Richmond, VA

Westport Rehabilitation And Nursing Center

1-star overall rating with 1-star inspections with $62,762 in total fines with 58 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

7300 Forest Ave, Richmond, VA

(804) 288-3152

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

225

Certified beds

Average residents

182

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Lifeworks Rehab

Operator or chain grouping

Approved since

1991-01-08

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

Hours and turnover

RN hours / resident day

0.42

Registered nurse staffing · state 0.69 · national 0.68

LPN hours / resident day

1.19

Licensed practical nurse staffing · state 1.00 · national 0.87

Aide hours / resident day

1.89

Nurse aide staffing · state 2.12 · national 2.35

Total nurse hours

3.50

All reported nurse hours · state 3.81 · national 3.89

Licensed hours

1.61

RN + LPN hours · state 1.68 · national 1.54

Weekend hours

3.10

Weekend nurse staffing · state 3.31 · national 3.43

Weekend RN hours

0.27

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

2.96

CMS adjusted total nurse staffing hours

Case-mix index

1.62

Higher values indicate more complex resident acuity

RN turnover

52%

Annual RN turnover · state 49% · national 45%

Total nurse turnover

49%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,208

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

33.63

Composite VBP score used to determine payment impact.

Payment multiplier

0.9878

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.62

Baseline 19.27% · Performance 18.37% · Measure score 6.62 · Achievement 6.62 · Improvement 3.54

Healthcare-associated infections

4.42

Baseline 6.94% · Performance 6.51% · Measure score 4.42 · Achievement 4.42 · Improvement 1.68

Total nurse turnover

2.42

Baseline 60.82% · Performance 53.81% · Measure score 2.42 · Achievement 2.42 · Improvement 1.45

Adjusted total nurse staffing

0

Baseline 3.39 hours · Performance 2.85 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 12.94%
10.72%
2.2 pts worse
No Different than the National Rate · Eligible stays 369 · Observed rate 14.36% · Lower 95% interval 10.69%
Discharge to community 44.38%
50.57%
6.2 pts worse
Worse than the National Rate · Eligible stays 396 · Observed rate 36.87% · Lower 95% interval 39%
Medicare spending per beneficiary 1.2
1.02
0.2 pts worse
Drug regimen review with follow-up 97.62%
95.27%
2.4 pts better
Numerator 164 · Denominator 168
Falls with major injury 1.19%
0.77%
0.4 pts worse
Numerator 2 · Denominator 168
Discharge self-care score 57.8%
53.69%
4.1 pts better
Numerator 63 · Denominator 109
Discharge mobility score 56.88%
50.94%
5.9 pts better
Numerator 62 · Denominator 109
Pressure ulcers or injuries, new or worsened 5.42%
2.29%
3.1 pts worse
Numerator 9 · Denominator 166 · Adjusted rate 4.78%
Healthcare-associated infections requiring hospitalization 6.51%
7.12%
0.6 pts better
No Different than the National Rate · Eligible stays 218 · Observed rate 6.42% · Lower 95% interval 4.12%
Staff COVID-19 vaccination coverage 0.83%
8.2%
7.4 pts worse
Numerator 2 · Denominator 242
Staff flu vaccination coverage 29.52%
42%
12.5 pts worse
Numerator 80 · Denominator 271
Discharge function score 56.88%
56.45%
0.4 pts better
Numerator 62 · Denominator 109
Transfer of health information to provider 73.86%
95.95%
22.1 pts worse
Numerator 65 · Denominator 88
Transfer of health information to patient 87.5%
96.28%
8.8 pts worse
Numerator 28 · Denominator 32
Resident COVID-19 vaccinations up to date 23.21%
25.2%
2 pts worse
Numerator 13 · Denominator 56

Quality measures

Resident outcomes and process scores

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 1.0 · Expected 2.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.3
1.4
0.1 pts better
1.8
0.5 pts better
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.4 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 85.1%
91.2%
6.1 pts worse
93.4%
8.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 81.7% · Q2 82.1% · Q3 90.3% · Q4 86.1% · 4Q avg 85.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 89.6%
94.0%
4.4 pts worse
95.5%
5.9 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 89.6%
Percentage of long-stay residents experiencing one or more falls with major injury 3.4%
3.6%
0.2 pts better
3.3%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.8% · Q3 3.4% · Q4 5.4% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 92.3%
15.7%
76.6 pts worse
11.4%
80.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 91.8% · Q3 85.3% · Q4 95.3% · 4Q avg 92.3%
Percentage of long-stay residents who lose too much weight 3.8%
5.7%
1.9 pts better
5.4%
1.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 4.8% · Q3 3.1% · Q4 4.1% · 4Q avg 3.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.7%
20.2%
1.5 pts worse
19.6%
2.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 21.1% · Q3 23.0% · Q4 24.0% · 4Q avg 21.7%
Percentage of long-stay residents who received an antipsychotic medication 18.7%
15.0%
3.7 pts worse
16.7%
2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 20.2% · Q3 17.4% · Q4 20.0% · 4Q avg 18.7% · 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 23.1%
17.5%
5.6 pts worse
16.3%
6.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.3% · Q2 27.6% · Q3 20.4% · Q4 22.7% · 4Q avg 23.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 21.0%
15.7%
5.3 pts worse
14.9%
6.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 28.4% · Q3 20.6% · Q4 17.8% · 4Q avg 21.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.8%
0.5%
0.3 pts worse
1.0%
0.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.4% · Q3 0.9% · Q4 0.7% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.0%
1.6%
0.6 pts better
1.7%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.6% · Q3 1.7% · Q4 1.2% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.6%
22.2%
1.4 pts worse
19.8%
3.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 30.4% · Q3 18.1% · Q4 20.9% · 4Q avg 23.6%
Percentage of long-stay residents with pressure ulcers 12.6%
5.2%
7.4 pts worse
5.1%
7.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 14.2% · Q2 11.1% · Q3 13.0% · Q4 12.1% · 4Q avg 12.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 47.2%
74.6%
27.4 pts worse
81.7%
34.5 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 42.4% · Q2 35.1% · Q3 50.9% · Q4 64.7% · 4Q avg 47.2%
Percentage of short-stay residents who had an outpatient emergency department visit 12.5%
11.7%
0.8 pts worse
12.0%
0.5 pts worse
Short Stay · 20240701-20250630 · Adjusted 12.5% · Observed 15.0% · Expected 13.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.6%
1.2%
0.4 pts worse
1.6%
About the same
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.0% · Q3 2.1% · Q4 2.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 47.3%
73.6%
26.3 pts worse
79.7%
32.4 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 47.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.1%
22.0%
1.1 pts worse
23.9%
0.8 pts better
Short Stay · 20240701-20250630 · Adjusted 23.1% · Observed 27.0% · Expected 27.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-21 · Fire 2024-11-21

58 health deficiencies

Top issue: Quality of Life and Care (15 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2022-10-19 · Fire 2022-10-19

39 health deficiencies

Top issue: Resident Assessment and Care Planning (10 deficiencies)

3 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 3 Health 2021-10-05 · Fire 2021-10-05

38 health deficiencies

Top issue: Quality of Life and Care (13 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-11-21

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-01-28

E · Potential for more than minimal harm 2024-11-21

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2025-01-28

D · Potential for more than minimal harm 2024-11-21

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-01-28

D · Potential for more than minimal harm 2024-11-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-28

D · Potential for more than minimal harm 2022-10-19

K112 · Construction Deficiencies

Fire Safety

Add automatic sprinklers after major renovation.

Corrected 2022-11-18

D · Potential for more than minimal harm 2022-10-19

K221 · Egress Deficiencies

Fire Safety

Provide rooms that can be unlocked from inside without a key.

Corrected 2022-11-18

D · Potential for more than minimal harm 2022-10-19

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-11-18

D · Potential for more than minimal harm 2021-10-05

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2021-11-19

D · Potential for more than minimal harm 2021-10-05

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2021-10-19

D · Potential for more than minimal harm 2021-10-05

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-10-19

D · Potential for more than minimal harm 2021-10-05

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2021-10-19

Inspection history

Recent health citations

G · Actual harm 2025-10-22

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-12-01

E · Potential for more than minimal harm 2025-10-22

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-01-06

D · Potential for more than minimal harm 2025-10-22

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-12-01

D · Potential for more than minimal harm 2025-10-22

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2026-01-06

D · Potential for more than minimal harm 2025-10-22

F584 · Resident Rights Deficiencies

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 2026-01-06

D · Potential for more than minimal harm 2025-10-22

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-12-01

D · Potential for more than minimal harm 2025-10-22

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-12-01

D · Potential for more than minimal harm 2025-10-22

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-12-01

D · Potential for more than minimal harm 2025-10-22

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-01-06

D · Potential for more than minimal harm 2025-10-22

F657 · Resident Assessment and Care Planning Deficiencies

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 2025-12-01

D · Potential for more than minimal harm 2025-10-22

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-12-01

D · Potential for more than minimal harm 2025-10-22

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-01-06

D · Potential for more than minimal harm 2025-10-22

F690 · Quality of Life and Care Deficiencies

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 2026-01-06

D · Potential for more than minimal harm 2025-10-22

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2026-01-06

D · Potential for more than minimal harm 2025-05-09

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-05-27

E · Potential for more than minimal harm 2025-03-11

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-11

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-04-17

D · Potential for more than minimal harm 2025-03-11

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-04-17

G · Actual harm 2024-12-04

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-12-02

D · Potential for more than minimal harm 2024-12-04

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-01-06

E · Potential for more than minimal harm 2024-11-21

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-03-11

E · Potential for more than minimal harm 2024-11-21

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-01-05

E · Potential for more than minimal harm 2024-11-21

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-01-05

E · Potential for more than minimal harm 2024-11-21

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-01-05

E · Potential for more than minimal harm 2024-11-21

F584 · Resident Rights Deficiencies

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 2025-01-05

E · Potential for more than minimal harm 2024-11-21

F622 · Resident Rights Deficiencies

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 2025-01-05

E · Potential for more than minimal harm 2024-11-21

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-01-05

E · Potential for more than minimal harm 2024-11-21

F625 · Resident Rights Deficiencies

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 2025-01-05

E · Potential for more than minimal harm 2024-11-21

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-03-17

E · Potential for more than minimal harm 2024-11-21

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-01-05

E · Potential for more than minimal harm 2024-11-21

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-03-11

E · Potential for more than minimal harm 2024-11-21

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-03-11

E · Potential for more than minimal harm 2024-11-21

F690 · Quality of Life and Care Deficiencies

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 2025-01-05

E · Potential for more than minimal harm 2024-11-21

F691 · Quality of Life and Care Deficiencies

Health

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Corrected 2025-01-05

E · Potential for more than minimal harm 2024-11-21

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-01-05

E · Potential for more than minimal harm 2024-11-21

F700 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2025-03-11

E · Potential for more than minimal harm 2024-11-21

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2025-03-11

E · Potential for more than minimal harm 2024-11-21

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-03-11

E · Potential for more than minimal harm 2024-11-21

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-03-17

E · Potential for more than minimal harm 2024-11-21

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-01-05

E · Potential for more than minimal harm 2024-11-21

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-10-25

D · Potential for more than minimal harm 2024-11-21

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-03-11

D · Potential for more than minimal harm 2024-11-21

F657 · Resident Assessment and Care Planning Deficiencies

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 2025-01-05

D · Potential for more than minimal harm 2024-11-21

F688 · Quality of Life and Care Deficiencies

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 2025-03-11

D · Potential for more than minimal harm 2024-11-21

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-03-11

D · Potential for more than minimal harm 2024-11-21

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-03-17

D · Potential for more than minimal harm 2024-11-21

F742 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

F809 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2025-01-05

E · Potential for more than minimal harm 2024-09-30

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-09-25

E · Potential for more than minimal harm 2024-09-30

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-11-06

E · Potential for more than minimal harm 2024-09-30

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-11-06

E · Potential for more than minimal harm 2024-09-30

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-09-25

E · Potential for more than minimal harm 2024-09-30

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-09-25

D · Potential for more than minimal harm 2024-09-30

F573 · Resident Rights Deficiencies

Health

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Corrected 2024-11-06

D · Potential for more than minimal harm 2024-09-30

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-11-06

D · Potential for more than minimal harm 2024-09-30

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2024-11-06

D · Potential for more than minimal harm 2024-09-30

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-11-06

D · Potential for more than minimal harm 2024-09-30

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-11-06

D · Potential for more than minimal harm 2024-04-24

F657 · Resident Assessment and Care Planning Deficiencies

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 2024-10-03

D · Potential for more than minimal harm 2024-04-24

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-10-03

D · Potential for more than minimal harm 2024-04-24

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-10-03

D · Potential for more than minimal harm 2024-02-22

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-02-22

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-03-29

E · Potential for more than minimal harm 2023-05-10

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-05-31

E · Potential for more than minimal harm 2023-05-10

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-05-31

E · Potential for more than minimal harm 2023-05-10

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-05-31

E · Potential for more than minimal harm 2023-05-10

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-05-31

E · Potential for more than minimal harm 2023-05-10

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2023-05-31

E · Potential for more than minimal harm 2023-05-10

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-05-31

D · Potential for more than minimal harm 2023-05-10

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-02-22

D · Potential for more than minimal harm 2023-05-10

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-05-31

D · Potential for more than minimal harm 2023-05-10

F657 · Resident Assessment and Care Planning Deficiencies

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 2023-05-31

D · Potential for more than minimal harm 2023-05-10

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-05-31

D · Potential for more than minimal harm 2023-05-10

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-05-31

E · Potential for more than minimal harm 2022-10-19

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2022-11-15

E · Potential for more than minimal harm 2022-10-19

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2022-11-15

E · Potential for more than minimal harm 2022-10-19

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-11-15

E · Potential for more than minimal harm 2022-10-19

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-11-15

E · Potential for more than minimal harm 2022-10-19

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-11-15

E · Potential for more than minimal harm 2022-10-19

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2022-11-15

E · Potential for more than minimal harm 2022-10-19

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2022-11-15

E · Potential for more than minimal harm 2022-10-19

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-19

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-19

F584 · Resident Rights Deficiencies

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 2022-11-15

D · Potential for more than minimal harm 2022-10-19

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-19

F622 · Resident Rights Deficiencies

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 2022-11-15

D · Potential for more than minimal harm 2022-10-19

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-19

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-19

F657 · Resident Assessment and Care Planning Deficiencies

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 2022-11-15

D · Potential for more than minimal harm 2022-10-19

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-19

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-19

F712 · Nursing and Physician Services Deficiencies

Health

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-19

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-19

F758 · Pharmacy Service Deficiencies

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 2022-11-15

D · Potential for more than minimal harm 2022-10-19

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-19

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-19

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2022-11-15

D · Potential for more than minimal harm 2022-10-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-11-15

E · Potential for more than minimal harm 2021-10-05

F559 · Resident Rights Deficiencies

Health

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Corrected 2021-11-19

E · Potential for more than minimal harm 2021-10-05

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2021-11-19

E · Potential for more than minimal harm 2021-10-05

F657 · Resident Assessment and Care Planning Deficiencies

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 2021-11-19

E · Potential for more than minimal harm 2021-10-05

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2021-11-19

E · Potential for more than minimal harm 2021-10-05

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2021-11-19

E · Potential for more than minimal harm 2021-10-05

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2021-11-19

E · Potential for more than minimal harm 2021-10-05

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2021-11-19

E · Potential for more than minimal harm 2021-10-05

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2021-11-19

E · Potential for more than minimal harm 2021-10-05

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2021-11-19

E · Potential for more than minimal harm 2021-10-05

F840 · Administration Deficiencies

Health

Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

Corrected 2021-11-19

D · Potential for more than minimal harm 2021-10-05

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2021-11-19

D · Potential for more than minimal harm 2021-10-05

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2021-11-19

D · Potential for more than minimal harm 2021-10-05

F584 · Resident Rights Deficiencies

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 2021-11-19

D · Potential for more than minimal harm 2021-10-05

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2021-11-19

D · Potential for more than minimal harm 2021-10-05

F622 · Resident Rights Deficiencies

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 2021-11-19

D · Potential for more than minimal harm 2021-10-05

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2021-11-19

D · Potential for more than minimal harm 2021-10-05

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2021-11-19

D · Potential for more than minimal harm 2021-10-05

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2021-11-19

D · Potential for more than minimal harm 2021-10-05

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2021-11-19

D · Potential for more than minimal harm 2021-10-05

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2021-11-19

D · Potential for more than minimal harm 2021-10-05

F700 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2021-11-19

D · Potential for more than minimal harm 2021-10-05

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2021-11-19

D · Potential for more than minimal harm 2021-10-05

F761 · Pharmacy Service Deficiencies

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 2021-11-19

D · Potential for more than minimal harm 2021-10-05

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2021-11-19

D · Potential for more than minimal harm 2021-10-05

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2021-11-19

Penalties and ownership

What sits behind the stars

$53,742 2025-10-22

Fine

Fine · fine $53,742

Fine

$9,020 2024-11-21

Fine

Fine · fine $9,020

Fine

Ownership

Virginia Care Holco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 5 facilities 2020-01-01
Charles 1994 Family Grantor Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 42 facilities 2020-01-01
Edward 1998 Family Grantor Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 40 facilities 2020-01-01
Innovative Healthcare Management LLC

Operational/Managerial Control · Organization

0% 5 facilities 2020-01-01
Isva Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2020-01-01
Jkva Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2020-01-01
Mlva Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2020-01-01
Rajchenbach, Moshe

5% Or Greater Indirect Ownership Interest · Individual

0% 11 facilities 2020-01-17
Rajchenbach, Moshe

W-2 Managing Employee · Individual

0% 11 facilities 2020-01-17
Saul 2012 Family Grantor Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 41 facilities 2020-01-01

Nearby options

Other facilities in reach

#1

August Healthcare at Richmond

Richmond, VA

3-star overall rating with 2-star inspections with $14,300 in total fines with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
2 / 5
Staffing
5 / 5
Fines
$14,300
#2

Glenburnie Rehab & Nursing Center

Richmond, VA

1-star overall rating with 1-star inspections with $54,211 in total fines with 52 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
1 / 5
Fines
$54,211
#3

The Laurels Of University Park

Richmond, VA

2-star overall rating with 2-star inspections with 22 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
2 / 5
Fines
$0

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