, 2022Standard surveyTag F0565E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to organize and participate in resident/family groups in the facility.
Deficient, Provider has date of correction · corrected June 7, 2022
April 27, 2022Standard 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 June 7, 2022
April 27, 2022Standard 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 June 7, 2022
April 27, 2022Standard 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 June 7, 2022
April 27, 2022Standard 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 July 12, 2022
April 27, 2022Standard 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 June 7, 2022
April 27, 2022Standard surveyTag F0692G — actual harm, isolated
Provide enough food/fluids to maintain a resident's health.
Deficient, Provider has date of correction · corrected June 7, 2022
April 27, 2022Standard 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 June 7, 2022
April 27, 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 June 7, 2022
April 27, 2022Standard 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 June 7, 2022
April 27, 2022Standard surveyTag F0807D — no actual harm, potential for more than minimal harm, isolated
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Deficient, Provider has date of correction · corrected June 7, 2022
April 27, 2022Standard surveyTag F0812D — no actual harm, potential for more than minimal harm, isolated
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 July 12, 2022
April 27, 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 July 12, 2022
April 27, 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 July 12, 2022
April 27, 2022Standard surveyTag F0886D — no actual harm, potential for more than minimal harm, isolated
Perform COVID19 testing on residents and staff.
Deficient, Provider has date of correction · corrected July 12, 2022
April 27, 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 July 12, 2022
April 27, 2022Standard surveyTag F0888D — no actual harm, potential for more than minimal harm, isolated
Ensure staff are vaccinated for COVID-19
Deficient, Provider has date of correction · corrected July 12, 2022
December 6, 2018Standard 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 January 10, 2019
December 6, 2018Standard surveyTag F0622D — no actual harm, potential for more than minimal harm, isolated
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Deficient, Provider has date of correction · corrected January 10, 2019
December 6, 2018Standard 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 January 10, 2019
December 6, 2018Standard surveyTag F0661D — no actual harm, potential for more than minimal harm, isolated
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Deficient, Provider has date of correction · corrected January 10, 2019
December 6, 2018Standard 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 January 28, 2019
December 6, 2018Standard surveyTag F0689G — actual 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 January 10, 2019
December 6, 2018Standard 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 January 10, 2019
December 6, 2018Standard 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 January 10, 2019
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: 2 totaling $254,906 · Payment denials: 1 — per CMS data (rolling ~3-year window).
| Date | Type | Amount / length |
|---|---|---|
| December 17, 2025 | Fine | $194,170 |
| December 17, 2025 | Payment Denial | 43 days, from March 17, 2026 |
| April 28, 2025 | Fine | $60,736 |
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★ — 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 |
|---|---|---|---|
| Parharm Holdings I 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 |
| Mrcz Central 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 |
| Rybst Central Manager LLC (Organization) | Operational/managerial control | NOT APPLICABLE | 05/28/2021 |
| Hales-Richards, Kourtney (Individual) | W-2 managing employee | NOT APPLICABLE | 09/13/2023 |
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 has applied its abuse icon to this facility — ask what happened, what the corrective plan was, and how staff are trained now.
- CMS lists this facility as a Special Focus Facility candidate — ask where the home is in the program and what the improvement plan is.
- Their reported RN hours (0.38/resident/day) are below the VA median (0.51) — ask how nights and weekends are staffed.
- Their total nursing staff turnover (55.9%) is above the VA median (47.8%) — ask how long the aides on your person's unit have worked there.
- CMS data shows 2 fines totaling $254,906 in its current data window — ask what the citations were for and what changed afterward.
- Their weekend total nurse staffing (2.98/resident/day) is lower than their overall figure (3.42) — ask who covers weekends and how shifts are filled when someone calls out.
- Their last standard health inspection was April 28, 2025 — ask what's improved since then.
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.