The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2024 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
SHALOM GARDENS HEALTH & REHABILITATION
RICHMOND, VA · Medicare-certified · 101 beds
Needs attention
For-profitChain member
4 of 5 overall
4 of 5 stars overall. Health inspections are 4 stars, but staffing is weak at 2 stars with 3.63 nurse hours per resident per day versus the 4.1 federal benchmark; the facility also has a recent federal penalty and $12,177 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.6339 hrs/resident/day
Quality measures
Last inspection: November 5, 2024Penalties, last 24 months: $12,177recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6339.
Staffing detail
- Registered nurses
- 0.65
- Licensed practical nurses
- 1.13
- Nurse aides
- 1.85
- Weekend nursing
- 3.18
Hours per resident per day.
Total staff turnover: 67%
Registered nurse turnover: 53%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
13.2%Improving
Residents with a fall causing major injury
1.7%Worsening
Residents with pressure ulcers (bedsores)
7.3%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
4.3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
16.2%Improving
Residents whose ability to walk got worse
22.3%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
16.1%Improving
Short-stay residents newly given an antipsychotic
2.7%Worsening
Residents with a long-term catheter
0.6%Steady
Residents with new or worsening incontinence
25.1%Improving
Residents with depressive symptoms
5.3%Improving
Long-stay residents given the seasonal flu vaccine
88.3%Steady
Long-stay residents given the pneumonia vaccine
97.4%Worsening
Short-stay residents given the seasonal flu vaccine
57.6%Steady
Short-stay residents given the pneumonia vaccine
65.9%Worsening
What the inspectors found
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
The nursing home failed to protect residents from abuse and neglect by others. Cited July 2021 — limited pattern, potential for harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: E
The home failed to protect residents’ right to organize and take part in resident and family groups. Cited March 2019 — limited pattern, potential for harm.
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F-Tag 565 — 42 CFR §483.10 — S/S: E
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $12,177 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $12,177 in total fines.
- $12,177
Federal fine
Nov 5, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of HILL VALLEY HEALTHCARE · 44 homes · 2 stars avg
- Occupancy
- 98.4 residents on an average day (97% of 101 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 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.