Federal inspection record · CMS data as of October 1, 2026
Shalom Gardens Health & Rehabilitation
1600 John Rolfe Parkway, Richmond, VA · (804) 750-2183
- Certified beds
- 101
- Residents per day
- 98
- Ownership
- For-Profit
- Chain
- Hill Valley Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1995
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Virginia homes
Shalom Gardens Health & Rehabilitation carries 153.75 inspection points. That is fewer than 22% of Virginia's 287 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–16 pts
- 4★ 16–45 pts
- 3★ 45–76.5 pts
- 2★ 76.5–168.75 pts
- 1★ over 168.75 pts
Bars show every rated home in Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
48 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
-
J
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Rights11E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- E
Allow residents to self-administer drugs if determined clinically appropriate.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Keep residents' personal and medical records private and confidential.
- D
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.
Quality of Life and Care10E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning8E
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service5D
- D
Ensure that residents are free from significant medication errors.
- D
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
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.
Freedom from Abuse, Neglect, and Exploitation5E
- E
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Nutrition and Dietary3E
- D
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
- E
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.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration1E
- E
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Nursing and Physician Services1D
- D
Observe each nurse aide's job performance and give regular training.
Inspection history
2024-06-28
13 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2021-07-22
13 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2019-03-14
22 health deficiencies · 21 fire-safety deficiencies
Top issue: Resident Rights (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 15 min of nursing staff time a day, 45 min of it from a registered nurse.
This home
4 h 15 min
Virginia average
3 h 53 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 69% of nursing staff and 69% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$39,555 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-06 | Fine | $27,378 |
| 2024-11-05 | Fine | $12,177 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.2 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts better | 1.0 | 1.4 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5 pts better | 96.2% | 91.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine12.1 pts worse | 81.2% | 93.3% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts worse | 3.8% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms15.8 pts better | 4.7% | 20.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.3 pts better | 4.0% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.7 pts better | 17.0% | 20.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.3 pts better | 8.9% | 14.2% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.2 pts better | 13.0% | 14.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.3 pts worse | 14.8% | 14.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.3% | 0.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 0.4% | 1.6% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.8 pts worse | 26.1% | 21.3% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.9 pts worse | 8.3% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.8 pts worse | 59.4% | 74.2% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.5 pts worse | 16.0% | 11.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts worse | 2.0% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine27.2 pts worse | 46.1% | 73.3% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.8 pts worse | 27.8% | 22.0% | 23.4% |
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Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Beth Shalom SNF Operations Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Binyomin & Ruchi Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Crg Beth Sholom SNF Operations LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Devorie & Shloimy Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Hvh Beth Sholom SNF Propco Opco Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Mackall, Tyler | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Shloimy & Malky Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Sterling, Phillip | Corporate Officer · Individual | 0% | 4 facilities |
| Tulchi & Chavi Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
·
Fire safety
36 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke12F
- F
Provide properly protected cooking facilities.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
Egress7E
- D
Install emergency lighting that can last at least 1 1/2 hours.
- E
Have properly located and lighted "Exit" signs.
- D
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.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
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.
- D
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- C
Meet other general requirements that are deficient.
Gas, Vacuum, and Electrical Systems6E
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Meet requirements for the use of electrical equipment.
- D
Ensure proper usage of power strips and extension cords.
- E
Meet requirements for the use of electrical equipment.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- C
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Emergency Preparedness5F
- F
Provide primary/alternate means for communication.
- F
Establish emergency prep training and testing.
- C
Develop Emergency Preparedness policies and procedures.
- C
Provide family notifications of emergency plan.
- C
Develop and maintain an Emergency Preparedness Program (EP).
Services4F
- F
Have properly installed electrical wiring and gas equipment.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous1F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Construction1D
- D
Use approved construction type or materials.
·
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