Home / Virginia / Highland Springs
Henrico Health & Rehabilitation Center
561 North Airport Drive, Highland Springs, VA 23075 · Henrico County · (804) 737-0172
120 certified beds, about 104 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1989
Special Focus Facility: CMS's list of homes with a history of serious problems Certified for Medicaid Certified for Medicare
Overall
Not rated
CMS note: This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.
Health inspections
Not rated
CMS note: This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.
Staffing
Not rated
CMS note: This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.
Quality measures
Not rated
CMS note: This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495193 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 15, 2026, inspectors cited 13 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 80 health citations since September 2021, 10 were rated as actual harm or immediate jeopardy to residents (4 immediate jeopardy).
CMS lists 3 fines totaling $260,247 in the last three years; the largest was $132,741, and the latest is dated February 24, 2025.
Nurses and nurse aides worked 3.86 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.58 of those hours.
49.5% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Lifeworks Rehab, an affiliated group of 64 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
1109/21
3210/23
212/23
305/24
409/24
502/25
405/25
207/25
1301/26
407/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 80 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
1K
2L
Actual harm
6G
0H
0I
Potential for more than minimal harm
45D
19E
6F
Potential for minimal harm
0A
0B
0C
July 8, 2026Complaint inspection · 4 citations
- E 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.
Inspectors wroteBased on observation, interview, cliinical record review and facility documentation the facility staff failed to ensure a clean, comfortable homelike environment for four residents (R88, R6, R94, R55) and the facility in a survey sample of 43 residents. 1. The facility staff failed to ensure appropriate number of linens available, laundry completed in a timely manner, adequate pest control, and repairs made in a timely manner. On 7/6/26 during an interview with R88 2 flies were noted to be buzzing around R88 and she was observed waving them away. During the three days of survey flies were observed in patient rooms and hallways in both North and South Units. A review of the pest control service tickets dated 5/7/26, 5/28/26 and 6/15/26 revealed the following regarding pest activity: [...]
- E Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observation, interview and clinical record review the facilty staff failed to maintain an effective pest control program for two of two units in the facility. For two of two units in the facilty, the failed to ensure resident areas were free from pests and rodents. On 7/6/26 during an interview with R88 2 flies were noted to be buzzing around R8 and she was observed waving them away. During the three days of survey flies were observed in patient rooms and hallways in both North and South Units. A review of the pest control service tickets dated 5/7/26, 5/28/26, 6/15/26 and 7/2/26 revealed the following regarding pest activity: Location-South Wing exterior doorObservation - Door GapRecommendation - Seal GapResponsibility - CustomerPending Customer Resolution. [...]
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review the facility failed to provide routine medications for two of 43 residents in the sample, resident #106 (R106) and resident #54 (R54)
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on clinical record review, facility staff interview, and facility document review the facility failed to ensure a complete and accurately documented clinical record for one of 43 residents in the sample, Resident #106 (R106).
January 15, 2026Standard inspection · 13 citations
- F Keep all essential equipment working safely.
Inspectors wroteBased on resident/staff interview, facility document review and clinical record review, it was determined that the facility staff failed to maintain all mechanical hot water heater in safe operating condition.
- F Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on resident/staff interview, facility document review and clinical record review, it was determined that the facility staff failed to maintain a safe, functional and comfortable environment in the facility.
- E 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.
Inspectors wroteBased on observation, resident / staff interview, facility document review, and clinical record review, it was determined the facility staff failed to follow the menu as provided for one of 38 residents, R55.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, it was determined that the facility staff failed to provide palatable food for one of 38 residents, Resident #55 (R55).
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interview, and facility document review, it was determined that the facility staff failed to maintain the kitchen in a sanitary manner.
- E Dispose of garbage and refuse properly.
Inspectors wroteBased on observations, staff interview, and facility document review, it was determined that the facility staff failed to dispose of refuse properly. The facility staff failed to maintain a clean dumpster area during the facility task- kitchen observation 1/13/26 at 2:10 PM.
- E Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to provide hospice visits and required documentation per the plan of care for one of thirty-eight residents in the survey sample (Resident #74).
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, staff /resident interviews facility document review and clinical record review, it was determined the facility staff failed to promote dignity and respect for one of 38 residents, Resident #55 (R55).
- D 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.
Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, the facility staff failed to provide a comfortable, homelike room environment for one of thirty-eight residents in the survey sample (Resident #26).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, the facility staff failed to maintain a safe room environment for one of thirty-eight residents in the survey sample (Resident #26).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, staff /resident interviews facility document review and clinical record review, it was determined the facility staff failed to provide respiratory care services for one of 38 residents, Resident #109 (R109).
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to document a clinical rationale for denial of a recommended dose reduction for one of thirty-eight residents in the survey sample (Resident #74).
- 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.
Inspectors wroteBased on observation and facility document review, the facility staff failed to ensure medications used in the facility were within expiration date for 1 of 2 medication storage rooms (South Unit).
July 22, 2025Complaint inspection · 2 citations
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview, clinical record review, and facility documentation, the facility staff failed to report allegations of abuse or neglect for 1 Resident (#114) in a survey sample of 55 Residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, clinical record review and facility documentation, the facility staff failed to ensure residents were free from accidents and hazards for 3 Residents (#'s 114, 59, and 65) in a survey sample of 55 residents.
May 13, 2025Complaint inspection · 4 citations
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on resident interviews, staff interviews, and review of facility documents, the facility staff failed to protect a resident's right to be free of sexual abuse for 2 of 5 residents (Resident #1 and Resident #3) in the survey sample, which constituted harm.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on staff interviews and review of facility documents, the facility staff failed to ensure a violation involving abuse was reported to the administrator of the facility and to other officials (including to the State Survey Agency and adult protective services), within two hours of the violation occurring.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on resident interview, staff interviews, clinical record review, and review of facility documents, the facility staff failed to follow the professional standards of quality regarding two trained staff members assisting with mechanical lifts and transfers for 1 of 5 residents (Resident # 5 ), in survey sample.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on resident interview, staff interviews, clinical record review, and review of facility documents, the facility staff failed to provide two-person assistance while transferring Resident #5, which resulted in the resident being struck in the head by the Hoyer lift sling bar for 1 of 5 residents in the survey sample.
February 24, 2025Complaint inspection · 5 citations
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on Observations, resident interview, staff interview, clinical record review, and facility document review, the facility staff failed to schedule sufficient nursing staff to maintain the highest practicable well being of each resident.
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, the facility failed to ensure that one Resident (Resident #7), in a survey sample of 12 residents was informed, in advance, of the care to be provided and their rights upon admission.
- D 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.
Inspectors wroteBased on observation, resident interview, and staff interviews the facility staff failed to provide a comfortable, and homelike environment for 1 of 12 residents (Resident #5), in the survey sample.
- D Prepare residents for a safe transfer or discharge from the nursing home.
Inspectors wroteBased on staff interviews, family interview and clinical record review, the facility's staff failed to remove/discontinue a Midline Intravenous Catheter before discharging a resident home therefore increasing the chance of complications, including infections, bleeding, and or dislodgement for 1 of 12 residents in the survey sample, Resident #12, a closed record sample.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, Resident interview, staff interview, facility documentation review, and clinical record review, the facility staff failed to maintain the industry standards of diabetic management for one Resident (Resident #3) in a survey sample of 12 Residents.
September 6, 2024Complaint inspection · 4 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interviews, clinical record review, and facility documentation, the facility staff failed to ensure the Residents were free of accident hazards and provided adequate supervision for two (2) Residents (#3 and #4) in a survey sample of nine (9) Residents. This resulted in immediate jeopardy for Resident #3 and potential for harm for Resident #4.
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observations of the facility, they failed to provide a sanitary environment for residents, staff and the public.
- E Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observation, interview, and facility documentation, the facility staff failed to maintain an effective pest control program.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview, clinical record review and facility documentation the facility staff failed to review and revise care plan for 1 Resident in survey sample of 9 Residents.
May 8, 2024Complaint inspection · 3 citations
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to review and revise the comprehensive care plan for one of 13 residents in the survey sample, Resident #4.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, staff interview, facility document review, it was determined the facility staff failed to provide adequate supervision and prevent accidents for three of 13 residents in the survey sample, Residents #10, 11 and #4.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to ensure a resident was free from an unnecessary medication for one of 13 residents in the survey sample, Resident #1.
December 7, 2023Complaint inspection · 2 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility documentation review, the facility staff failed to provide care and services in accordance with professional standards for 1 resident, Resident #13, in a survey sample of 16 residents.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility documentation review, the facility staff failed to provide oxygen therapy consistent with infection control practices for 1 resident, Resident #15, in a survey sample of 16 residents.
October 4, 2023Standard inspection, Complaint inspection · 32 citations
- K Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to implement their abuse policy affecting 2 residents (#53 and #85), resulting in harm for Resident #53. Immediate Jeopardy (IJ) was identified on 09/27/2023 at 5:25 p.m., at which time the facility Administrator and Director of Nursing were made aware. Following verification of the removal of immediacy, the facility abated IJ on 10/04/2023 at 10:45 a.m. The scope and severity was lowered to a level 3, pattern.
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility documentation review, the facility failed to protect the residents' right to be free from physical abuse and sexual abuse by a staff member and failed to protect the residents from continued abuse by their perpetrator, affecting 2 residents (Resident #53 and #85) in a survey sample of 48 residents, which resulted in psychosocial harm for Resident #53.
- G Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on observation, interview, clinical record review, and facility documentation, the facility staff failed to ensure that residents who are trauma survivors receive trauma-informed care to mitigate triggers for 2 residents (Residents #22 and #53) in a survey sample of 48 residents.
- G 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.
Inspectors wroteBased on resident interview, staff interview, and facility documentation review, the facility failed to ensure 5 of 5 nursing staff members (Staff #6, Staff #21, Staff #22, Certified Nursing Assistant [CNA]-H and CNA-K) in the sample were competent to provide care to the facility's resident population, resulting in psychological harm for Resident #22.
- G 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.
Inspectors wroteBased on observation, interview, clinical record review, and facility documentation, the facility staff failed to ensure residents who display or are diagnosed with mental disorder, or history of Post-traumatic Stress Disorder (PTSD) receives appropriate treatment and services to attain the highest practical mental and psychosocial well-being for 1 resident (Resident #53) in a survey sample of 48 residents.
- G Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspectors wroteBased on resident interview, staff interview, and facility documentation review, the facility staff failed to update the facility assessment to assess the needs of its resident population, the required resources to provide the care and services the residents need resulting in expression of psychological harm by one resident (Resident #22) in the survey sample of 46 residents.
- F 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.
Inspectors wroteBased on observation, resident interviews, staff interview, and facility documentation review, the facility staff failed to prepare the meal in accordance with the menu, which affected the residents residing on 2 of 2 nursing units.
- F Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, resident interview, staff interview, and facility documentation review, the facility staff failed to serve food that was palatable and hot to residents on 2 of 2 nursing units.
- F Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to provide COVID-19 bivalent vaccines for 5 residents (Residents #43, #47, #1, #20, and #42) and 5 staff in a survey sample of 5 residents and 5 employees reviewed for COVID-19 immunizations. They also failed to provide education and obtain informed consent prior to administration of COVID-19 immunizations, for 4 of 5 Residents (Resident #43, #47, #20, and #42).
- E 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.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to maintain a safe, clean, comfortable, and homelike environment for residents residing on 2 of 2 units, and for Resident #363.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, facility documentation, and clinical record review, the facility staff failed to ensure the resident environment remains free of accident hazards for 1 of 2 units.
- E Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, clinical record review, and facility documentation, the facility staff failed to ensure residents maintain acceptable parameters of nutritional status for 3 residents (Residents #22, #53 and #19) in a survey sample of 48 residents.
- 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.
Inspectors wroteBased on interview, clinical record review, and facility documentation, the facility staff failed to provide snacks to residents who wish to eat outside of scheduled meal times.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to obtain consent and provide education prior to the administration of the flu vaccine for four residents (Residents #43, #47, #20, and #42) in a survey sample of 5 residents reviewed for immunizations.
- E Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observation, interview, clinical record review, and facility documentation, the facility staff failed to maintain an effective pest control program so that the facility is free of pests involving 2 of 2 units in the facility.
- E Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Inspectors wroteBased on interview, clinical record review, and facility documentation, the facility staff failed to provide behavioral health training for all staff caring for the residents identified as having behavioral healthcare needs for 5 of 5 nursing staff members (Staff #6, Staff #21, Staff #22, Certified Nursing Assistant [CNA]-H and CNA-K) in the sample.
- D Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to ensure the residents' right to participate in care planning for 1 resident, Resident #48, in a survey sample of 48 residents.
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on interview, clinical record review, and facility documentation the facility staff failed to ensure the resident's right to choose healthcare providers, for 1 resident, Resident #22, in a survey sample of 48 residents.
- D Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on observation, interview, clinical record review, and facility documentation, the facility staff failed to act promptly upon the grievances arising from Resident Council.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on clinical record review, staff interview, and facility documentation review, the facility staff failed to notify the responsible party of a change in condition for 1 Resident, Resident #362, in a sample size of 48 Residents.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to issue appropriate notices when skilled services were ending for 1 resident (Resident #87) in a survey sample of 3 residents, which were all reviewed for such notices.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility documentation review, the facility failed to report allegations of abuse by a staff member involving 2 residents (Residents #53 and #85) in a survey sample of 48 residents.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility documentation review, the facility failed to conduct investigations of allegations of abuse by a staff member involving 2 residents (Residents #53 and #85) in a survey sample of 48 residents.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to complete a comprehensive assessment after significant change in a timely manner for one resident (Resident #19) in a survey sample of 48 residents. For Resident #19, the facility staff failed to perform a significant change in status assessment after 2 areas of decline in pressure ulcer formation after hospitalization, and significant weight loss prior to and after hospitalization within 14 days of knowing about the 2 declines.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on observation, family interview, staff interview, facility document review, and clinical record review, the facility staff failed to complete a 48-hour baseline care plan for one resident (Resident #19) in a survey sample of 48 residents. For Resident #19, the facility staff failed to develop and operationalize a 48-hour base line care plan after readmission and discontinuance of the resident's former care plan, which was canceled.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview, clinical record review, and facility documentation, the facility staff failed to review and revise care plans for 2 residents (Residents #21 and #53), in a survey sample of 48 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility documentation review, the facility staff failed to provide care and services in accordance with professional standards for 1 resident, Resident #362, in a survey sample of 48 residents.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed to provide Activities of Daily Living (ADL) assistance to residents residing on 1 of 2 nursing units.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility documentation review, the facility staff failed to provide respiratory care, consistent with professional standards of practice, for 2 residents (Residents #37 and #71) in a survey sample of 46 residents.
- D Provide medically-related social services to help each resident achieve the highest possible quality of life.
Inspectors wroteBased on interview, clinical record review, and facility documentation, the facility staff failed to provide medically related social services for 1 resident (Resident #22) in a survey sample of 48 residents.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on interview, clinical record review, and facility documentation, the facility staff failed to ensure medications were available for 1 resident (Resident #103) in a survey sample of 48 residents.
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on observation, staff interview, resident interview, clinical record review, and facility documentation review, the facility staff failed to measure the success and track performance in their Quality Assurance and Process Improvement (QAPI) program for their abuse protocols resulting in Immediate Jeopardy involving abuse policy implementation for 2 residents (Residents #12 and #13) on 01/20/2023, and again on 09/27/2023 for 3 residents (Residents #53, #85, and #103) 8 months later. Immediate Jeopardy was found during a standard survey of the facility commencing on 09/25/2023 and conducted through 10/04/2023 when an abatement of the Immediate Jeopardy finding was achieved for the three new residents (Resident #53, #85, and #103), and the facility at large.
September 10, 2021Standard inspection · 11 citations
- L Provide and implement an infection prevention and control program.
Inspectors wroteBased on interviews, record review, review of facility policy, and review of Center for Disease Control and Prevention (CDC) guidelines, the facility failed to initiate appropriate Personal Protective Equipment (PPE) to include N95 and eye protection for all staff, failed to initiate quarantine of residents during an outbreak, and failed to ensure all staff, visitors, and vendors were screened for COVID-19 signs and symptoms prior to entrance into the facility. These failures had the likelihood of increasing the risk of transmission of COVID-19 to all residents. Based on interviews, observations, and review of facility policy, the facility failed to ensure staff performed hand hygiene during meal delivery. [...]
- L Perform COVID19 testing on residents and staff.
Inspectors wroteBased on interview, record review, review of policies and procedures, and review of the Centers for Medicare and Medicaid Services (CMS) QSO 20-38-NH Revised memo, the facility failed to implement outbreak testing of staff and residents to prevent the spread of COVID-19 upon identification that a North Wing Unit Manager (NWM) tested positive for COVID-19 on 09/03/21. This failure increased the likelihood of COVID-19 transmission to the 82 residents living at the facility. As of 09/08/21 at 7:01 PM, the facility had not begun outbreak testing per CMS guidance. On 09/08/21 at 7:39 PM, the Administrator was notified that the failure to ensure that all residents and staff were tested for COVID-19, regardless of vaccination status, after the facility was notified on 09/03/21 that the NWM tested positive for COVID-19, constituted immediate jeopardy at F886-L: [...]
- F Report COVID19 data to residents and families.
Inspectors wroteBased on record review, interviews, review of facility documents, and review of Centers for Medicare and Medicaid Services (CMS) memo QSO-20-29-NH, the facility failed to notify in a timely manner residents and resident representatives when a staff member tested positive for COVID-19. This failure had the potential to affect all 85 residents in the facility.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, interview, and review of facility policies, the facility failed to store, prepare, and serve food under sanitary conditions. Specifically, air vents, portions of the ceiling, and electrical cords above food preparation tables and the steam table were found to be covered with dirt and dust. These failures had the potential to affect 78 of 82 residents living at the facility, who received food from the kitchen; there were four residents requiring tube feedings.
- E Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on staff interview and facility documentation review, the facility staff failed to document the COVID-19 vaccination status for 27 out of 85 staff members.
- D Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Inspectors wroteBased on interview, record review, and policy review, the facility failed to ensure that each resident or the financial representative received a quarterly accounting of the personal funds for one of 27 sampled residents (Resident (R) 57).
- D Ensure residents have reasonable access to and privacy in their use of communication methods.
Inspectors wroteBased on Resident interview, staff interview and facility documentation review, the facility staff failed uphold Resident Rights with regards to receiving mail unopened for 1 Resident (Resident #805) in a survey sample of 12 Residents.
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on Resident interview, staff interview and facility documentation review, the facility staff misappropriated a refund check for 1 Resident (Resident #805) in a survey sample of 12 Residents.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review, interview, and review of the facility policy, the facility failed to issue a written transfer notice to a resident and/or legal representative and to the state Ombudsman for one of two residents (Resident (R) 5) reviewed for hospitalizations.
- D 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.
Inspectors wroteBased on record review and interviews, the facility failed to provide the resident and/or the resident representative a written notice of the bed hold policy in one of two residents (Resident (R) 5) reviewed for hospitalizations.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on Resident interview, staff interview, facility documentation review and clinical record review the facility staff failed to administer medications in accordance with physician orders and professional standards of practice for one Resident (Resident #806) in a survey sample of 12 Residents.
Fire safety inspections
8 fire safety citations on file: 2 on January 15, 2026, 3 on October 4, 2023, 3 on September 10, 2021.
Every fire safety citation8 citations
- F Meet other general requirements that are deficient.
- E Have an externally vented heating system.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Have an alternate power supply for its alarm system.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have proper power supply for life support equipment.
- C Develop and maintain an Emergency Preparedness Program (EP).
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 24, 2025 | Fine | $132,741 |
| September 6, 2024 | Fine | $23,196 |
| October 4, 2023 | Fine | $104,310 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.86 | 3.76 | 3.86 |
| Registered nurses | 0.58 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.33 | 3.29 | 3.42 |
| Nurse aides | 1.98 | ||
| Licensed practical nurses | 1.30 | ||
| Nursing staff turnover (share who left in a year) | 49.5% | 48.1% | 45.8% |
| Registered nurse turnover | 64.3% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.89 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.08 on weekdays and 3.33 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.58 in April to June 2025 to 3.86 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.86 | 0.58 | 4.08 | 3.33 | 0.5% | 0 of 90 | 104 |
| Oct to Dec 2025 | 3.78 | 0.44 | 4.02 | 3.19 | 0.0% | 0 of 92 | 98 |
| Jul to Sep 2025 | 3.74 | 0.35 | 3.98 | 3.10 | 0.0% | 0 of 92 | 101 |
| Apr to Jun 2025 | 3.58 | 0.35 | 3.86 | 2.89 | 9.0% | 0 of 91 | 108 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Virginia
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Virginia, all employers | |||
| CNAs (nursing assistants) | $20.77 | $17.80 to $22.56 | 40,580 |
| LPNs and LVNs | $31.21 | $28.66 to $35.84 | 15,550 |
| Registered nurses | $45.00 | $38.51 to $49.53 | 77,490 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 8.4 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.3 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.7 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.6 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.3 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.4 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.6 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.3 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.9 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.5 | 1.8 |
Owners and operators
Legal business name: HENRICO CARE CENTER LLC. CMS links this home to Lifeworks Rehab, a group of 64 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Henrico Holdings 1 LLC | 5% or greater direct ownership interest | Organization | 100% | 05/28/2021 |
| Ak 2003 Family Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Al 2003 Family Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Charles 1994 Family Grantor Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Edward 1998 Family Grantor Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Golden 2017 Family Grantor Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Golden 2017 LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Matt 2002 Family Grantor Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Matt 2002 LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Nathan 5604 & Family LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Nathan 5604 Family Grantor Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Nathan 5604 LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Pivotal Central LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Sas 1998 Family Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Saul 2012 Family Grantor Trust | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Silverstone East LLC | 5% or greater indirect ownership interest | Organization | 05/28/2021 | |
| Wilson, Lakeshia | W-2 managing employee | Individual | 10/26/2023 | |
| Wilson, Lakeshia | Corporate director | Individual | 10/26/2023 | |
| Rybst Central Manager LLC | Operational/managerial control | Organization | 05/28/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 16 problems in this area, most recently on July 8, 2026: "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."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 15 problems in this area, most recently on January 15, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- When is the care plan meeting, and can family attend it?Inspectors cited 10 problems in this area, most recently on July 8, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 8 problems in this area, most recently on January 15, 2026: "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."
Other nursing homes nearby
- Hanover Health and Rehabilitation Center Mechanicsville, 5.8 mi · 2 of 5 stars · 39 citations
- Covenant Woods Nursing Home Mechanicsville, 5.9 mi · 4 of 5 stars · 13 citations
- Autumn Care of Mechanicsville Mechanicsville, 6.3 mi · 2 of 5 stars · 33 citations
- Vcu Health Children's Services at Brook Road Richmond, 7.8 mi · 5 of 5 stars · 5 citations
- The Virginia Home Richmond, 8.8 mi · 3 of 5 stars · 14 citations
- Westminster-Canterbury of Richmond Richmond, 8.9 mi · 5 of 5 stars · 14 citations
- Rosedale Health & Rehabilitation Richmond, 9.1 mi · 1 of 5 stars · 101 citations
- Sitter and Barfoot Veterans Care Center Richmond, 9.4 mi · 5 of 5 stars · 31 citations
Virginia contacts for a concern about a nursing home
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Virginia Department of Health, Office of Licensure and Certification, Division of Long-Term Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Virginia Office of the State Long-Term Care Ombudsman, 800-552-5019. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: VDH Nursing Home and ICF/IID Inspections and Surveys, where Virginia publishes its own records on licensed homes.
Common questions
- What is Henrico Health & Rehabilitation Center's Medicare star rating?
- CMS does not give Henrico Health & Rehabilitation Center an overall star rating in the data as of September 1, 2026.
- How many deficiencies did Henrico Health & Rehabilitation Center get at its last inspection?
- 13 health deficiencies at the standard inspection on January 15, 2026. The Virginia average is 14.3.
- Has Henrico Health & Rehabilitation Center been fined?
- Yes. CMS lists 3 fines totaling $260,247 in the last three years.
- Does Henrico Health & Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Henrico Health & Rehabilitation Center?
- CMS lists 19 owners and managers, and links the home to Lifeworks Rehab. Legal business name: HENRICO CARE CENTER LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.