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Forest Hill Health & RehabilitationCMS ratings, inspections and fines

Address
4403 Forest Hill Avenue, Richmond, VA 23225
CCN
495327
Ownership type
For-profit, limited liability company
Certified beds
174
Residents per day
133
CMS flags
None in the CMS record
CMS star ratings
Overall rating1 of 5
Health inspection rating1 of 5
Staffing rating1 of 5
Quality measure rating4 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Forest Hill Health & Rehabilitation an overall rating of 1 of 5 stars. The last standard survey was on 5 Feb 2025. The latest survey cycle has 35 health citations. The median for nursing homes in Virginia is 11. CMS lists 1 fine of $80,132 for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Forest Hill Health & Rehabilitation, with medians
Rating (1 to 5 stars)This homeRichmond city medianVirginia medianUS average (CMS)
Overall rating13.03.03.0
Health inspection rating13.03.02.8
Staffing rating13.02.02.9
Quality measure rating45.04.03.6

A median is the middle value of the homes in the group: 6 homes in the county, 289 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Forest Hill Health & Rehabilitation in the last three survey cycles
Survey cycleStandard surveyCitationsVirginia median
Cycle 1 (latest)5 Feb 20253511
Cycle 214 Jul 20223610
Cycle 3No date2410

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 95 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 35 citations

Standard survey of this cycle: .

Health citations of Forest Hill Health & Rehabilitation in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
5 Feb 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey26 May 2025
5 Feb 2025F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey20 Mar 2025
5 Feb 2025F0558Reasonably accommodate the needs and preferences of each resident.EComplaint investigation26 May 2025
5 Feb 2025F0567Honor the resident's right to manage his or her financial affairs.DComplaint investigation26 May 2025
5 Feb 2025F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DComplaint investigation20 Mar 2025
5 Feb 2025F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey20 Mar 2025
5 Feb 2025F0583Keep residents' personal and medical records private and confidential.DStandard survey20 Mar 2025
5 Feb 2025F0584Honor 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.FComplaint investigation20 Mar 2025
5 Feb 2025F0586Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.DComplaint investigation20 Mar 2025
5 Feb 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation20 Mar 2025
5 Feb 2025F0602Protect each resident from the wrongful use of the resident's belongings or money.EComplaint investigation20 Mar 2025
5 Feb 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation20 Mar 2025
5 Feb 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation20 Mar 2025
5 Feb 2025F0610Respond appropriately to all alleged violations.DComplaint investigation20 Mar 2025
5 Feb 2025F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey20 Mar 2025
5 Feb 2025F0641Ensure each resident receives an accurate assessment.DComplaint investigation20 Mar 2025
5 Feb 2025F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey20 Mar 2025
5 Feb 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint investigation20 Mar 2025
5 Feb 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey26 May 2025
5 Feb 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation20 Mar 2025
5 Feb 2025F0685Assist a resident in gaining access to vision and hearing services.DStandard survey26 May 2025
5 Feb 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey20 Mar 2025
5 Feb 2025F0687Provide appropriate foot care.DStandard survey26 May 2025
5 Feb 2025F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EStandard survey20 Mar 2025
5 Feb 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint investigation26 May 2025
5 Feb 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey20 Mar 2025
5 Feb 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation20 Mar 2025
5 Feb 2025F0760Ensure that residents are free from significant medication errors.DStandard survey26 May 2025
5 Feb 2025F0791Provide or obtain dental services for each resident.EStandard survey20 Mar 2025
5 Feb 2025F0803Ensure 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.DComplaint investigation20 Mar 2025
5 Feb 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint investigation26 May 2025
5 Feb 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation26 May 2025
5 Feb 2025F0914Provide bedrooms that don't allow residents to see each other when privacy is needed.DComplaint investigation20 Mar 2025
5 Feb 2025F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FComplaint investigation20 Mar 2025
5 Feb 2025F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EComplaint investigation20 Mar 2025

Survey cycle 2: 36 citations

Standard survey of this cycle: .

Health citations of Forest Hill Health & Rehabilitation in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
5 Feb 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint investigation20 Mar 2025
5 Feb 2025F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.KComplaint investigation20 Mar 2025
14 Jul 2022F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey25 Aug 2022
14 Jul 2022F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey25 Aug 2022
14 Jul 2022F0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.DStandard survey25 Aug 2022
14 Jul 2022F0584Honor 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.EStandard survey25 Aug 2022
14 Jul 2022F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey25 Aug 2022
14 Jul 2022F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey25 Aug 2022
14 Jul 2022F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey25 Aug 2022
14 Jul 2022F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey25 Aug 2022
14 Jul 2022F0658Ensure services provided by the nursing facility meet professional standards of quality.EStandard survey25 Aug 2022
14 Jul 2022F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey25 Aug 2022
14 Jul 2022F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey25 Aug 2022
14 Jul 2022F0692Provide enough food/fluids to maintain a resident's health.DStandard survey25 Aug 2022
14 Jul 2022F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard survey25 Aug 2022
14 Jul 2022F0727Have 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.EStandard survey25 Aug 2022
14 Jul 2022F0730Observe each nurse aide's job performance and give regular training.EStandard survey25 Aug 2022
14 Jul 2022F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DStandard survey25 Aug 2022
14 Jul 2022F0761Ensure 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.EStandard survey25 Aug 2022
14 Jul 2022F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EStandard survey25 Aug 2022
14 Jul 2022F0803Ensure 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.DStandard survey25 Aug 2022
14 Jul 2022F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FStandard survey25 Aug 2022
14 Jul 2022F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey25 Aug 2022
14 Jul 2022F0850Hire a qualified full-time social worker in a facility with more than 120 beds.FStandard survey25 Aug 2022
14 Jul 2022F0880Provide and implement an infection prevention and control program.FStandard survey25 Aug 2022
14 Jul 2022F0881Implement a program that monitors antibiotic use.EStandard survey25 Aug 2022
14 Jul 2022F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FStandard survey25 Aug 2022
14 Jul 2022F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey25 Aug 2022
14 Jul 2022F0885Report COVID19 data to residents and families.FStandard survey25 Aug 2022
14 Jul 2022F0886Perform COVID19 testing on residents and staff.EStandard survey25 Aug 2022
14 Jul 2022F0887Educate 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.EStandard survey25 Aug 2022
14 Jul 2022F0888Ensure staff are vaccinated for COVID-19EStandard survey25 Aug 2022
14 Jul 2022F0908Keep all essential equipment working safely.DStandard survey25 Aug 2022
14 Jul 2022F0909Regularly 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.DStandard survey25 Aug 2022
14 Jul 2022F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard survey25 Aug 2022
14 Jul 2022F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.EStandard survey25 Aug 2022

Survey cycle 3: 24 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Forest Hill Health & Rehabilitation in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
28 Mar 2024F0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DComplaint investigation10 May 2024
28 Mar 2024F0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.DComplaint investigation10 May 2024
28 Mar 2024F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint investigation10 May 2024
28 Mar 2024F0584Honor 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.DComplaint investigation10 May 2024
28 Mar 2024F0624Prepare residents for a safe transfer or discharge from the nursing home.DComplaint investigation10 May 2024
28 Mar 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation10 May 2024
28 Mar 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation10 May 2024
28 Mar 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint investigation10 May 2024
28 Mar 2024F0660Plan the resident's discharge to meet the resident's goals and needs.DComplaint investigation10 May 2024
28 Mar 2024F0675Honor each resident's preferences, choices, values and beliefs.DComplaint investigation10 May 2024
28 Mar 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation10 May 2024
28 Mar 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation10 May 2024
28 Mar 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint investigation10 May 2024
28 Mar 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint investigation10 May 2024
28 Mar 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation10 May 2024
28 Mar 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DComplaint investigation10 May 2024
8 Apr 2021F0584Honor 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.EStandard survey4 May 2021
8 Apr 2021F0602Protect each resident from the wrongful use of the resident's belongings or money.DStandard survey4 May 2021
8 Apr 2021F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard survey4 May 2021
8 Apr 2021F0727Have 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.DStandard survey4 May 2021
8 Apr 2021F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey4 May 2021
8 Apr 2021F0791Provide or obtain dental services for each resident.DStandard survey4 May 2021
8 Apr 2021F0880Provide and implement an infection prevention and control program.EStandard survey4 May 2021
8 Apr 2021F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey4 May 2021

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Forest Hill Health & Rehabilitation in the CMS penalties file
DateTypeFineDays without payment
5 Feb 2025Fine$80,132

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Forest Hill Health & Rehabilitation
StaffThis homeVirginia medianVirginia average (CMS)
All nurse staff3.043.403.76
Registered nurses (RN)0.560.500.69
Licensed practical nurses (LPN)0.831.00
Nurse aides1.652.07
All nurse staff, weekends2.783.003.29
Nurse staff turnover in a year
69.6%
Nurse staff turnover, Virginia median
48.3%
RN turnover in a year
65.4%
Administrators who left in a year
1

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Forest Hill Health & Rehabilitation, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeVirginia medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay8.3%13.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.1%0.2%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.0%1.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.2%3.4%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.6%1.0%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay12.9%14.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.5%4.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay22.3%13.3%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
For-profit, limited liability company
Legal business name
Westover Hills SNF Operations LLC
Chain
Hill Valley Healthcare (43 homes in the CMS chain file)
Organisations in the CMS ownership record of Forest Hill Health & Rehabilitation
OrganisationRole in the CMS recordInterestSince
VA 6 SNF Operations Holdings LLC5% or greater direct ownership interest100%1 Dec 2022

The site shows organisations only. It does not show the names of persons.

Other homes in Richmond city

The 5 nearest other nursing homes in Richmond city, Virginia
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
The Virginia HomeRichmond3 of 58$019 Jul 2023
Sitter and Barfoot Veterans Care CenterRichmond5 of 55$05 Jun 2025
Beaufont Health and Rehabilitation CenterRichmond2 of 515$8,19714 May 2024
Southampton Rehabilitation and Healthcare CenterRichmond2 of 519$36,2833 Sep 2021
Vcu Health Children's Services at Brook RoadRichmond5 of 50$06 Nov 2025

All 6 nursing homes in Richmond city

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Forest Hill Health & Rehabilitation (CCN 495327). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/forest-hill-health-rehabilitation-richmond-va-495327/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Forest Hill Health & Rehabilitation last inspected?
The latest inspection with a citation in the CMS record was on 5 Feb 2025. It was a standard survey and a complaint investigation. It gave 37 citations. The standard survey before the last one was on 14 Jul 2022.
Who operates Forest Hill Health & Rehabilitation?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Hill Valley Healthcare. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
Is Forest Hill Health & Rehabilitation a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Virginia as a Special Focus Facility and 5 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.