20 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
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
7246 Forest Hill Ave, Richmond, VA
(804) 320-7901
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
195
Certified beds
Average residents
177
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Marquis Health Services
Operator or chain grouping
Approved since
2017-07-20
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
81 facilities
Chain averages 3 overall / 3 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
0.54
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.13
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.88
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.55
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.67
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
2.98
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.14
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.44
CMS adjusted RN staffing hours
Adjusted total hours
2.89
CMS adjusted total nurse staffing hours
Case-mix index
1.68
Higher values indicate more complex resident acuity
RN turnover
53%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
51%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
13,726
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
0
Composite VBP score used to determine payment impact.
Payment multiplier
0.9803
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.39% · Performance 21.27% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.85% · Performance 9.09% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Baseline 45.71% · Performance 63.03% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0
Baseline 2.84 hours · Performance 2.73 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.64% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 76 · Observed rate 14.47% · Lower 95% interval 8.7% |
| Discharge to community | 46.56% |
50.57%
4 pts worse
|
No Different than the National Rate · Eligible stays 77 · Observed rate 36.36% · Lower 95% interval 34.04% |
| Medicare spending per beneficiary | 1.12 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 86.11% |
95.27%
9.2 pts worse
|
Numerator 155 · Denominator 180 |
| Falls with major injury | 2.22% |
0.77%
1.5 pts worse
|
Numerator 4 · Denominator 180 |
| Discharge self-care score | 70% |
53.69%
16.3 pts better
|
Numerator 70 · Denominator 100 |
| Discharge mobility score | 53% |
50.94%
2.1 pts better
|
Numerator 53 · Denominator 100 |
| Pressure ulcers or injuries, new or worsened | 3.35% |
2.29%
1.1 pts worse
|
Numerator 6 · Denominator 179 · Adjusted rate 2.33% |
| Healthcare-associated infections requiring hospitalization | 9.09% |
7.12%
2 pts worse
|
No Different than the National Rate · Eligible stays 70 · Observed rate 14.29% · Lower 95% interval 4.86% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 148 |
| Staff flu vaccination coverage | 16.11% |
42%
25.9 pts worse
|
Numerator 48 · Denominator 298 |
| Discharge function score | 62% |
56.45%
5.5 pts better
|
Numerator 62 · Denominator 100 |
| Transfer of health information to provider | 76.14% |
95.95%
19.8 pts worse
|
Numerator 67 · Denominator 88 |
| Transfer of health information to patient | 62.22% |
96.28%
34.1 pts worse
|
Numerator 28 · Denominator 45 |
| Resident COVID-19 vaccinations up to date | 3.54% |
25.2%
21.7 pts worse
|
Numerator 4 · Denominator 113 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.5
0.2 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.6 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.4
0.3 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.2 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 83.2% |
91.2%
8 pts worse
|
93.4%
10.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 58.9% · Q2 82.9% · Q3 93.3% · Q4 97.9% · 4Q avg 83.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 81.8% |
94.0%
12.2 pts worse
|
95.5%
13.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 81.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.9% |
3.6%
0.7 pts better
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 3.4% · Q3 4.0% · Q4 2.1% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 78.0% |
15.7%
62.3 pts worse
|
11.4%
66.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 80.0% · Q2 80.3% · Q3 75.9% · Q4 75.6% · 4Q avg 78.0% |
| Percentage of long-stay residents who lose too much weight | 9.0% |
5.7%
3.3 pts worse
|
5.4%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 11.3% · Q3 10.3% · Q4 6.0% · 4Q avg 9.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.6% |
20.2%
6.6 pts better
|
19.6%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.4% · Q2 15.2% · Q3 12.3% · Q4 13.3% · 4Q avg 13.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.3% |
15.0%
2.7 pts better
|
16.7%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 14.4% · Q3 13.2% · Q4 8.5% · 4Q avg 12.3% · 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 | 7.5% |
17.5%
10 pts better
|
16.3%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 8.2% · Q3 7.5% · Q4 4.3% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.9% |
15.7%
11.8 pts better
|
14.9%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 2.9% · Q3 4.3% · Q4 3.1% · 4Q avg 3.9% · 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 0.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 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 0.0% · Q4 1.5% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.6% |
22.2%
6.6 pts better
|
19.8%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 20.0% · Q3 17.3% · Q4 16.2% · 4Q avg 15.6% |
| Percentage of long-stay residents with pressure ulcers | 4.9% |
5.2%
0.3 pts better
|
5.1%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 4.8% · Q3 4.0% · Q4 4.2% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 75.7% |
74.6%
1.1 pts better
|
81.7%
6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 40.1% · Q2 69.2% · Q3 91.1% · Q4 97.5% · 4Q avg 75.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.1% |
11.7%
2.4 pts worse
|
12.0%
2.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.1% · Observed 15.5% · Expected 12.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 58.9% |
73.6%
14.7 pts worse
|
79.7%
20.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 58.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.4% |
22.0%
3.4 pts worse
|
23.9%
1.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.4% · Observed 29.1% · Expected 27.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Assessment and Care Planning (6 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
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 2021-10-12
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-10-12
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-10-12
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 2018-12-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-12-14
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2018-12-14
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2018-12-14
Fire Safety
Meet other general requirements.
Corrected 2018-12-14
Fire Safety
Use approved construction type or materials.
Corrected 2018-12-14
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2018-12-14
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-02-22
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2018-12-14
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-02-22
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2018-12-14
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2018-12-14
Fire Safety
Meet other general requirements that are deficient.
Corrected 2018-12-14
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2018-12-14
Inspection history
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-07-18
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-07-18
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-18
Health
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.
Corrected 2025-07-18
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-07-18
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-12-22
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-12-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-22
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-01-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-01
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-04-01
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-01-08
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-01-08
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-04-01
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-08-11
Health
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.
Corrected 2023-08-11
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-08-11
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-11
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-08-11
Health
Provide and implement an infection prevention and control program.
Corrected 2021-10-12
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2021-10-12
Health
Ensure the activities program is directed by a qualified professional.
Corrected 2021-10-12
Health
Perform COVID19 testing on residents and staff.
Corrected 2021-10-12
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2021-10-12
Health
Keep residents' personal and medical records private and confidential.
Corrected 2021-10-12
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2021-10-12
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2021-10-12
Health
Ensure each resident receives an accurate assessment.
Corrected 2021-10-12
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2021-10-12
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-10-12
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-10-12
Health
Provide appropriate foot care.
Corrected 2021-10-12
Health
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.
Corrected 2021-10-12
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2021-10-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2018-11-06
Health
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.
Corrected 2018-11-06
Health
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.
Corrected 2018-11-06
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2018-11-06
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2018-11-06
Health
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2018-11-06
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 2018-11-06
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-11-06
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2018-11-06
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2018-11-06
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2018-11-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2018-11-06
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2018-11-06
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2018-11-06
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 2018-11-06
Health
Provide and implement an infection prevention and control program.
Corrected 2018-11-06
Penalties and ownership
Fine · fine $16,820
Fine
Fine · fine $12,106
Fine
Fine · fine $6,774
Fine
Fine · fine $3,252
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Security Interest · Organization
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
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
Nearby options
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
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
Richmond, VA
3-star overall rating with 2-star inspections with abuse icon flag with 8 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
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