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Nursing home report

SHALOM GARDENS HEALTH & REHABILITATION

RICHMOND, VA · Medicare-certified · 101 beds

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

Shalom Gardens Health & Rehabilitation has an overall 1-star rating, with 1-star staffing and 2-star health inspections; reported nurse staffing is below the federal benchmark (3.72 vs 4.1 hours per resident per day), and it had $12,177 in fines in the last 24 months plus a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.7188 hrs/resident/day

Quality measures

Last inspection: May 6, 2026Penalties, last 24 months: $12,177recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7188.

Staffing detail

Registered nurses
0.56
Licensed practical nurses
1.31
Nurse aides
1.85
Weekend nursing
3.19

Hours per resident per day.

Total staff turnover: 66%
Registered nurse turnover: 58%

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

13.2%10.4%Improving

Residents with a fall causing major injury

1.7%6.7%Worsening

Residents with pressure ulcers (bedsores)

7.1%6.6%No change

Residents with a urinary tract infection

0%1.7%Worsening

Residents who lost too much weight

6.1%1.9%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

17.8%14.3%Improving

Residents whose ability to walk got worse

27.3%14.8%Improving

Long-stay residents on antianxiety or sleep medication

19.6%20.4%Worsening

Short-stay residents newly given an antipsychotic

3.2%0.6%Improving

Residents with a long-term catheter

1.1%0%Improving

Residents with new or worsening incontinence

24.1%24.9%Worsening

Residents with depressive symptoms

7.7%8%No change

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

88.3%

Long-stay residents given the pneumonia vaccine

100%95%Worsening

Short-stay residents given the seasonal flu vaccine

57.6%

Short-stay residents given the pneumonia vaccine

74.7%64.3%Worsening

What the inspectors found

The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited May 2026 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J

The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited May 2026 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 725 — 42 CFR §483.35 — S/S: J

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited May 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E

The nursing home failed to provide services that met professional standards of quality. Cited June 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E

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 8 health deficiencies.

    See what inspectors found
  3. STAFFING

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

  4. PENALTY

    A federal fine of $12,177 was recorded.

  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  7. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $12,177 in total fines.

  • Federal fine

    Nov 5, 2024

    $12,177

Operator & ownership

Recent ownership change · Jul 1, 2023

Now operated by Shalom Gardens Health & Rehabilitation, previously Beth Sholom Home of Virginia.

Ownership
For profit - Corporation
Chain
Part of HILL VALLEY HEALTHCARE · 43 homes · 1.7 stars avg
Occupancy
98.4 residents on an average day (97% of 101 beds)
Resident voice
Resident council
Medicare history
Certified for 31 years

The most recent standard health inspection was more than two years ago.

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.