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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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.
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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.
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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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $114,300 was recorded.
INSPECTION
Health inspection found 37 health deficiencies.
See what inspectors found
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.