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Nursing home report

FOREST HILL HEALTH & REHABILITATION

RICHMOND, VA · Medicare-certified · 174 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

FOREST HILL HEALTH & REHABILITATION has a 1 out of 5 overall rating, with 1 out of 5 in both health inspections and staffing, while quality measures are 4 out of 5. It reports 3.04 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $80,132 in fines in the last 24 months with a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.0406 hrs/resident/day

Quality measures

Last inspection: February 5, 2025Penalties, last 24 months: $80,132recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0406.

Staffing detail

Registered nurses
0.56
Licensed practical nurses
0.83
Nurse aides
1.65
Weekend nursing
2.78

Hours per resident per day.

Total staff turnover: 70%
Registered nurse turnover: 65%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

17.5%25.3%Worsening

Residents with a fall causing major injury

1.6%0.8%Improving

Residents with pressure ulcers (bedsores)

4.1%3%Improving

Residents with a urinary tract infection

1.6%1.7%No change

Residents who lost too much weight

8.9%5.2%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

6.6%8%Worsening

Residents whose ability to walk got worse

13.2%11.2%Improving

Long-stay residents on antianxiety or sleep medication

22.4%17.9%Improving

Short-stay residents newly given an antipsychotic

3.3%

Residents with a long-term catheter

0%0.6%Worsening

Residents with new or worsening incontinence

27.8%24.4%Improving

Residents with depressive symptoms

5.1%85.6%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

95%

Long-stay residents given the pneumonia vaccine

90.5%68.9%Worsening

Short-stay residents given the seasonal flu vaccine

28.1%

Short-stay residents given the pneumonia vaccine

70.6%38.2%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2025 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: K

The home failed to run its operations effectively and efficiently using its available resources. Cited February 2025 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 835 — 42 CFR §483.70 — S/S: K

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2022 — isolated incident, actual harm.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: G

The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited February 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: F

The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited February 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 925 — 42 CFR §483.90 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. PENALTY

    A federal fine of $80,132 was recorded.

  3. INSPECTION

    Health inspection found 37 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 16 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 34 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $80,132 in total fines.

  • Federal fine

    Feb 5, 2025

    $80,132

Operator & ownership

Recent ownership change · Dec 1, 2022

Now operated by Forest Hill Health & Rehabilitation, previously Envoy of Westover Hills.

Ownership
For profit - Limited Liability company
Chain
Part of HILL VALLEY HEALTHCARE · 43 homes · 1.7 stars avg
Occupancy
133 residents on an average day (76% of 174 beds)
Resident voice
Resident council
Medicare history
Certified for 28 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.