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Nursing home report

Parham Health Care & Rehab Center

RICHMOND, VA · Medicare-certified · 180 beds

Needs attention
Special Focus candidateAbuse citationFor-profitChain member
1 of 5 overall

Parham Health Care & Rehab Center in Richmond, VA has a 1 out of 5 overall rating, with 1-star health inspection and staffing ratings and 3-star quality measures. It is a Special Focus Facility candidate/attention flag, has $175,036 in fines in the last 24 months, and reported nurse staffing of 3.42 hours per resident per day versus the 4.1-hour federal benchmark.

Facility ratings

Health inspections

Staffing

3.4214 hrs/resident/day

Quality measures

Last inspection: March 19, 2026Penalties, last 24 months: $175,036special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4214.

Staffing detail

Registered nurses
0.38
Licensed practical nurses
1.15
Nurse aides
1.90
Weekend nursing
2.98

Hours per resident per day.

Total staff turnover: 56%
Registered nurse turnover: 46%

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

22.7%24.6%Worsening

Residents with a fall causing major injury

1.9%3.6%Worsening

Residents with pressure ulcers (bedsores)

9.6%7.6%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

9.3%7.2%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

8.2%5.1%Improving

Residents whose ability to walk got worse

15%12.7%Improving

Long-stay residents on antianxiety or sleep medication

20.3%17.8%Improving

Short-stay residents newly given an antipsychotic

1.5%3.8%Worsening

Residents with a long-term catheter

0.6%0%Improving

Residents with new or worsening incontinence

28.9%22.5%Improving

Residents with depressive symptoms

46.8%92.2%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

93.2%

Long-stay residents given the pneumonia vaccine

91.2%91.4%No change

Short-stay residents given the seasonal flu vaccine

41.8%

Short-stay residents given the pneumonia vaccine

55.2%34.5%Worsening

What the inspectors found

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

View the original federal record

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

The nursing home failed to protect residents from abuse and neglect by others. Cited December 2025 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: K

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2025 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: K

The home failed to ensure residents received food prepared in a form that met their individual needs. Cited February 2026 — isolated incident, actual harm.

View the original federal record

F-Tag 805 — 42 CFR §483.60 — S/S: G

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited April 2025 — isolated incident, actual harm.

View the original federal record

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

Recent history

  1. STAFFING

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

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal fine of $114,300 was recorded.

  5. INSPECTION

    Health inspection found 37 health deficiencies.

    See what inspectors found
  6. PENALTY

    A federal fine of $60,736 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $175,036 in total fines.

  • Federal fine

    Dec 17, 2025

    $114,300
  • Federal fine

    Apr 28, 2025

    $60,736

Operator & ownership

Ownership
For profit - Limited Liability company
Chain
Part of LIFEWORKS REHAB · 66 homes · 2.1 stars avg
Occupancy
135.3 residents on an average day (75% of 180 beds)
Resident voice
Resident council
Medicare history
Certified for 47 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.