The Laurels of University Park
2420 Pemberton Rd, Richmond, VA 23233 · Henrico County · (804) 747-9200
145 certified beds, about 135 residents a day · For profit - Corporation · Medicare and Medicaid since 1978
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495109 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 24, 2024, inspectors cited 21 health deficiencies (the Virginia average is 14.3, the national average 9.2).
None of its 65 health citations since May 2021 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.49 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.33 of those hours.
44.4% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Ciena Healthcare/Laurel Health Care, an affiliated group of 81 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.
1805/21
2506/22
2104/24
110/25
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 65 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
42D
19E
0F
Potential for minimal harm
0A
0B
4C
October 28, 2025Complaint inspection · 1 citation
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined that the facility staff failed to evidence professional standards for one of six residents in the survey sample, Resident #2 (R2).
April 24, 2024Standard inspection, Complaint inspection · 21 citations
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observations, resident/staff interviews, facility document review and clinical record review, it was determined the facility staff failed to develop/implement the care plan for five of 39 residents in the survey sample, Residents #17, #18, #35, #135 and #189.
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to ensure four of 39 residents in the survey sample, received care and services in accordance with professional standards of practice and the comprehensive care plan, Residents #2, #17, #18, and #135.
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, resident interview, staff interview, and clinical record review, it was determined that facility staff failed to provide respiratory care and services for four of 39 residents in the survey sample, Resident #s (R) R32, R38, R 35 and R2.
- E Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to implement a complete pain management program for three of 39 residents in the survey sample, Resident #s R97, R38 and R135.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and facility document review it was determined facility staff failed to store, prepare, and serve food in a sanitary manner in one of one facility kitchens.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined the facility staff failed to ensure the privacy of resident information on one of six medication carts.
- D 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.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to evidence the required documents were sent to the hospital upon transfer for two of 39 residents in the survey sample, Resident #2 and Resident #137.
- 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 staff interview, facility document review and clinical record review, it was determined the facility staff failed to provide a bed hold notice upon transfer for two of 39 residents in the survey sample, Resident #2 and Resident #137.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined that the facility staff failed to ensure accurate MDS assessments for one of 39 residents in the survey sample; Resident #63.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined that the facility staff failed to ensure a PASARR was completed accurately for one of 39 residents in the survey sample; Resident #20.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined that the facility staff failed to provide ADL care of a dependent resident to one of 39 residents in the survey sample; Resident #136.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined the facility staff failed to provide care and services for the treatment of pressure injuries for one of 39 residents in the survey sample, Resident #189.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on staff interview, resident interview, facility document review and clinical record review, it was determined the facility staff failed to provide monitoring for fluid restriction and intake for three of 39 residents, Resident #17, Resident #18 and Resident #35.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on resident and staff interview, resident interview, clinical record review and facility document review, it was determined the facility staff failed to provide dialysis care and services for one of 39 residents in the survey sample, Resident #35.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and facility document review, it was determined the facility staff failed to maintain infection control practices during the medication administration observation for one of three nurses observed.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to implement a complete immunization program for one of five residents reviewed for immunizations, Resident #5.
- D 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, facility document review, and clinical record review, the facility staff failed to implement a complete immunization program for one of five residents reviewed for immunizations, Resident #5.
- C Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on staff interview, employee record review, and facility document review, it was determined that the facility staff failed to evidence annual performance reviews were conducted for six of six employee records reviewed.
- C Post nurse staffing information every day.
Inspectors wroteBased on staff interview and facility document review, it was determined that the facility staff failed to ensure that 25 out of 30 staff postings reviewed contained the required daily census information.
- C Dispose of garbage and refuse properly.
Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to maintain one of one trash compactors in a sanitary manner. Facility staff failed to keep the door to the facility's trash compactor closed.
- C Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on staff interview, employee record review, and facility document review, it was determined that the facility staff failed to evidence all required training requirements for five of six employee records reviewed.
June 15, 2022Standard inspection · 25 citations
- E Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to evidence that residents and/or their RR (resident representative) were provided with written information and provided the opportunity to formulate advance directives at the time of admission and/or conduct a periodic review with the residents and/or their RRs if they wish to formulate one, or, if applicable, make changes to their existing advance directives or maintain them as written for 5 of 59 residents in the survey sample, Residents #90, #78, #114, #16, and #58.
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wrote7. The facility staff failed to implement the comprehensive care plan for dialysis care for Resident #76. Resident #76 was admitted to the facility on [DATE]. Resident #76's diagnoses included, but were not limited to, ESRD (end stage renal disease) and dementia. Resident #76's most recent MDS (minimum data set) assessment, an annual assessment, with an assessment reference date of 3/19/22, coded the resident as scoring 9 out of 15 on the BIMS (brief interview for mental status) score, indicating the resident was moderately cognitively impaired. A review of Resident #76's comprehensive care plan revised 9/9/21, revealed the following, NEED: Resident is at risk for complications related to needs for dialysis due to: End Stage Renal Disease. dialysis cath replaced 1/6/21. Hemodialysis Tuesday, Thursday, Saturday. INTERVENTIONS: Observe for signs/symptoms of infection to access site: [...]
- E 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 observations, resident interview, staff interview, clinical record review, facility document review and in the course of a complaint investigation it was determined that the facility staff failed to review and/or revise the comprehensive care plan for 4 of 59 residents in the survey sample, Resident #114, #87, #25, #336.
- E Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to follow professional standards of practice for 2 of 3 residents in the Medication Administration observation task, Residents #14 and #96; and for 2 of 59 residents in the survey sample; Residents #87 and #113.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, resident interview, staff interview, facility document review and in the course of a complaint investigation, the facility staff failed to provide ADL (activities of daily living) care for 3 of 59 residents in the survey sample, Residents #40, #10 and #87.
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, resident interview, staff interview, facility document review, clinical record review and in the course of a complaint investigation, the facility staff failed to maintain residents' highest level of well-being for 4 of 59 residents in the survey sample, Residents #19, #15, #436, #701.
- E Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on resident interview, staff interview clinical record review and in the course of a complaint investigation, the facility staff failed to provide condom catheter care and services per professional standards for one of 59 residents in the survey sample, Resident #40. The facility staff failed to change Resident #40's (R40) condom catheter every other day.
- E Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on resident interview, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to implement a complete pain management program for one of 59 residents in the survey sample, Resident #58 (R58).
- E Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on staff interview, resident interview, clinical record review, and facility document review, it was determined the facility staff failed to provide dialysis care and services for two of 59 residents in the survey sample, Resident #76 and Resident #116.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and facility document review it was determined facility staff failed to store food in one of one kitchens in accordance with professional standards for food service safety.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, it was determined the facility staff failed to honor a resident and/or a resident family's choices for one of 59 residents in the survey sample, Resident #103 (R103).
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to maintain the call bell in a position accessible to the resident for one of 59 residents in the survey sample, Resident #114 (R114).
- 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 maintain a clean, comfortable, homelike environment for one of 59 residents in the survey sample, Resident #134. The facility staff failed to maintain Resident #134's (R134) bathroom in a clean and homelike manner.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on staff interview, facility document review and in the course of a complaint investigation, the facility staff failed to implement the facility abuse policy for 4 of 11 employee record reviews. The facility staff failed to conduct certification and nursing license verifications upon hire for two CNAs)certified nursing assistant) #3 and #4, and two LPNs (licensed practical nurse) #10 and #11.
- D 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.
Inspectors wroteBased on staff interview and clinical record review it was determined that the facility staff failed to evidence that all required documentation was provided to the receiving facility for a hospital transfer for 1 of 59 residents in the survey sample; Resident #128.
- 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 staff interview and clinical record review it was determined that the facility staff failed to evidence that written notification of a hospital transfer was provided to the resident and/or responsible party for a hospital transfer for one of 59 residents in the survey sample; Resident #128.
- 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 staff interview and clinical record review it was determined that the facility staff failed to evidence that written bed hold notice was provided to the resident and/or responsible party for a hospital transfer for 2 of 59 residents in the survey sample
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on staff interview, clinical record review and in the course of a complaint investigation, it was determined that the facility staff failed to accurately code the MDS (minimum data set) resident assessment for 3 of 59 residents in the survey sample, Resident #46, #114 and #701.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure a complete and accurate level I PASRR (preadmission screening and resident review) to determine if a level 2 PASRR was required for one of 59 residents in the survey sample, Resident #19. The facility staff failed to entirely complete section 2 of Resident #19's (R19) PASRR and inaccurately documented the resident as not having a serious mental illness.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, facility document review and in the course of a complaint investigation it was determined that the facility staff failed to provide care and services to promote healing of a pressure ulcer for one of 59 residents in the survey sample, Resident #87.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, it was determined that facility staff failed to provide respiratory care and services for 3 of 59 residents in the survey sample, Residents #289, #94 and #61.
- D Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on staff interview and employee record review, it was determined the facility staff failed to complete annual performance/competency reviews for two of five CNA (certified nursing assistant), CNA #7 and CNA #8.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to ensure a medication error rate of less than 5%. The facility medication error rate was 10.71%, having made 3 identified medication errors out of 28 opportunities. The errors were for 2 of 3 residents in the Medication Administration task; Residents #14 and #96.
- 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, staff interview, and facility document review, it was determined that the facility staff failed to ensure medication was stored in a safe and secure manner on one of 3 facility nursing units; the [NAME] unit.
- D Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on staff interview and employee record review, it was determined the facility staff failed to ensure two of five CNAs had their annual training in dementia and abuse, CNA #7 and CNA #8.
May 12, 2021Standard inspection · 18 citations
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wrote6. Resident #57 was admitted to the facility with diagnoses that included but were not limited to metabolic encephalopathy (1), dementia (2) and osteoarthritis (3). Resident #57's most recent MDS (minimum data set), an admission assessment with an ARD (assessment reference date) of 3/15/2021, coded Resident #57 as scoring a 3 (three) on the staff assessment for mental status (BIMS) with a score of 0 - 15, 3- being severely impaired for making daily decisions. Section G coded Resident #57 as requiring extensive assistance of two or more staff for bed mobility, transfers and dressing. On 5/10/2021 at approximately 11:50 a.m., Resident #57 was observed in bed with bilateral upper bed rails in place on the bed. The bed rails were observed up and Resident #57 was observed grasping the bed rail when turning to the side in bed. [...]
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wrote5. Resident #71 was admitted to the facility on [DATE] and readmitted on [DATE] with the diagnoses of but not limited to acute respiratory failure, gastrostomy, below knee amputation (right), end stage renal disease, chronic obstructive pulmonary disease, deep vein thrombosis, dialysis, chronic kidney disease, dysphagia, aphasia, diabetes, depression, dementia, osteomyelitis, and COVID-19. The 5-day MDS (Minimum Data Set) with an ARD (Assessment Reference Date) of 4/28/21 coded the resident as severely cognitively intact in ability to make daily life decisions. The resident was coded as requiring total care for bathing and toileting; extensive assistance for transfers, dressing, eating, and hygiene; and was incontinent of bowel and bladder. A review of the clinical record revealed a nurse's note dated 4/16/21 at 3:32 PM documented, resident tolerated her medications this morning; [...]
- E 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.
Inspectors wroteBased on observation, resident interviews, staff interviews, clinical record reviews and facility document reviews it was determined that the facility staff failed to implement bed rail requirements for four of 38 residents in the survey sample, Residents #57, #132, #58 and #64. The facility staff failed to perform a physical device assessment, obtain a physician's order, obtain a consent for bed rails and evidence documentation of the use of bed rails on the comprehensive care plan for Resident #57, and Resident #58, and failed to obtain a consent prior to the use of bed rails for Resident #132, and failed to evidence an assessment for the use of bed rails [also referred to as side rails] for Resident # 64.
- E Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on resident interview, staff interview, clinical record review, and facility document review it was determined the facility staff failed to ensure the drug regimens for three of 38 residents in the survey sample, (Residents #15, #58 and # 63), were free from unnecessary medications. The facility staff failed to implement and attempt non-pharmacological interventions per the physician's orders and plan of care prior to administering as needed (prn) pain medications to Resident #15, Resident #58 and Resident #63 on multiple dates during April and May 2001.
- D 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.
Inspectors wroteBased on staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to evidence that the required information was provided to the receiving provider upon transfer to the hospital for two of 38 residents in the survey sample, Residents #71 and #333. The facility failed to evidence the comprehensive care plan goals were provided to the hospital for Resident #71's hospital transfer on 4/16/21, and for Resident #333's hospital on 3/9/21.
- 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 staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to evidence that the Ombudsman was notified of a hospital transfer for three of 38 residents in the survey sample, Residents #71, #333, and #138. The facility staff failed to evidence that notification of the transfer was provided to the ombudsman for Resident #71, transferred to the hospital on 4/16/21, Resident #33, transferred to the hospital on 3/9/21 and Resident #138, transferred to the hospital on 2/24/21.
- 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 staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to evidence that a written bed hold notice was provided to the resident and/or responsible party upon a hospital transfer for 2 of 38 residents in the survey sample; Residents #71 and #333. The facility staff failed to evidence that a written bed hold notice was provided to the resident and/or responsible party upon a hospital transfer for Resident #71 on 4/16/21, and for Resident #333 on 3/9/21.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on observation, clinical record review, staff interview and facility document review, it was determined that the facility staff failed to code the annual MDS [minimum data set], with an ARD [assessment reference date] of 03/16/2021, for the use of oxygen for one of 38 residents in the survey sample, Resident # 58.
- 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, resident interview, facility staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to implement a resident's initial baseline care plan for one of 38 residents reviewed, Resident #337. The facility staff failed to administer oxygen at the physician-prescribed rate, according to Resident #337's baseline care plan.
- 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, clinical record review and facility document review it was determined that the facility staff failed to revise the comprehensive care plan for one of 38 residents in the survey sample, Resident #57. Resident #57's comprehensive care plan was not revised to address a significant weight loss.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, resident and staff interview, and clinical record review, the facility staff failed to follow professional standards of practice for one of 32 residents in the survey sample, Resident #128. The facility staff failed to clarify two different dose orders for Tylenol which were both prescribed as needed for pain for Resident #128, to determine which and when each dose of the medication should be administered based on pain level parameters.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, staff interview, facility document review, clinical record review, and facility policy review, it was determined the facility staff failed to provide wound care in a manner to promote healing and prevent infection of a pressure wound for two of 38 residents in the survey sample, Residents # 64 and # 18. 1. The facility staff failed to administer a wound treatment in a manner to promote healing and prevent infection for Resident #64. The facility staff failed to wash their hands before and after glove use and failed to wash their hands for a minimum of 15-20 seconds during Resident # 64's wound care. 2. The facility staff failed to administer a wound treatment in a manner to promote healing and prevent infection for Resident #18. [...]
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, staff interview, and clinical record review, it was determined that facility staff failed to provide appropriate treatment and services for the care of a Foley catheter to prevent infection for one of 38 residents in the survey sample, Residents # 18. Separate observations revealed Resident #18's Foley catheter tubing directly on the floor.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to ensure the appropriate treatment and services to prevent complications of enteral feeding per the physicians orders for one of 38 residents in the survey sample, Resident #115. The facility staff failed to administer water flushes, and failed to record the total intake for the resident daily, per the physician's order.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on staff interview, facility document review, clinical record review, and in the course of a complaint investigation, it was determined that the facility staff failed to provide dialysis services, consistent with professional standards of practice, the comprehensive person-centered care plan two of 38 residents, Resident #22 and Resident #439. The facility staff failed to evidence consistent assessments of Resident #22 and Resident #439's dialysis access sites per the comprehensive plan of care. Resident #22 had no documented assessment of the residents dialysis access site for a bruit and thrill on multiple dates in March, April and May, 2021. Resident #439 had no documented assessment of the residents dialysis access site for a bruit and thrill from 12/1/20 through 1/15/21, (47 days).
- D Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on staff interview and facility document review, it was determined that the facility staff failed to complete the required annual performance review for two of five CNA (certified nursing assistant) records reviewed, CNAs #1 and #3. For CNA #1, no performance evaluation was completed between 3/7/20 and 3/7/21, and for CNA #3, no performance evaluation was completed between 6/11/19 and 6/11/20.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to evidence a complete and accurate medical record for two of 38 residents in the survey sample, Resident #71 and Resident #333.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to follow infection control practices during wound care for two of 38 residents in the survey sample, Residents # 64 and # 18. 1. The facility staff failed to follow infection control practices by washing their hands before and after glove use and for a minimum of 20 seconds during Resident # 64's wound care. 2. The facility staff failed to disinfect scissors before use, wash their hands before and after glove use and failed to ensure handwashing for a minimum of 20 seconds during Resident # 18's wound care.
Fire safety inspections
19 fire safety citations on file: 4 on April 24, 2024, 4 on June 15, 2022, 11 on May 12, 2021.
Every fire safety citation19 citations
- F Meet other general requirements.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Provide properly protected cooking facilities.
- D Meet other general requirements.
- F Inspect, test, and maintain automatic sprinkler systems.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Install corridor and hallway doors that block smoke.
- D Have properly installed electrical wiring and gas equipment.
- F Install corridor and hallway doors that block smoke.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Properly install and monitor supervisory attachments on automatic sprinkler systems.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have properly installed electrical wiring and gas equipment.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Have properly located and lighted "Exit" signs.
- D Provide a written emergency evacuation plan.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.49 | 3.76 | 3.86 |
| Registered nurses | 0.33 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.07 | 3.29 | 3.42 |
| Nurse aides | 2.02 | ||
| Licensed practical nurses | 1.14 | ||
| Nursing staff turnover (share who left in a year) | 44.4% | 48.1% | 45.8% |
| Registered nurse turnover | 46.2% | 48.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.76 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 3.66 on weekdays and 3.07 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.73 in April to June 2025 to 3.49 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 | 3.49 | 0.33 | 3.66 | 3.07 | 1.1% | 0 of 90 | 135 |
| Oct to Dec 2025 | 3.57 | 0.34 | 3.71 | 3.22 | 0.8% | 0 of 92 | 128 |
| Jul to Sep 2025 | 3.62 | 0.35 | 3.81 | 3.13 | 1.4% | 0 of 92 | 131 |
| Apr to Jun 2025 | 3.73 | 0.35 | 3.93 | 3.23 | 1.2% | 0 of 91 | 130 |
| 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.
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 | 7.1 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.7 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.4 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.7 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 10.9 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.4 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.4 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.3 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.5 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available. CMS links this home to Ciena Healthcare/Laurel Health Care, a group of 81 nursing homes averaging 2.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 20 problems in this area, most recently on April 24, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 15 problems in this area, most recently on October 28, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 13 problems in this area, most recently on April 24, 2024: "Keep residents' personal and medical records private and confidential."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 6 problems in this area, most recently on April 24, 2024: "Observe each nurse aide's job performance and give regular training."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.07 hours per resident per day, below the Virginia average of 3.29.
Other nursing homes nearby
- Cedarfield Pinnacle Living Richmond, 0.7 mi · not rated · 0 citations
- August Healthcare at Richmond Richmond, 2 mi · 3 of 5 stars · 25 citations
- Westport Rehabilitation and Nursing Center Richmond, 2.6 mi · 1 of 5 stars · 126 citations
- Shalom Gardens Health & Rehabilitation Richmond, 2.9 mi · 1 of 5 stars · 49 citations
- Lakewood Manor Richmond, 3.6 mi · 3 of 5 stars · 22 citations
- Canterbury Rehabilitation and Healthcare Center Richmond, 3.7 mi · 1 of 5 stars · 135 citations
- Our Lady of Hope Health Center Richmond, 3.9 mi · 3 of 5 stars · 26 citations
- Elizabeth Adam Crump Health and Rehab Glen Allen, 4 mi · 1 of 5 stars · 92 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 The Laurels of University Park's Medicare star rating?
- CMS rates The Laurels of University Park 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Laurels of University Park get at its last inspection?
- 21 health deficiencies at the standard inspection on April 24, 2024. The Virginia average is 14.3.
- Has The Laurels of University Park been fined?
- CMS lists no fines in the last three years.
- Does The Laurels of University Park 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 The Laurels of University Park?
- CMS lists 1 owner or manager, and links the home to Ciena Healthcare/Laurel Health Care. Legal business name: Legal Business Name Not Available.
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.