FOREST HILL HEALTH & REHABILITATION

4403 FOREST HILL AVENUE, RICHMOND, VA 23225 · CCN 495327 · 174 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing1 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2025-02-05 IMMEDIATE JEOPARDY (tag F0835, severity K)
Administration Deficiencies · correction not recorded in CMS data
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
2025-02-05 IMMEDIATE JEOPARDY (tag F0689, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2022-07-14 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Staffing, from payroll records

Nursing hours / resident / day

2.71

state median 3.10

Weekend staffing gap

−1%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.43

registered nurses only

Contract (agency) staff

11%

share of all nursing hours

Nursing staff turnover

70%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $80,132 in fines.

DateTypeAmount
2025-02-05Fine$80,132

Ownership

Ownership type: For profit - Limited Liability company. Part of the HILL VALLEY HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 92 · Immediate jeopardy: 2

Survey dateTagCategorySeverityCorrected
2025-02-05F0550Resident Rights DeficienciesDnot recorded
2025-02-05F0554Resident Rights DeficienciesDnot recorded
2025-02-05F0558Resident Rights DeficienciesEnot recorded
2025-02-05F0567Resident Rights DeficienciesDnot recorded
2025-02-05F0578Resident Rights DeficienciesDnot recorded
2025-02-05F0582Resident Rights DeficienciesDnot recorded
2025-02-05F0583Resident Rights DeficienciesDnot recorded
2025-02-05F0584Resident Rights DeficienciesFnot recorded
2025-02-05F0586Resident Rights DeficienciesDnot recorded
2025-02-05F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-02-05F0602Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2025-02-05F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-02-05F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-02-05F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-02-05F0623Resident Rights DeficienciesDnot recorded
2025-02-05F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2025-02-05F0645Resident Assessment and Care Planning DeficienciesDnot recorded
2025-02-05F0657Resident Assessment and Care Planning DeficienciesEnot recorded
2025-02-05F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2025-02-05F0677Quality of Life and Care DeficienciesDnot recorded
2025-02-05F0685Quality of Life and Care DeficienciesDnot recorded
2025-02-05F0686Quality of Life and Care DeficienciesDnot recorded
2025-02-05F0687Quality of Life and Care DeficienciesDnot recorded
2025-02-05F0688Quality of Life and Care DeficienciesEnot recorded
2025-02-05F0689Quality of Life and Care DeficienciesKnot recorded
2025-02-05F0690Quality of Life and Care DeficienciesDnot recorded
2025-02-05F0692Quality of Life and Care DeficienciesDnot recorded
2025-02-05F0755Pharmacy Service DeficienciesDnot recorded
2025-02-05F0760Pharmacy Service DeficienciesDnot recorded
2025-02-05F0791Quality of Life and Care DeficienciesEnot recorded
2025-02-05F0803Nutrition and Dietary DeficienciesDnot recorded
2025-02-05F0804Nutrition and Dietary DeficienciesDnot recorded
2025-02-05F0835Administration DeficienciesKnot recorded
2025-02-05F0880Infection Control DeficienciesDnot recorded
2025-02-05F0914Environmental DeficienciesDnot recorded
2025-02-05F0925Environmental DeficienciesFnot recorded
2025-02-05F0947Nursing and Physician Services DeficienciesEnot recorded
2024-03-28F0559Resident Rights DeficienciesDnot recorded
2024-03-28F0563Resident Rights DeficienciesDnot recorded
2024-03-28F0573Resident Rights DeficienciesDnot recorded
2024-03-28F0584Resident Rights DeficienciesDnot recorded
2024-03-28F0624Resident Rights DeficienciesDnot recorded
2024-03-28F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2024-03-28F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2024-03-28F0658Resident Assessment and Care Planning DeficienciesEnot recorded
2024-03-28F0660Resident Assessment and Care Planning DeficienciesDnot recorded
2024-03-28F0675Quality of Life and Care DeficienciesDnot recorded
2024-03-28F0677Quality of Life and Care DeficienciesDnot recorded
2024-03-28F0686Quality of Life and Care DeficienciesDnot recorded
2024-03-28F0698Quality of Life and Care DeficienciesDnot recorded
2024-03-28F0804Nutrition and Dietary DeficienciesDnot recorded
2024-03-28F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2024-03-28F0921Environmental DeficienciesDnot recorded
2022-07-14F0550Resident Rights DeficienciesDnot recorded
2022-07-14F0561Resident Rights DeficienciesDnot recorded
2022-07-14F0563Resident Rights DeficienciesDnot recorded
2022-07-14F0584Resident Rights DeficienciesEnot recorded
2022-07-14F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2022-07-14F0645Resident Assessment and Care Planning DeficienciesDnot recorded
2022-07-14F0655Resident Assessment and Care Planning DeficienciesDnot recorded
2022-07-14F0657Resident Assessment and Care Planning DeficienciesEnot recorded
2022-07-14F0658Resident Assessment and Care Planning DeficienciesEnot recorded
2022-07-14F0686Quality of Life and Care DeficienciesGnot recorded
2022-07-14F0689Quality of Life and Care DeficienciesDnot recorded
2022-07-14F0692Quality of Life and Care DeficienciesDnot recorded
2022-07-14F0725Nursing and Physician Services DeficienciesEnot recorded
2022-07-14F0727Nursing and Physician Services DeficienciesEnot recorded
2022-07-14F0730Nursing and Physician Services DeficienciesEnot recorded
2022-07-14F0745Quality of Life and Care DeficienciesDnot recorded
2022-07-14F0761Pharmacy Service DeficienciesEnot recorded
2022-07-14F0802Nutrition and Dietary DeficienciesEnot recorded
2022-07-14F0803Nutrition and Dietary DeficienciesDnot recorded
2022-07-14F0835Administration DeficienciesFnot recorded
2022-07-14F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2022-07-14F0850Administration DeficienciesFnot recorded
2022-07-14F0880Infection Control DeficienciesFnot recorded
2022-07-14F0881Infection Control DeficienciesEnot recorded
2022-07-14F0882Infection Control DeficienciesFnot recorded
2022-07-14F0883Infection Control DeficienciesEnot recorded
2022-07-14F0885Infection Control DeficienciesFnot recorded
2022-07-14F0886Infection Control DeficienciesEnot recorded
2022-07-14F0887Infection Control DeficienciesEnot recorded
2022-07-14F0888Infection Control DeficienciesEnot recorded
2022-07-14F0908Environmental DeficienciesDnot recorded
2022-07-14F0909Environmental DeficienciesDnot recorded
2022-07-14F0919Environmental DeficienciesDnot recorded
2022-07-14F0943Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2021-04-08F0584Resident Rights DeficienciesEnot recorded
2021-04-08F0602Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2021-04-08F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2021-04-08F0727Nursing and Physician Services DeficienciesDnot recorded
2021-04-08F0755Pharmacy Service DeficienciesDnot recorded
2021-04-08F0791Quality of Life and Care DeficienciesDnot recorded
2021-04-08F0880Infection Control DeficienciesEnot recorded
2021-04-08F0921Environmental DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “FOREST HILL HEALTH & REHABILITATION, RICHMOND” at medicare.gov/care-compare.