Parham Health Care & Rehab Center

2400 E Parham Road, Richmond, VA 23228 · (804) 264-9185
For profit - Limited Liability company · 180 certified beds

Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.

Special Focus Facility candidate Medicare's data lists this home as a candidate for its Special Focus Facility program, which is for homes with a persistent record of serious problems.

Parham Health Care & Rehab Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in April 2025, found 36 citations, 3 for actual harm or immediate jeopardy (the Virginia average is 14.3). It was fined 2 times in the last three years, $266,181 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.	3 out of 5 stars · 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 April 28, 2025 found 36 citations. What an inspection citation means

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 28, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
Provide and implement an infection prevention and control program.April 28, 2025 · F0880 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
Provide appropriate pressure ulcer care and prevent new ulcers from developing.April 28, 2025 · F0686 · Level of harm: 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.April 28, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
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.April 28, 2025 · F0809 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.April 28, 2025 · F0921 · 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.April 28, 2025 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Honor the resident's right to organize and participate in resident/family groups in the facility.April 28, 2025 · F0565 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.April 28, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Ensure services provided by the nursing facility meet professional standards of quality.April 28, 2025 · F0658 · 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.April 28, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Provide safe, appropriate pain management for a resident who requires such services.April 28, 2025 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Provide safe, appropriate dialysis care/services for a resident who requires such services.April 28, 2025 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
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.April 28, 2025 · F0742 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Ensure that residents are free from significant medication errors.April 28, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
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.April 28, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.April 28, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Keep all essential equipment working safely.April 28, 2025 · F0908 · 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.April 28, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Reasonably accommodate the needs and preferences of each resident.April 28, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.April 28, 2025 · F0561 · 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.April 28, 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.April 28, 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.April 28, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Respond appropriately to all alleged violations.April 28, 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.April 28, 2025 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
PASARR screening for Mental disorders or Intellectual DisabilitiesApril 28, 2025 · F0645 · 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.April 28, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Provide appropriate foot care.April 28, 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.April 28, 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.April 28, 2025 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Provide safe and appropriate respiratory care for a resident when needed.April 28, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
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.April 28, 2025 · F0700 · 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.April 28, 2025 · F0755 · 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.April 28, 2025 · F0835 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
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.April 28, 2025 · F0909 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 67 citations.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 19, 2026 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
Ensure that residents are free from significant medication errors.March 19, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.February 13, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Keep residents' personal and medical records private and confidential.February 13, 2026 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
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.February 13, 2026 · F0585 · 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 13, 2026 · F0602 · 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.February 13, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Ensure that residents are free from significant medication errors.February 13, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.February 13, 2026 · F0805 · Level of harm: Actual harm · Residents affected: Few
Provide and implement an infection prevention and control program.February 13, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.February 13, 2026 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Allow residents to self-administer drugs if determined clinically appropriate.December 17, 2025 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Reasonably accommodate the needs and preferences of each resident.December 17, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.December 17, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Keep residents' personal and medical records private and confidential.December 17, 2025 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
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.December 17, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
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.December 17, 2025 · F0585 · 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.December 17, 2025 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
Protect each resident from the wrongful use of the resident's belongings or money.December 17, 2025 · F0602 · 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.December 17, 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.December 17, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Respond appropriately to all alleged violations.December 17, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.December 17, 2025 · 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.December 17, 2025 · 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.December 17, 2025 · F0658 · 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.December 17, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 17, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Provide appropriate pressure ulcer care and prevent new ulcers from developing.December 17, 2025 · F0686 · 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.December 17, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
Observe each nurse aide's job performance and give regular training.December 17, 2025 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Ensure that residents are free from significant medication errors.December 17, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
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.December 17, 2025 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.December 17, 2025 · F0805 · Level of harm: Actual harm · Residents affected: Few
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.December 17, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.December 17, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Hire a qualified full-time social worker in a facility with more than 120 beds.December 17, 2025 · F0850 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Have a plan that describes the process for conducting QAPI and QAA activities.December 17, 2025 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyDecember 17, 2025 · F0868 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Provide and implement an infection prevention and control program.December 17, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Make sure that a working call system is available in each resident's bathroom and bathing area.December 17, 2025 · F0919 · 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.December 17, 2025 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Put firmly secured handrails on each side of hallways.December 17, 2025 · F0924 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Have policies on smoking.December 17, 2025 · F0926 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.December 17, 2025 · F0942 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.December 17, 2025 · F0943 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.December 17, 2025 · F0944 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.December 17, 2025 · F0945 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Provide training in compliance and ethics.December 17, 2025 · F0946 · 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.September 3, 2025 · F0584 · 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.September 3, 2025 · F0677 · 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.September 3, 2025 · F0755 · 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.September 3, 2025 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.September 3, 2025 · F0925 · 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.April 28, 2025 · F0550 · 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.April 28, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 28, 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.April 28, 2025 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Respond appropriately to all alleged violations.April 28, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Provide appropriate pressure ulcer care and prevent new ulcers from developing.April 28, 2025 · F0686 · Level of harm: Actual harm · Residents affected: Few
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 28, 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.April 28, 2025 · F0690 · 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.April 28, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Administer the facility in a manner that enables it to use its resources effectively and efficiently.April 28, 2025 · F0835 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Provide and implement an infection prevention and control program.April 28, 2025 · F0880 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
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.April 28, 2025 · F0909 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.February 13, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.February 13, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

Fine of $205,445December 17, 2025
Fine of $60,736April 28, 2025
Medicare payment denial for 43 daysStarting March 17, 2026

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	2.93	3.76	3.86
Registered nurses (RN)	0.34	0.69	0.69
Licensed practical nurses (LPN)	1.02	1.00	0.86
Nurse aides	1.57	2.07	2.32
Total nursing staff turnover	62.2%	48.1%	45.8%

About this home

Ownership	For profit - Limited Liability company
Certified beds	180
Average residents per day	156.6
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

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Data from Medicare (CMS), updated October 2026, from Parham Health Care & Rehab Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.