Forest Hill Health & Rehabilitation
4403 Forest Hill Avenue, Richmond, VA 23225 · (804) 231-0231
For profit - Limited Liability company · 174 certified beds
Forest Hill Health & Rehabilitation has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in February 2025, found 35 citations (the Virginia average is 14.3). It was fined 1 time in the last three years, $80,132 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on February 5, 2025 found 35 citations. What an inspection citation means
- 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.February 5, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.February 5, 2025 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Reasonably accommodate the needs and preferences of each resident.February 5, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from the wrongful use of the resident's belongings or money.February 5, 2025 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.February 5, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide 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.February 5, 2025 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide or obtain dental services for each resident.February 5, 2025 · F0791 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.February 5, 2025 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.February 5, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Allow residents to self-administer drugs if determined clinically appropriate.February 5, 2025 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to manage his or her financial affairs.February 5, 2025 · F0567 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor 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.February 5, 2025 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.February 5, 2025 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Keep residents' personal and medical records private and confidential.February 5, 2025 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.February 5, 2025 · F0586 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.February 5, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.February 5, 2025 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.February 5, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.February 5, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.February 5, 2025 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.February 5, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- PASARR screening for Mental disorders or Intellectual DisabilitiesFebruary 5, 2025 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.February 5, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.February 5, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Assist a resident in gaining access to vision and hearing services.February 5, 2025 · F0685 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 5, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate foot care.February 5, 2025 · F0687 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.February 5, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.February 5, 2025 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.February 5, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.February 5, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.February 5, 2025 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.February 5, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.February 5, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide bedrooms that don't allow residents to see each other when privacy is needed.February 5, 2025 · F0914 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 39 citations.
- Reasonably accommodate the needs and preferences of each resident.February 5, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to manage his or her financial affairs.February 5, 2025 · F0567 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor 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.February 5, 2025 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.February 5, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.February 5, 2025 · F0586 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.February 5, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from the wrongful use of the resident's belongings or money.February 5, 2025 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.February 5, 2025 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.February 5, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.February 5, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.February 5, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.February 5, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide care and assistance to perform activities of daily living for any resident who is unable.February 5, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 5, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.February 5, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.February 5, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.February 5, 2025 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.February 5, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Administer the facility in a manner that enables it to use its resources effectively and efficiently.February 5, 2025 · F0835 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Provide and implement an infection prevention and control program.February 5, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide bedrooms that don't allow residents to see each other when privacy is needed.February 5, 2025 · F0914 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.February 5, 2025 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.February 5, 2025 · F0947 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.March 28, 2024 · F0559 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.March 28, 2024 · F0563 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Let each resident or the resident's legal representative access or purchase copies of all the resident's records.March 28, 2024 · F0573 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.March 28, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Prepare residents for a safe transfer or discharge from the nursing home.March 28, 2024 · F0624 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 28, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.March 28, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.March 28, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Plan the resident's discharge to meet the resident's goals and needs.March 28, 2024 · F0660 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor each resident's preferences, choices, values and beliefs.March 28, 2024 · F0675 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.March 28, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.March 28, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate dialysis care/services for a resident who requires such services.March 28, 2024 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.March 28, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.March 28, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.March 28, 2024 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $80,132February 5, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Virginia average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.04 | 3.76 | 3.86 |
| Registered nurses (RN) | 0.56 | 0.69 | 0.69 |
| Licensed practical nurses (LPN) | 0.83 | 1.00 | 0.86 |
| Nurse aides | 1.65 | 2.07 | 2.32 |
| Total nursing staff turnover | 69.6% | 48.1% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 174 |
| Average residents per day | 133 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Vcu Health Children's Services at Brook Road Richmond · ★★★★★ 5 out of 5 stars
- Westminster-Canterbury of Richmond Richmond · ★★★★★ 5 out of 5 stars
- Sitter and Barfoot Veterans Care Center Richmond · ★★★★★ 5 out of 5 stars
- August Healthcare at Richmond Richmond · ★★★★★ 3 out of 5 stars
- Lakewood Manor Richmond · ★★★★★ 3 out of 5 stars
Compare every nursing home in Richmond, VA · Nursing homes in Virginia · Home health agencies in Richmond, VA
Comparing nursing homes?
See whether help at home or assisted living fits better. Answer four questions and we'll suggest where to start: a medical alert, help at home, or assisted living.
Free for families. This isn't medical advice.
Who are you looking for help for?
Data from Medicare (CMS), updated October 2026, from Forest Hill Health & Rehabilitation on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.