Forest Hill Health & Rehabilitation in Richmond, VA has a 1 out of 5 overall rating, with 1-star health inspection, staffing, and quality ratings. It reports 3.04 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $80,132 in fines over the last 24 months, and has a recent federal penalty; recent inspection citations included accident hazards/supervision, administration, and pressure ulcer care.
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 3.0397.
Staffing detail
Registered nurses
0.65
Licensed practical nurses
0.69
Nurse aides
1.71
Weekend nursing
2.71
Hours per resident per day.
Total staff turnover: 70%
Registered nurse turnover: 71%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Residents with a fall causing major injury
1.4%Improving
Residents with pressure ulcers (bedsores)
5%Worsening
Residents with a urinary tract infection
1%Improving
Residents who lost too much weight
4.7%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
7.5%Worsening
Residents whose ability to walk got worse
13.3%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
20.8%Improving
Short-stay residents newly given an antipsychotic
1.6%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
28.9%Steady
Residents with depressive symptoms
33.7%Worsening
Long-stay residents given the seasonal flu vaccine
95%Steady
Long-stay residents given the pneumonia vaccine
84.1%Worsening
Short-stay residents given the seasonal flu vaccine
28.1%Steady
Short-stay residents given the pneumonia vaccine
50%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.
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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.
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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.
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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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $80,132 was recorded.
INSPECTION
Health inspection found 37 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 16 health deficiencies.
See what inspectors found
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
Ownership
For profit - Limited Liability company
Chain
Part of HILL VALLEY HEALTHCARE · 44 homes · 2 stars avg
Occupancy
130.2 residents on an average day (75% 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.