15 health deficiencies
Top issue: Resident Rights (6 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Richmond, VA
2-star overall rating with 3-star inspections with $8,197 in total fines with 15 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
200 Hioaks Road, Richmond, VA
(804) 272-2918
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
108
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Lifeworks Rehab
Operator or chain grouping
Approved since
1992-01-13
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
59 facilities
Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.39
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.90
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.93
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.22
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.29
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
2.76
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.23
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.35
CMS adjusted RN staffing hours
Adjusted total hours
2.86
CMS adjusted total nurse staffing hours
Case-mix index
1.54
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
64%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
11,130
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.93
Composite VBP score used to determine payment impact.
Payment multiplier
0.9819
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.78
Baseline 22.81% · Performance 21.49% · Measure score 1.78 · Achievement 0 · Improvement 1.78
Healthcare-associated infections
4.72
Baseline 8.94% · Performance 6.88% · Measure score 4.72 · Achievement 3.18 · Improvement 4.72
Total nurse turnover
0
Performance 70.83% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0.68
Baseline 2.38 hours · Performance 2.78 hours · Measure score 0.68 · Achievement 0 · Improvement 0.68
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.09% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 234 · Observed rate 11.54% · Lower 95% interval 8.53% |
| Discharge to community | 60.35% |
50.57%
9.8 pts better
|
Better than the National Rate · Eligible stays 229 · Observed rate 52.4% · Lower 95% interval 54.02% |
| Medicare spending per beneficiary | 1.16 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 92.47% |
95.27%
2.8 pts worse
|
Numerator 135 · Denominator 146 |
| Falls with major injury | 1.37% |
0.77%
0.6 pts worse
|
Numerator 2 · Denominator 146 |
| Discharge self-care score | 46.07% |
53.69%
7.6 pts worse
|
Numerator 41 · Denominator 89 |
| Discharge mobility score | 51.69% |
50.94%
0.8 pts better
|
Numerator 46 · Denominator 89 |
| Pressure ulcers or injuries, new or worsened | 1.37% |
2.29%
0.9 pts better
|
Numerator 2 · Denominator 146 · Adjusted rate 1.18% |
| Healthcare-associated infections requiring hospitalization | 6.88% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 161 · Observed rate 6.83% · Lower 95% interval 4.41% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 88 |
| Staff flu vaccination coverage | 38.68% |
42%
3.3 pts worse
|
Numerator 41 · Denominator 106 |
| Discharge function score | 42.7% |
56.45%
13.8 pts worse
|
Numerator 38 · Denominator 89 |
| Transfer of health information to provider | 94.55% |
95.95%
1.4 pts worse
|
Numerator 104 · Denominator 110 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 30% |
25.2%
4.8 pts better
|
Numerator 21 · Denominator 70 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.5
0.5 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.5 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
1.4
0.7 pts worse
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.2 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
91.2%
6.8 pts better
|
93.4%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.7% · Q2 96.6% · Q3 100.0% · Q4 100.0% · 4Q avg 98.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.0%
6 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.3% |
3.6%
0.7 pts worse
|
3.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.4% · Q3 7.2% · Q4 3.6% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 83.4% |
15.7%
67.7 pts worse
|
11.4%
72 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 82.6% · Q2 86.1% · Q3 86.7% · Q4 78.1% · 4Q avg 83.4% |
| Percentage of long-stay residents who lose too much weight | 12.1% |
5.7%
6.4 pts worse
|
5.4%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 8.1% · Q3 13.7% · Q4 4.1% · 4Q avg 12.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.8% |
20.2%
4.4 pts better
|
19.6%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.4% · Q2 18.4% · Q3 12.3% · Q4 13.3% · 4Q avg 15.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.2% |
15.0%
5.8 pts better
|
16.7%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 11.8% · Q3 8.7% · Q4 7.4% · 4Q avg 9.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 7.7% |
17.5%
9.8 pts better
|
16.3%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 8.0% · Q3 5.5% · Q4 15.6% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.5% |
15.7%
8.2 pts better
|
14.9%
7.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 8.5% · Q3 4.4% · Q4 12.7% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.5%
0.3 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.8% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
1.6%
1.3 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.9% |
22.2%
8.7 pts worse
|
19.8%
11.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 32.2% · Q3 36.7% · Q4 21.0% · 4Q avg 30.9% |
| Percentage of long-stay residents with pressure ulcers | 6.8% |
5.2%
1.6 pts worse
|
5.1%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 5.2% · Q3 6.6% · Q4 7.7% · 4Q avg 6.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.6% |
74.6%
21 pts better
|
81.7%
13.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.2% · Q2 97.9% · Q3 96.9% · Q4 92.1% · 4Q avg 95.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.5% |
11.7%
1.2 pts better
|
12.0%
1.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.5% · Observed 10.5% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.2%
0.8 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 0.7% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.5% |
73.6%
23.9 pts better
|
79.7%
17.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.3% |
22.0%
5.3 pts worse
|
23.9%
3.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.3% · Observed 27.8% · Expected 24.3% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (6 deficiencies)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (7 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-07-01
Fire Safety
Provide rooms that can be unlocked from inside without a key.
Corrected 2024-07-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-01
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2024-07-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-07-19
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-04-12
Fire Safety
Use approved construction type or materials.
Corrected 2019-04-12
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2019-04-12
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2019-04-12
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-04-12
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-04-12
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2019-04-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-04-12
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2019-04-12
Inspection history
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-29
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-29
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-06-18
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-06-18
Health
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.
Corrected 2024-06-18
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-06-18
Health
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.
Corrected 2024-06-18
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-06-18
Health
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.
Corrected 2024-06-18
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-18
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-06-18
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-06-18
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-06-18
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-06-18
Health
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.
Corrected 2024-06-18
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-06-18
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-06-18
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-06-28
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-06-28
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-06-28
Health
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.
Corrected 2022-06-28
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2022-06-28
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-06-28
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-06-28
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-06-28
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-06-28
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2019-03-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-03-25
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2019-03-25
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-03-25
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2019-03-25
Health
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.
Corrected 2019-03-25
Health
Keep residents' personal and medical records private and confidential.
Corrected 2019-03-25
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-03-25
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-03-25
Health
Provide activities to meet all resident's needs.
Corrected 2019-03-25
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-03-25
Health
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.
Corrected 2019-03-25
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2019-03-25
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2019-03-25
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-03-25
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2019-03-25
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2019-03-25
Penalties and ownership
Fine · fine $8,197
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
W-2 Managing Employee · Individual
Nearby options
Richmond, VA
2-star overall rating with 2-star inspections with $38,952 in total fines with 20 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Bon Air, VA
2-star overall rating with 2-star inspections with 19 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Richmond, VA
1-star overall rating with 1-star inspections with $80,132 in total fines with 35 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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