nursing home in Richmond, VA
Parham Health Care & Rehab Center
2400 E Parham Road, Richmond, VA 23228 · (804) 264-9185
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★3
- Special Focus candidate
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Parham Health Care & Rehab Center at a glance
Parham Health Care & Rehab Center is a 180-bed for-profit nursing home in Richmond, Virginia (Henrico County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Virginia average of 3.
Residents receive about 2.9 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (April 28, 2025) found 89 health citations. The Virginia average is 14.4.
Federal regulators fined it 2 times in the past three years, totaling $266,181.
Nursing staff turnover is 62.2% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 180
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Lifeworks Rehab
- Medicare-certified since
- February 1, 1979
- Resident/family council
- Resident
- County
- Henrico County
- CMS Certification Number
- 495097
Ratings
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.4 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.9 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.6 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.93 hrs | 3.76 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.34 hrs | 0.69 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.57 hrs | 2.07 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.51 hrs | 3.29 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 62.2% | 48.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 50% | 48.2% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 89 | 14 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 65 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 1,329.8 | 122.3 | 80.6 | Worse |
Penalties
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $266,181 | $23,688 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
Size
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 180 | 113 | 107 | |
| Average residents per day | 157 | 99 | 86 | |
| Occupancy | 87% | 87.9% | 80.9% |
Long-stay residents
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4% | 3.6% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 7.5% | 4.7% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 23.7% | 14.2% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.9% | 1.6% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.1% | 0.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 6.2% | 14.9% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 8% | 15.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 5.8% | 5.4% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 77.3% | 18.7% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 16.6% | 20.6% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 25.3% | 21.8% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 93.2% | 94% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 89.4% | 90.9% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Virginia avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3.5% | 1.3% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 41.8% | 73.6% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 35.4% | 73.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 126 health deficiencies and 23 fire safety deficiencies in the inspection records CMS currently publishes. 10 citations involved actual harm, including 5 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 19, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected March 30, 2026 |
| March 19, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected April 29, 2026 |
| February 13, 2026 Complaint | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | G Actual harm, isolated | Corrected March 30, 2026 |
| February 13, 2026 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected March 30, 2026 |
| February 13, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected April 29, 2026 |
| February 13, 2026 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | E Potential harm, pattern | Corrected March 30, 2026 |
| February 13, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 30, 2026 |
| February 13, 2026 Complaint | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected March 30, 2026 |
| February 13, 2026 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected March 30, 2026 |
| February 13, 2026 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected March 30, 2026 |
| February 13, 2026 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 30, 2026 |
| December 17, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | K Immediate jeopardy, pattern | Corrected January 27, 2026 |
| December 17, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | K Immediate jeopardy, pattern | Corrected March 30, 2026 |
| December 17, 2025 Complaint | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | G Actual harm, isolated | Corrected March 30, 2026 |
| December 17, 2025 Complaint | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | F Potential harm, widespread | Corrected January 27, 2026 |
| December 17, 2025 Complaint | Hire a qualified full-time social worker in a facility with more than 120 beds. Administration Deficiencies · Tag F0850 | F Potential harm, widespread | Corrected January 27, 2026 |
| December 17, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected March 30, 2026 |
| December 17, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected April 29, 2026 |
| December 17, 2025 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | E Potential harm, pattern | Corrected March 30, 2026 |
| December 17, 2025 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected March 30, 2026 |
| December 17, 2025 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | E Potential harm, pattern | Corrected March 30, 2026 |
| December 17, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 30, 2026 |
| December 17, 2025 Complaint | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected March 30, 2026 |
| December 17, 2025 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected March 30, 2026 |
| December 17, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | E Potential harm, pattern | Corrected January 27, 2026 |
| December 17, 2025 Complaint | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected March 30, 2026 |
| December 17, 2025 Complaint | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected January 27, 2026 |
| December 17, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected March 30, 2026 |
| December 17, 2025 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected March 30, 2026 |
| December 17, 2025 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected January 27, 2026 |
| December 17, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected January 27, 2026 |
| December 17, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 30, 2026 |
| December 17, 2025 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected January 27, 2026 |
| December 17, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected January 27, 2026 |
| December 17, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected January 27, 2026 |
| December 17, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected March 30, 2026 |
| December 17, 2025 Complaint | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Tag F0730 | D Potential harm, isolated | Corrected January 27, 2026 |
| December 17, 2025 Complaint | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Tag F0803 | D Potential harm, isolated | Corrected March 30, 2026 |
| December 17, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected March 30, 2026 |
| December 17, 2025 Complaint | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | D Potential harm, isolated | Corrected January 27, 2026 |
| December 17, 2025 Complaint | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected January 27, 2026 |
| December 17, 2025 Complaint | Put firmly secured handrails on each side of hallways. Environmental Deficiencies · Tag F0924 | D Potential harm, isolated | Corrected March 30, 2026 |
| December 17, 2025 Complaint | Have policies on smoking. Environmental Deficiencies · Tag F0926 | D Potential harm, isolated | Corrected March 30, 2026 |
| December 17, 2025 Complaint | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Resident Rights Deficiencies · Tag F0942 | D Potential harm, isolated | Corrected March 30, 2026 |
| December 17, 2025 Complaint | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943 | D Potential harm, isolated | Corrected March 30, 2026 |
| December 17, 2025 Complaint | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Tag F0944 | D Potential harm, isolated | Corrected March 30, 2026 |
| December 17, 2025 Complaint | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Infection Control Deficiencies · Tag F0945 | D Potential harm, isolated | Corrected March 30, 2026 |
| December 17, 2025 Complaint | Provide training in compliance and ethics. Administration Deficiencies · Tag F0946 | D Potential harm, isolated | Corrected March 30, 2026 |
| December 10, 2025 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | G Actual harm, isolated | Corrected December 24, 2025 |
| December 10, 2025 Fire safety | Provide rooms that can be unlocked from inside without a key. Egress Deficiencies · Tag K0221 | F Potential harm, widespread | Corrected December 24, 2025 |
| December 10, 2025 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected December 24, 2025 |
| December 10, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | E Potential harm, pattern | Corrected December 24, 2025 |
| September 3, 2025 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected September 24, 2025 |
| September 3, 2025 Complaint | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected September 24, 2025 |
| September 3, 2025 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected September 24, 2025 |
| September 3, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected September 24, 2025 |
| September 3, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected September 24, 2025 |
| April 28, 2025 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected August 8, 2025 |
| April 28, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected August 8, 2025 |
| April 28, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected August 8, 2025 |
| April 28, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | K Immediate jeopardy, pattern | Corrected June 12, 2025 |
| April 28, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | K Immediate jeopardy, pattern | Corrected June 12, 2025 |
| April 28, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected June 12, 2025 |
| April 28, 2025 Standard | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | F Potential harm, widespread | Corrected September 24, 2025 |
| April 28, 2025 Standard | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Tag F0809 | F Potential harm, widespread | Corrected September 24, 2025 |
| April 28, 2025 Complaint | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | F Potential harm, widespread | Corrected September 24, 2025 |
| April 28, 2025 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | F Potential harm, widespread | Corrected September 24, 2025 |
| April 28, 2025 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | E Potential harm, pattern | Corrected June 12, 2025 |
| April 28, 2025 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected June 12, 2025 |
| April 28, 2025 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | E Potential harm, pattern | Corrected June 12, 2025 |
| April 28, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected June 12, 2025 |
| April 28, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected September 24, 2025 |
| April 28, 2025 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | E Potential harm, pattern | Corrected June 12, 2025 |
| April 28, 2025 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | E Potential harm, pattern | Corrected June 12, 2025 |
| April 28, 2025 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Tag F0742 | E Potential harm, pattern | Corrected June 12, 2025 |
| April 28, 2025 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected June 12, 2025 |
| April 28, 2025 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected June 12, 2025 |
| April 28, 2025 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected June 12, 2025 |
| April 28, 2025 Standard | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Tag F0700 | D Potential harm, isolated | Corrected June 12, 2025 |
| April 28, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected June 12, 2025 |
| April 28, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected September 24, 2025 |
| April 28, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 12, 2025 |
| April 28, 2025 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected June 12, 2025 |
| April 28, 2025 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected June 12, 2025 |
| April 28, 2025 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected June 12, 2025 |
| April 28, 2025 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected June 12, 2025 |
| April 28, 2025 Complaint | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | D Potential harm, isolated | Corrected June 12, 2025 |
| April 28, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected June 12, 2025 |
| April 28, 2025 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected June 12, 2025 |
| April 28, 2025 Complaint | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Environmental Deficiencies · Tag F0909 | D Potential harm, isolated | Corrected June 12, 2025 |
| April 28, 2025 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected June 12, 2025 |
| April 28, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected June 12, 2025 |
| April 28, 2025 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected June 12, 2025 |
| April 28, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected June 12, 2025 |
| April 28, 2025 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected June 12, 2025 |
| April 28, 2025 Standard | Provide appropriate foot care. Quality of Life and Care Deficiencies · Tag F0687 | D Potential harm, isolated | Corrected June 12, 2025 |
| February 13, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected March 12, 2024 |
| February 13, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected March 12, 2024 |
| September 14, 2023 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected October 23, 2023 |
| September 14, 2023 Complaint | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected October 23, 2023 |
| September 14, 2023 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected October 23, 2023 |
| September 14, 2023 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected October 23, 2023 |
| September 14, 2023 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | E Potential harm, pattern | Corrected October 23, 2023 |
| September 14, 2023 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected October 23, 2023 |
| September 14, 2023 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected October 23, 2023 |
| September 14, 2023 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected October 23, 2023 |
| September 14, 2023 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected October 23, 2023 |
| September 14, 2023 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected October 23, 2023 |
| April 27, 2022 Fire safety | Meet other general requirements. Smoke Deficiencies · Tag K0932 | D Potential harm, isolated | Corrected May 16, 2022 |
| April 27, 2022 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | C No harm, widespread | Corrected July 12, 2022 |
| April 27, 2022 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected June 7, 2022 |
| April 27, 2022 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected June 7, 2022 |
| April 27, 2022 Standard | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Tag F0727 | E Potential harm, pattern | Corrected June 7, 2022 |
| April 27, 2022 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected July 12, 2022 |
| April 27, 2022 Standard | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Tag F0887 | E Potential harm, pattern | Corrected July 12, 2022 |
| April 27, 2022 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected July 12, 2022 |
| April 27, 2022 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected June 7, 2022 |
| April 27, 2022 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected June 7, 2022 |
| April 27, 2022 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected June 7, 2022 |
| April 27, 2022 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected July 12, 2022 |
| April 27, 2022 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected June 7, 2022 |
| April 27, 2022 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected June 7, 2022 |
| April 27, 2022 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 7, 2022 |
| April 27, 2022 Standard | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Tag F0807 | D Potential harm, isolated | Corrected June 7, 2022 |
| April 27, 2022 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected July 12, 2022 |
| April 27, 2022 Standard | Perform COVID19 testing on residents and staff. Infection Control Deficiencies · Tag F0886 | D Potential harm, isolated | Corrected July 12, 2022 |
| April 27, 2022 Standard | Ensure staff are vaccinated for COVID-19 Infection Control Deficiencies · Tag F0888 | D Potential harm, isolated | Corrected July 12, 2022 |
| December 6, 2018 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected February 14, 2019 |
| December 6, 2018 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected February 14, 2019 |
| December 6, 2018 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected February 14, 2019 |
| December 6, 2018 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected February 14, 2019 |
| December 6, 2018 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected February 14, 2019 |
| December 6, 2018 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Corrected February 14, 2019 |
| December 6, 2018 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected February 14, 2019 |
| December 6, 2018 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | D Potential harm, isolated | Corrected February 14, 2019 |
| December 6, 2018 Fire safety | Provide two separate exits in rooms of more than 1000 square feet. Egress Deficiencies · Tag K0253 | D Potential harm, isolated | Corrected February 14, 2019 |
| December 6, 2018 Fire safety | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919 | D Potential harm, isolated | Corrected February 14, 2019 |
| December 6, 2018 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | C No harm, widespread | Corrected February 14, 2019 |
| December 6, 2018 Fire safety | Meet other general requirements that are deficient. Egress Deficiencies · Tag K0300 | C No harm, widespread | Corrected February 14, 2019 |
| December 6, 2018 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected February 14, 2019 |
| December 6, 2018 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | C No harm, widespread | Corrected February 14, 2019 |
| December 6, 2018 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected January 10, 2019 |
| December 6, 2018 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected January 10, 2019 |
| December 6, 2018 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected January 10, 2019 |
| December 6, 2018 Standard | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Tag F0622 | D Potential harm, isolated | Corrected January 10, 2019 |
| December 6, 2018 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected January 28, 2019 |
| December 6, 2018 Standard | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Tag F0661 | D Potential harm, isolated | Corrected January 10, 2019 |
| December 6, 2018 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 10, 2019 |
| December 6, 2018 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected January 10, 2019 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $266,181 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| December 17, 2025 | Payment Denial | 43 days from March 17, 2026 |
| December 17, 2025 | Fine | $205,445 |
| April 28, 2025 | Fine | $60,736 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| PARHARM HOLDINGS I LLC Organization | 5% or greater direct ownership interest | 100% | 05/28/2021 |
| AK 2003 FAMILY TRUST Organization | 5% or greater indirect ownership interest | — | 05/28/2021 |
| AL 2003 FAMILY TRUST Organization | 5% or greater indirect ownership interest | — | 05/28/2021 |
| CHARLES 1994 FAMILY GRANTOR TRUST Organization | 5% or greater indirect ownership interest | — | 05/28/2021 |
| EDWARD 1998 FAMILY GRANTOR TRUST Organization | 5% or greater indirect ownership interest | — | 05/28/2021 |
| GOLDEN 2017 FAMILY GRANTOR TRUST Organization | 5% or greater indirect ownership interest | — | 05/28/2021 |
| GOLDEN 2017 LLC Organization | 5% or greater indirect ownership interest | — | 05/28/2021 |
| MATT 2002 FAMILY GRANTOR TRUST Organization | 5% or greater indirect ownership interest | — | 05/28/2021 |
| MATT 2002 LLC Organization | 5% or greater indirect ownership interest | — | 05/28/2021 |
| MRCZ CENTRAL LLC Organization | 5% or greater indirect ownership interest | — | 05/28/2021 |
| NATHAN 5604 FAMILY GRANTOR TRUST Organization | 5% or greater indirect ownership interest | — | 05/28/2021 |
| NATHAN 5604 & FAMILY LLC Organization | 5% or greater indirect ownership interest | — | 05/28/2021 |
| NATHAN 5604 LLC Organization | 5% or greater indirect ownership interest | — | 05/28/2021 |
| PIVOTAL CENTRAL LLC Organization | 5% or greater indirect ownership interest | — | 05/28/2021 |
| SAS 1998 FAMILY TRUST Organization | 5% or greater indirect ownership interest | — | 05/28/2021 |
| SAUL 2012 FAMILY GRANTOR TRUST Organization | 5% or greater indirect ownership interest | — | 05/28/2021 |
| SILVERSTONE EAST LLC Organization | 5% or greater indirect ownership interest | — | 05/28/2021 |
| HALES-RICHARDS, KOURTNEY Individual | corporate director | NOT APPLICABLE | 09/13/2023 |
| HALES-RICHARDS, KOURTNEY Individual | operational/managerial control | NOT APPLICABLE | 09/13/2023 |
| RYBST CENTRAL MANAGER LLC Organization | operational/managerial control | NOT APPLICABLE | 05/28/2021 |
Other nursing homes near Parham Health Care & Rehab Center
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★★★★★2Below averageElizabeth Adam Crump Health and Rehab
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★★★★★1Much below averageWestport Rehabilitation and Nursing Center
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★★★★★1Much below averageWestminster-Canterbury of Richmond
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★★★★★5Much above averageGlenburnie Rehab & Nursing Center
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★★★★★2Below averageAugust Healthcare at Richmond
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★★★★★3Average
Frequently asked questions
What is Parham Health Care & Rehab Center's rating?
Parham Health Care & Rehab Center has 1 out of 5 stars on the CMS overall star rating. The average for Virginia nursing homes is 3 stars.
How many inspection citations did Parham Health Care & Rehab Center receive?
Its most recent standard health inspection found 89 citations, compared with a Virginia average of 14.4. Every citation is listed on this page with its severity.
Does Parham Health Care & Rehab Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Parham Health Care & Rehab Center?
It is for profit - limited liability company and part of Lifeworks Rehab. The ownership section on this page lists the owners and managers reported to CMS.
Where is Parham Health Care & Rehab Center and how do I contact it?
Parham Health Care & Rehab Center is at 2400 E Parham Road, Richmond, VA 23228. Phone: (804) 264-9185.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.