8 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
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
1101 Hampton St, Richmond, VA
(804) 359-4093
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
130
Certified beds
Average residents
130
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1974-10-01
CMS approved date
Coverage
Medicaid
Participation flags
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
0.36
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.06
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
3.13
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
4.55
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.42
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
4.19
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.24
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.30
CMS adjusted RN staffing hours
Adjusted total hours
3.90
CMS adjusted total nurse staffing hours
Case-mix index
1.59
Higher values indicate more complex resident acuity
RN turnover
22%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
21%
Annual nurse turnover · state 48% · national 46%
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data. |
| Medicare spending per beneficiary | Not Available |
1.02
|
This provider is not required to submit SNF QRP data. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · This provider is not required to submit SNF QRP data. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data. |
| Staff COVID-19 vaccination coverage | Not Available |
8.2%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.5
0.7 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.5 · Expected 1.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.4
0.7 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.4% |
91.2%
3.2 pts better
|
93.4%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 88.4% · Q2 89.2% · Q3 100.0% · Q4 100.0% · 4Q avg 94.4% |
| 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 | 1.5% |
3.6%
2.1 pts better
|
3.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.5% · Q3 0.8% · Q4 1.5% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.4% |
15.7%
10.3 pts better
|
11.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 6.3% · Q3 7.1% · Q4 4.8% · 4Q avg 5.4% |
| Percentage of long-stay residents who lose too much weight | 1.0% |
5.7%
4.7 pts better
|
5.4%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 0.8% · Q4 0.8% · 4Q avg 1.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.4% |
20.2%
1.8 pts better
|
19.6%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 17.2% · Q3 19.5% · Q4 18.0% · 4Q avg 18.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.0% |
15.0%
8 pts worse
|
16.7%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 20.8% · Q3 23.4% · Q4 24.8% · 4Q avg 23.0% · 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 | 12.6% |
17.5%
4.9 pts better
|
16.3%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.9% |
15.7%
7.8 pts better
|
14.9%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 13.2% · Q3 1.3% · Q4 6.8% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.5%
0.2 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
1.6%
0.3 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.5% · Q3 0.8% · Q4 1.5% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.0% |
22.2%
1.2 pts better
|
19.8%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.4% · Q2 23.3% · Q3 12.0% · Q4 16.2% · 4Q avg 21.0% |
| Percentage of long-stay residents with pressure ulcers | 3.2% |
5.2%
2 pts better
|
5.1%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 2.0% · Q3 2.6% · Q4 3.6% · 4Q avg 3.2% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (2 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Nutrition and Dietary (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Resident Rights (3 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-05
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-12-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-01
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-12-01
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-09-05
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-12-01
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-09-05
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-09-05
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2023-09-05
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-12-01
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-12-01
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-12-01
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2023-09-05
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2023-12-01
Fire Safety
Use approved construction type or materials.
Corrected 2023-09-05
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2023-09-05
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-04-17
Fire Safety
Meet other general requirements that are deficient.
Corrected 2022-04-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-04-17
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2020-11-24
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 2020-11-24
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2020-11-24
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2021-05-19
Fire Safety
Use approved construction type or materials.
Corrected 2020-11-24
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2020-11-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-11-24
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-11-24
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2020-11-24
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2020-11-24
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-11-24
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2020-11-24
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-05-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-07
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-08-31
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-08-31
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-08-31
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-08-31
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 2023-08-31
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-08-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-02-08
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2020-03-16
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 2020-03-16
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2020-03-16
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2020-03-16
Health
Keep residents' personal and medical records private and confidential.
Corrected 2020-03-16
Penalties and ownership
Nearby options
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
5-star overall rating with 5-star inspections
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
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