1600 John Rolfe Parkway, Richmond, VA 23233 · Henrico County · (804) 750-2183
101 certified beds, about 98 residents a day · For profit - Corporation · Medicare and Medicaid since 1995
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495291 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 28, 2024, inspectors cited 5 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 49 health citations since March 2019, 3 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 2 fines totaling $39,555 in the last three years; the largest was $27,378, and the latest is dated May 6, 2026.
Nurses and nurse aides worked 3.72 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.56 of those hours.
65.8% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Hill Valley Healthcare, an affiliated group of 43 nursing homes.
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.
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 49 health citations on file.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to provide basic life support measures to include initiation of cardiopulmonary resuscitation (CPR) in accordance with the resident's wishes/advance directives for one of twenty-four residents in the survey sample (Resident #1). Resident #1, with physician orders for a full code status requiring CPR in case of cardiac/respiratory arrest, had no immediate assessment, basic life saving measures, or CPR efforts initiated, when the resident was found unresponsive and without pulse/respirations, resulting in the resident being pronounced deceased . This failure resulted in the identification of immediate jeopardy and substandard quality of care.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to provide sufficient nursing staff for assessment/monitoring of one of twenty-four residents in the survey sample (Resident #1). With no nurse assigned, Resident #1 had no assessment or administration of medications/treatments on the morning [DATE]. Resident #1 was found unresponsive on [DATE] at 12:30 p.m. without pulse or respirations and was pronounced deceased without initiation of required CPR (cardio-pulmonary resuscitation). This resulted in the identification of immediate jeopardy.
Inspectors wroteBased on clinical record reviews, observations, staff interviews, and facility documentation the facility staff failed to review and revise the comprehensive person centered care plans for three residents, Resident #15 (R15), Resident # 23 (R23), and Resident #24 (R24) out of a survey sample of 24 residents.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to follow physician orders for medications/treatments for one of twenty-four residents in the sample (Resident #1) and failed to document ongoing assessments of a wound for one of twenty-four residents in the sample (Resident #3).
Inspectors wroteBased on staff interviews, clinical record review, and facility documentations the facility staff failed to notify the responsible party about a fall for one resident, Resident #23 (R23) out of a survey sample of 24 residents.
Inspectors wroteBased on staff interviews, clinical record reviews, and facility documentation the facility staff failed to assess the resident following a reported fall for one resident, Resident #23 out of a survey sample of 24 residents.
Inspectors wroteBased on interview, clinical record review and facility documentation the facility staff failed to ensure that residents were free from significant medication errors for one resident (Resident 104-R104) in a survey sample of seven residents.
Inspectors wroteBased on observations, staff interviews, and facility documentation the facility staff failed to ensure medications were securely stored, as evidenced by and unattended and unlocked medication cart on one unit, (Unit One) out of four units.
Inspectors wroteBased on observations, medical records review, and staff interviews, the facility failed to ensure one of five residents (Resident #3) received emergency treatment and care in accordance with professional standards of practice.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and review of facility documents, the facility's staff failed to follow physician orders for 3 of 28 residents (#293, #2 and #30) in the survey sample
Inspectors wroteBased on observation, resident interview, facility staff interview, clinical record review, and facility documentation review, the facility staff failed to provide the necessary services to maintain personal hygiene for one resident (Residents # 43) in a survey sample of 28 residents.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and review of facility documents, the facility's staff failed to ensure an area on the resident's groin was assessed and reported to the physician for 1 of 28 residents (Resident #74), in the survey sample.
Inspectors wroteBased on observations, clinical record review, staff interviews and facility documentation, the facility staff failed to provide pain management for one of 28 residents (R #30) in the survey sample.
Inspectors wroteBased on observations, clinical record review, staff interview and facility document review, the facility staff failed to acquire medications for 2 of 28 residents (R#2 and R#291) in the survey sample. The findngs include: 1. For Resident # 2, the facility staff failed to ensure medications were available for administration as ordered by the physician. Resident # 2 was admitted to the facility on [DATE]. Diagnoses included but were not limited to: Fracture of Left Fibula, Edema, Alzheimer's Disease, Gastroesophageal Reflux Disease, Anxiety and Hypertension. Resident #2's most recent MDS (Minimum Data Set Assessment) with an ARD (Assessment Reference Date) of 05/17/2024 was a quarterly assessment. The MDS coded Resident # 2 with a BIMS (Brief Interview for Mental Status) score of 2 out of 15, indicating severe cognitive impairment. [...]
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 one resident, Resident #1, in a survey sample of three (3) residents.
Inspectors wroteBased on observations, resident interview, staff interview, clinical record review, facility documentation review, and in the course of a complaint investigation, the facility staff failed to prevent abuse involving 4 Residents (Resident #30, #17, #2, #71) in a sample size of 33 Residents.
Inspectors wroteBased on observation, resident interview, group interview and staff interview, the facility staff failed to act promptly to resolve grievances discussed in the group interviews. For 6 of 6 residents in the Resident Council group, the facility staff failed to resolve the issues/concerns discussed in Resident Council.
Inspectors wroteBased on observation, staff interview and group interview, the facility staff failed to ensure the results of the most recent surveys of the facility were readily accessible to residents and family representatives. For 6 of 6 attendees of the group interview, the facility staff failed to ensure the residents knew where to find the survey results form the previous surveys.
Inspectors wroteBased on staff interview, facility documentation review and clinical record review, the facility staff failed to complete a SNF ABN (Skilled Nursing Facility Advance Beneficiary Notice) for 1 Residents (Resident #66) in a survey sample of 33 Residents. For Resident #66, the facility staff failed to provide a SNF ABN notice prior to skilled care services, paid by Medicare, ended. Resident #66 was not afforded the opportunity to continue skilled care services and have Medicare make a determination about coverage of such services, as known as a demand bill.
Inspectors wroteBased on interview, clinical record review, and facility documentation review the facility staff failed to implement the abuse policy for 2 Residents (#71and #2) in a survey sample of 33 Residents. 1. For Resident #71 the facility staff failed to obtain prevent physical abuse of by a CNA contracted employee, and also failed to obtain the Virginia State Police criminal background check prior to allowing the staff to work with the Resident. Resident #71, a [AGE] year old woman admitted to the facility on [DATE] with diagnoses including diabetes type II, dementia with behavioral disturbance, chronic kidney disease, and pancreatitis. Resident #71's most recent MDS (Minimum Data Set) assessment coded Resident #71 as having a BIMS (Brief Interview of Mental Status) score of 4 indicating severe cognitive impairment. [...]
Inspectors wroteBased on interview, clinical record review and facility documentation and in the course of an investigation the facility staff failed to develop and implement a baseline care plan for 1 Resident (#340) in a survey sample of 33 Residents.
Inspectors wroteBased on observations, resident interview, staff interview, clinical record review, facility documentation review, and in the course of a complaint investigation, the facility staff failed to develop and implement the care plan for 2 residents (Resident #2 and Resident #71) in a sample size of 33 Residents.
Inspectors wroteBased on observation, Resident interview, staff interview, facility documentation review and clinical record review, the facility failed to provide ADL assistance to maintain personal hygiene for 2 Residents (Resident #190, #71) in a survey sample of 33 Residents. For Resident #190, the facility staff failed to provide personal hygiene assistance for shaving; he was dependent on staff for assistance.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to supervise one Resident (Resident #2) in a sample size of 33 Residents. Specifically, Resident #2 was observed walking with a fork, a stapler, and entering into the unit manager's office with access to items including but not limited to thumb tacks and scissors resulting in a potential accident hazard.
Inspectors wroteBased on interview, clinical record review and facility documentation, the facility staff failed to ensure residents are free from unnecessary psychotropic drugs for 1 Resident (#71) in a survey sample of 33 Residents.
Inspectors wroteBased on observation, staff interview, and facility documentation review, the facility staff failed to label and store medication according to accepted professional principles for one Resident (Resident #10) out of a sample size of 33 Residents.
Inspectors wroteBased on observation, Resident interview, staff interview, facility documentation review and clinical record review, the facility failed to provide beverages consistent with Resident needs and preferences for 1 Resident (Resident #190) in a survey sample of 33 Residents. For Resident #190, the facility staff failed to provide liquids/beverages in a consistency as ordered by the physician and requested by the Resident.
Inspectors wroteBased on observation, resident interview, staff interview, facility documentation review, and clinical record review, the facility staff failed to assess and determine that residents are safe and appropriate to self administer medications for 4 residents (Resident #87, 21, 11, and 26) in a survey sample of 45 residents. 1. For Resident #87, the facility failed to assess that the resident was safe to self administer medications that she had access to her room. 2. For Resident #21 the facility failed to assess that the resident was safe to self administer medications that he had immediate access to. 3. For Resident #11 the facility failed to assess that she was safe to self administer medications that she had immediate access to. 4. For Resident #26 the facility failed to assess that he was safe to self administer medications that he had immediate access to.
Inspectors wroteBased on observation, Resident interview, and staff interview, the facility staff did not allow a private Resident council meeting with state agency surveyors for 7 Resident attendees. Staff entered the Private group council meeting, while in progress, to interrupt the proceedings on 4 occasions during the hour long meeting. This staff intrusion in a confidential meeting, made Residents feel uncomfortable, and fearful of retaliation, should they share complaints with surveyors.
Inspectors wroteBased on observation, staff interview, clinical record review and facility documentation review, the facility staff failed for 8 residents (Resident #29, #87, #21, #345, #11, #26, #62, #27) in a sample of 45 residents to prevent accident hazards. 1. For Resident #29, the facility staff failed to recline a specialized High-Back Reclining wheelchair for fall prevention. 2. For Resident #87, the facility failed to ensure the environment is free of accident hazards by allowing resident access to medications, sharps and trip hazards. 3. For Resident #21 the facility failed to provide a safe environment by allowing resident access to medications, sharps and trip hazards. 4. For Resident #345 the facility failed to provide a safe environment by allowing resident access to medications, a disposable razor, and trip hazards. 5. [...]
Inspectors wroteBased on observation, resident interview, family interview, staff interviews and facility documentation review, the facility staff failed to provide meals at regular times for five residents (Residents # 46, # 62, # 40, # 48, # 34 and # 86) in the survey sample of 45 residents. 1. For Resident # 46, breakfast was not served until 10:05 AM on 3/12/2019. 2. For Resident # 62, breakfast was not served until 9:46 AM on 3/13/19 3. For Resident # 40, breakfast was not served until 9:48 AM on 3/13/19. 4. For Resident # 48, breakfast was not served until 9:58 AM on 3/13/19. 5. For Resident # 34, breakfast was not served until 10:08 AM on 3/13/19. 6. For Resident # 86, breakfast was not served until 9:42 AM on 3/13/2019.
Inspectors wroteBased on facility records and staff interview the facility failed to ensure the minimum staff were part of the facility quality assessment and assurance committee. The facility failed to ensure the director of nursing services and medical director attended the quality assurance meetings.
Inspectors wroteBased on observation, staff interview, facility documentation review, and in the course of a complaint investigation, the facility staff failed to provide Linens, Oxygen, and Activities of Daily Living (ADL) care supplies in a manner to prevent the spread of infection, in the general environment, laundry, in the unit 2 clean utility room, on medication carts in unit 1, and in the shower room of unit 2. In addition, the facility failed to develop and implement a water management plan for Legionella. Dust and mildew were on ventilation areas. Clean Linens were left uncovered, and handled improperly. Used and dirty oxygen tanks were commingled with clean unused oxygen tanks. Dirty ADL carts were brought into the clean utility room from the shower room, containing used and dirty resident care items. Medication carts were unsanitary, and dirty. [...]
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility documentation the facility staff failed to ensure the Resident right to dignified existence for 1 Resident (#76) in a survey sample of 45 Residents. For Resident #76, the facility staff pulled the resident backwards down the hallway in his Broda Chair.
Inspectors wroteBased on observations, staff interviews, family interviews, resident interviews and clinical record review, the facility staff failed to ensure reasonable accommodation of resident needs and preferences for one Resident (Resident # 36 and # 86) in a survey sample of 45 residents. 1. For Resident # 86, the facility staff failed to get the resident up early for breakfast as desired.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility documentation, the facility staff failed to ensure a resident's right to self-determination for 1 Resident (#75) in a survey sample of 45 Residents For Resident #75 the Physical Therapy staff faxed over a letter to his surgeon without first allowing the Resident to view it or have input in the content. The Resident is his own Responsible Party.
Inspectors wroteBased on observation and staff interview, the facility failed to ensure resident privacy and confidentiality of his or her personal medical records for one resident in a survey sample of 45 residents. For Resident #62, the facility staff failed to ensure the confidentiality of medical records by leaving resident information visible on the computer in the hallway while other residents, staff and visitors were in the hallway.
Inspectors wroteBased on observation, staff interview, clinical record review and facility documentation review, the facility staff failed to implement the abuse policy for 3 resident (Resident #3, # 27, and # 85) of 45 residents in the survey sample and they failed to ensure the abuse policy was accurate. 1. For Resident #3, the facility did not implement the abuse policy after discovery of an injury of unknown origin described as an unwitnessed fall with injury. 2. The abuse policy did not clearly state that injuries of unknown origin will be reported to the State Agency and thoroughly investigated. The policy did not state the final report of the investigation would be provided to the State Agency within 5 business days. 3. For Resident #27, the facility failed to implement their abuse protocol policy for an injury of unknown origin. 4. [...]
Inspectors wrote2. For Resident #27, the facility failed to report an injury of unknown origin and failed to report investigation results. Resident #27, an [AGE] year old male, was admitted to the facility on [DATE]. His diagnosis included but were not limited to: aphasia, nontraumatic intracerebral hemorrhage, facial weakness, dysphagia, hypothyroidism, hyperlipidemia, compression of brain and hypertension . Resident #27's most recent MDS (Minimum Data Set) (an assessment tool) with an ARD (assessment reference date) of 1/3/19 was coded as a quarterly assessment. Resident #27 was coded as having a BIMS (Brief interview for mental status) score of 3, indicating severe cognitive impairment. He was also coded as requiring extensive assistance of one staff member for transfers, locomotion on and off unit, dressing, toileting and personal hygiene. He requires supervision with setup assistance for eating. [...]
Inspectors wroteBased on staff interview, clinical record review and facility documentation review, the facility staff failed for 3 residents (Resident #3, # 27 and # 85) of 45 residents in the survey sample to investigate an injury of unknown origin. 1. For Resident #3, the facility staff failed to investigate an incident of the resident being found on the floor with an injury of her left eye as an injury of unknown origin. The incident was documented as an unwitnessed fall. 2. For Resident #27, the facility failed to protect the resident, conduct an investigation of an injury of unknown origin and did not provide corrective action for an injury of unknown origin. 3. For Resident #85, the facility failed to protect the resident, conduct an investigation of an injury of unknown origin and did not provide corrective action for an injury of unknown origin.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed for 1 residents (Resident #33) of 45 sampled residents to ensure that necessary discharge documentation was completed and sent to the receiving facility. The facility staff failed to ensure that physician documentation, care plan goals, etc. were completed and sent to the receiving facility.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to ensure a Quarterly Minimum Data Set was completed at least every 92 days for two residents (Resident # # 2 and # 3) in a survey sample of 45 residents. 1. For Resident #2, the facility staff failed to complete a (Minimum Data Set) MDS since the Significant Change MDS with and (Assessment Reference Date) ARD of 11/6/18. There are 128 days between 11/6/18 and 3/14/18 (the end of survey). 2. For Resident #3, the facility staff failed to complete a Minimum Data Set (MDS) since the admission MDS with an Assessment Reference Date (ARD) of 11/12/2018. There are 122 days between 11/12/2018 and 03/14/2019 (the end of survey).
Inspectors wroteBased on observation, staff interview, clinical record review and facility documentation review, the facility staff failed for 2 residents (Resident #29 and #76) of 45 sampled residents to develop and implement a comprehensive care plan. 1. For Resident #29, the facility staff failed to develop and implement a comprehensive care plan to include a specialized High-Back Reclining wheelchair for fall prevention. 2. For Resident # 76 the facility failed to address transporting Resident in Broda Chair.
Inspectors wroteBased on observation and resident record review the facility failed to review and revise the careplan for one resident in a sample of 45 residents. 1. For Resident #62, the facility staff failed to review and update the careplan to remove the 15 minute checks/observations after being cleared by psychiatric services to no longer be suicidal.
Inspectors wroteBased on staff interview, Resident interview, facility documentation review, and clinical record review, the facility staff failed to follow professional standards of practice for medication and treatment administration for 1 Resident (Residents #75) in a survey sample of 45 Residents. For Resident #75 facility staff failed to administer medications and change dressing to the Left Stump as ordered by the physician.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility documentation the facility staff failed to provide appropriate treatment to prevent urinary tract infection for 1 Resident in a survey sample of 45 Residents. For Resident #48 the facility staff failed to ensure proper catheter care by allowing the catheter tubing to drag on the floor while transporting Resident in a wheelchair and while sitting in the hall.
Inspectors wroteBased on observation, staff interview, family interview, clinical record review and facility documentation review, the facility staff failed to administer oxygen in a manner to prevent the spread of infection for two Residents (Residents #70 and # 86) in a survey sample of 45 Residents. 1. For Resident #70, the nebulizer tubing was not dated. 2. For Resident # 86, there were two different dates on the oxygen humidifier bottle.
Inspectors wroteBased on facility documentation review and staff interview the facility failed to provide regular in-service education based on the outcome of performance reviews at least every 12 months for one employee in a survey sample of 6 employees. The facility failed to ensure CNA F was provided a minimum of 12 hours of in-service training annually.
Inspectors wroteBased on observation, staff interview and facility documentation review the facility staff failed to store and serve food in accordance with professional standards for food service safety. 1. Facility staff failed to ensure an air gap was in place between the ice machine drainage pipe and floor drain for the ice machine in the main kitchen. 2. Nursing staff CNA (Certified Nursing Assistant) D was observed entering the kitchen without a hair net on Unit 2.
36 fire safety citations on file: 6 on June 28, 2024, 9 on July 22, 2021, 21 on March 14, 2019.
| Date | Penalty | Amount or length |
|---|---|---|
| May 6, 2026 | Fine | $27,378 |
| November 5, 2024 | Fine | $12,177 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.72 | 3.76 | 3.86 |
| Registered nurses | 0.56 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.19 | 3.29 | 3.42 |
| Nurse aides | 1.85 | ||
| Licensed practical nurses | 1.31 | ||
| Nursing staff turnover (share who left in a year) | 65.8% | 48.1% | 45.8% |
| Registered nurse turnover | 58.3% | 48.2% | 42.9% |
| Administrators who left | 2 |
CMS expects 4.20 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.93 on weekdays and 3.19 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 32.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.50 in April to June 2025 to 3.72 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 | 3.72 | 0.56 | 3.93 | 3.19 | 32.0% | 0 of 90 | 98 |
| Oct to Dec 2025 | 3.63 | 0.65 | 3.81 | 3.18 | 34.1% | 0 of 92 | 98 |
| Jul to Sep 2025 | 3.60 | 0.80 | 3.78 | 3.14 | 31.8% | 0 of 92 | 98 |
| Apr to Jun 2025 | 3.50 | 0.67 | 3.62 | 3.18 | 27.8% | 0 of 91 | 97 |
| 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
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. If you work here, your report helps start one.
| 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.
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 | 15.6 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.4 | 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 | 16.7 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.9 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.6 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.9 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.1 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Shalom Gardens Health & Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
52.1% this home
No different from the national rate
US median of homes 51.5% · Virginia: 101 better, 22 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 489 eligible stays.
9.2% this home
No different from the national rate
US median of homes 10.7% · Virginia: 1 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 512 eligible stays.
7.4% this home
No different from the national rate
US median of homes 7.1% · Virginia: 2 better, 8 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 384 eligible stays.
54.3% this home
Median of homes: Virginia60.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 212 residents counted.
0.3% this home
Median of homes: Virginia0.7% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 371 residents counted.
5.6% this home
Median of homes: Virginia2.1% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 371 residents counted.
97.3% this home
Median of homes: Virginia97.8% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 187 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: BETH SHOLOM SNF OPERATIONS LLC. CMS links this home to Hill Valley Healthcare, a group of 43 nursing homes averaging 1.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Beth Shalom SNF Operations Holdings LLC | 5% or greater indirect ownership interest | Organization | 07/01/2023 | |
| Binyomin & Ruchi Holdings LLC | 5% or greater indirect ownership interest | Organization | 07/01/2023 | |
| Crg Beth Sholom SNF Operations LLC | 5% or greater indirect ownership interest | Organization | 07/01/2023 | |
| Devorie & Shloimy Holdings LLC | 5% or greater indirect ownership interest | Organization | 07/01/2023 | |
| Hvh Beth Sholom SNF Propco Opco Holdings LLC | 5% or greater indirect ownership interest | Organization | 07/01/2023 | |
| Shloimy & Malky Holdings LLC | 5% or greater indirect ownership interest | Organization | 07/01/2023 | |
| Tulchi & Chavi Holdings LLC | 5% or greater indirect ownership interest | Organization | 07/01/2023 | |
| Mackall, Tyler | W-2 managing employee | Individual | 07/01/2023 | |
| Sterling, Phillip | Corporate officer | Individual | 07/01/2023 |
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.
Chosen from this home's own inspection record.
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.