Parham Health Care & Rehab Center
2400 E Parham Road, Richmond, VA 23228
Parham Health Care & Rehab Center is a nursing home in Richmond, Virginia. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating1 of 5
- Last standard health inspectionApril 28, 2025 (1 year ago)
- Health citations since December 6, 2018116 (Virginia average 39)
- Fines in the past three years2, $194,276 in total
- CMS flagsSpecial Focus Facility candidate, CMS abuse icon
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CMS flags
Special Focus Facility candidate
CMS puts a small number of homes in this program. CMS inspects them more often until they meet the program's exit rules.
CMS abuse icon
CMS adds this icon when it cites a home for abuse that hurt a resident in the past year. It also adds it when it cites a home for abuse that could have hurt someone, in each of the past two years.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Health citation
CMS changed citation F0689 from severity J to D. It is from the health inspection on March 19, 2026. Severity D: potential for more than minimal harm, isolated.
Fine
CMS changed the fine from December 17, 2025 from $205,445 to $133,540.
CMS update of July 29, 2026
Staffing
Total nurse staffing reported to CMS went from 3.4 to 2.9 hours per resident per day.
Fine
CMS changed the fine from December 17, 2025 from $194,170 to $205,445.
CMS update of June 24, 2026
Fine
CMS changed the fine from December 17, 2025 from $114,300 to $194,170.
Health inspection on March 19, 2026
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0760. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on April 29, 2026.
CMS has cited this home for F0760 4 times since 2025.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on March 30, 2026.
CMS has cited this home for F0689 4 times since 2018.
March 17, 2026
Payment stoppedCMS stopped payment for new admissions from March 17, 2026, for 43 days.
CMS update of February 25, 2026
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
CMS abuse icon
CMS added its abuse icon to this home.
Health inspection on February 13, 2026
9 citationsCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
22 of 289 Virginia homes (8%) got a citation at the actual harm level in 2026.
Show the 9 citations
Citation F0805. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
CMS lists it as corrected on March 30, 2026.
CMS has cited this home for F0805 2 times since 2025.
Citation F0583. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on March 30, 2026.
CMS has cited this home for F0583 2 times since 2025.
Citation F0760. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on April 29, 2026.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on March 30, 2026.
CMS has cited this home for F0880 4 times since 2018.
Citation F0921. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS lists it as corrected on March 30, 2026.
CMS has cited this home for F0921 4 times since 2025.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on March 30, 2026.
CMS has cited this home for F0580 5 times since 2022.
Citation F0585. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 30, 2026.
CMS has cited this home for F0585 2 times since 2025.
Citation F0602. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from the wrongful use of the resident's belongings or money.
CMS lists it as corrected on March 30, 2026.
CMS has cited this home for F0602 2 times since 2025.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on March 30, 2026.
CMS has cited this home for F0656 4 times since 2018.
CMS update of January 14, 2026
Fine
CMS changed the fine from April 28, 2025 from $93,440 to $60,736.
Health inspection on December 17, 2025
37 citationsCMS lists this as a complaint inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
18 of 289 Virginia homes (6%) got a citation at the immediate jeopardy level in 2025.
CMS fine of $133,540 on December 17, 2025.
Show the 37 citations
Citation F0600. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on January 27, 2026.
CMS has cited this home for F0600 2 times since 2025.
Citation F0689. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on March 30, 2026.
Citation F0805. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
CMS lists it as corrected on March 30, 2026.
Citation F0850. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Hire a qualified full-time social worker in a facility with more than 120 beds.
CMS lists it as corrected on January 27, 2026.
Citation F0865. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have a plan that describes the process for conducting QAPI and QAA activities.
CMS lists it as corrected on January 27, 2026.
Citation F0558. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on March 30, 2026.
CMS has cited this home for F0558 2 times since 2025.
Citation F0583. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep residents' personal and medical records private and confidential.
CMS lists it as corrected on March 30, 2026.
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on March 30, 2026.
CMS has cited this home for F0584 3 times since 2025.
Citation F0610. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on January 27, 2026.
CMS has cited this home for F0610 2 times since 2025.
Citation F0658. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on March 30, 2026.
CMS has cited this home for F0658 2 times since 2025.
Citation F0760. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on April 29, 2026.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on March 30, 2026.
CMS has cited this home for F0812 2 times since 2022.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on March 30, 2026.
Citation F0921. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS lists it as corrected on March 30, 2026.
Citation F0554. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow residents to self-administer drugs if determined clinically appropriate.
CMS lists it as corrected on January 27, 2026.
CMS has cited this home for F0554 2 times since 2018.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on March 30, 2026.
Citation F0585. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 30, 2026.
Citation F0602. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from the wrongful use of the resident's belongings or money.
CMS lists it as corrected on March 30, 2026.
Citation F0607. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS lists it as corrected on January 27, 2026.
CMS has cited this home for F0607 2 times since 2025.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on January 27, 2026.
CMS has cited this home for F0609 2 times since 2025.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on March 30, 2026.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on January 27, 2026.
CMS has cited this home for F0657 2 times since 2022.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on January 27, 2026.
CMS has cited this home for F0677 4 times since 2022.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on January 27, 2026.
CMS has cited this home for F0684 2 times since 2018.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on March 30, 2026.
CMS has cited this home for F0686 3 times since 2022.
Citation F0730. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Observe each nurse aide's job performance and give regular training.
CMS lists it as corrected on January 27, 2026.
Citation F0803. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 30, 2026.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on March 30, 2026.
CMS has cited this home for F0842 2 times since 2022.
Citation F0868. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
CMS lists it as corrected on January 27, 2026.
Citation F0919. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Make sure that a working call system is available in each resident's bathroom and bathing area.
CMS lists it as corrected on January 27, 2026.
Citation F0924. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Put firmly secured handrails on each side of hallways.
CMS lists it as corrected on March 30, 2026.
Citation F0926. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have policies on smoking.
CMS lists it as corrected on March 30, 2026.
Citation F0942. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
CMS lists it as corrected on March 30, 2026.
Citation F0943. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
CMS lists it as corrected on March 30, 2026.
Citation F0944. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
CMS lists it as corrected on March 30, 2026.
Citation F0945. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
CMS lists it as corrected on March 30, 2026.
Citation F0946. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide training in compliance and ethics.
CMS lists it as corrected on March 30, 2026.
CMS update of December 15, 2025
Special Focus Facility
CMS no longer lists this home as a Special Focus Facility candidate.
Fire safety inspection on December 10, 2025
4 citationsCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
28 of 289 Virginia homes (10%) got a citation at the actual harm level in 2025.
Show the 4 citations
Citation K0781. Severity G: actual harm, isolated.
The rule CMS cited:
Have restrictions on the use of portable space heaters.
CMS lists it as corrected on December 24, 2025.
Citation K0221. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide rooms that can be unlocked from inside without a key.
CMS lists it as corrected on December 24, 2025.
Citation K0914. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
CMS lists it as corrected on December 24, 2025.
CMS has cited this home for K0914 2 times since 2018.
Citation K0521. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on December 24, 2025.
CMS has cited this home for K0521 2 times since 2018.
CMS update of November 20, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
Ownership
CMS lists this home under a new chain.
Health citation
CMS changed citation F0755 from severity D to E. It is from the health inspection on October 21, 2022. Severity E: potential for more than minimal harm, pattern.
Health inspection on September 3, 2025
5 citationsCMS lists this as a complaint inspection.
Show the 5 citations
Citation F0584. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on September 24, 2025.
Citation F0921. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS lists it as corrected on September 24, 2025.
Citation F0925. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
CMS lists it as corrected on September 24, 2025.
CMS has cited this home for F0925 2 times since 2025.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on September 24, 2025.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on September 24, 2025.
CMS has cited this home for F0755 2 times since 2025.
CMS update of July 30, 2025
Star rating
The CMS quality measures star rating changed from 2 of 5 to 4 of 5.
CMS update of June 25, 2025
Name
CMS lists a new name for this home. It was PARHAM HEALTH CARE & REHAB CEN.
Health inspection on April 28, 2025
36 citationsCMS lists this as a standard inspection and a complaint inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
18 of 289 Virginia homes (6%) got a citation at the immediate jeopardy level in 2025.
CMS fine of $60,736 on April 28, 2025.
Show the 36 citations
Citation F0689. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on June 12, 2025.
Citation F0880. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on June 12, 2025.
Citation F0686. Severity G: actual harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on June 12, 2025.
Citation F0584. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on September 24, 2025.
Citation F0809. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on September 24, 2025.
Citation F0921. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS lists it as corrected on September 24, 2025.
Citation F0925. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
CMS lists it as corrected on September 24, 2025.
Citation F0565. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to organize and participate in resident/family groups in the facility.
CMS lists it as corrected on June 12, 2025.
CMS has cited this home for F0565 2 times since 2022.
Citation F0580. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on June 12, 2025.
Citation F0658. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on June 12, 2025.
Citation F0677. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on September 24, 2025.
Citation F0697. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide safe, appropriate pain management for a resident who requires such services.
CMS lists it as corrected on June 12, 2025.
Citation F0698. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS lists it as corrected on June 12, 2025.
Citation F0742. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on June 12, 2025.
Citation F0760. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on June 12, 2025.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on June 12, 2025.
CMS has cited this home for F0761 2 times since 2022.
Citation F0804. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS lists it as corrected on June 12, 2025.
Citation F0908. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep all essential equipment working safely.
CMS lists it as corrected on June 12, 2025.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on June 12, 2025.
CMS has cited this home for F0550 2 times since 2024.
Citation F0558. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Reasonably accommodate the needs and preferences of each resident.
CMS lists it as corrected on June 12, 2025.
Citation F0561. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
CMS lists it as corrected on June 12, 2025.
Citation F0600. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on June 12, 2025.
Citation F0607. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS lists it as corrected on June 12, 2025.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on June 12, 2025.
Citation F0610. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on June 12, 2025.
Citation F0623. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS lists it as corrected on June 12, 2025.
Citation F0645. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
PASARR screening for Mental disorders or Intellectual Disabilities
CMS lists it as corrected on June 12, 2025.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on June 12, 2025.
Citation F0687. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate foot care.
CMS lists it as corrected on June 12, 2025.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on June 12, 2025.
Citation F0692. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on June 12, 2025.
CMS has cited this home for F0692 2 times since 2022.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on June 12, 2025.
CMS has cited this home for F0695 2 times since 2022.
Citation F0700. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on June 12, 2025.
Citation F0755. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS lists it as corrected on September 24, 2025.
Citation F0835. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS lists it as corrected on June 12, 2025.
Citation F0909. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on June 12, 2025.
Fire safety inspection on April 28, 2025
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0293. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on August 8, 2025.
CMS has cited this home for K0293 2 times since 2018.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on August 8, 2025.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on August 8, 2025.
CMS has cited this home for K0363 2 times since 2018.
CMS update of October 30, 2024
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of March 28, 2024
Fine
CMS changed the fine from October 21, 2022 from $91,575 to $59,524.
Health inspection on February 13, 2024
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on March 12, 2024.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on March 12, 2024.
CMS update of January 31, 2024
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.0 to 2.7 hours per resident per day.
CMS update of December 21, 2023
Ownership
CMS no longer lists a chain for this home.
Health inspection on April 27, 2022
17 citationsCMS lists this as a standard inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
27 of 289 Virginia homes (9%) got a citation at the actual harm level in 2022.
Show the 17 citations
Citation F0692. Severity G: actual harm, isolated.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on June 7, 2022.
Citation F0565. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to organize and participate in resident/family groups in the facility.
CMS lists it as corrected on June 7, 2022.
Citation F0727. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on June 7, 2022.
Citation F0883. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS lists it as corrected on July 12, 2022.
Citation F0887. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on July 12, 2022.
Citation F0580. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on June 7, 2022.
Citation F0582. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS lists it as corrected on June 7, 2022.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on June 7, 2022.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on July 12, 2022.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on June 7, 2022.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on June 7, 2022.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on June 7, 2022.
Citation F0807. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
CMS lists it as corrected on June 7, 2022.
Citation F0812. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on July 12, 2022.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on July 12, 2022.
Citation F0886. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Perform COVID19 testing on residents and staff.
CMS lists it as corrected on July 12, 2022.
Citation F0888. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure staff are vaccinated for COVID-19
CMS lists it as corrected on July 12, 2022.
Fire safety inspection on April 27, 2022
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0932. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet other general requirements.
CMS lists it as corrected on May 16, 2022.
Citation E0015. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Address subsistence needs for staff and patients.
CMS lists it as corrected on July 12, 2022.
Health inspection on December 6, 2018
8 citationsCMS lists this as a standard inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
8 of 289 Virginia homes (3%) got a citation at the actual harm level in 2018.
Show the 8 citations
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on January 10, 2019.
Citation F0554. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow residents to self-administer drugs if determined clinically appropriate.
CMS lists it as corrected on January 10, 2019.
Citation F0622. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on January 10, 2019.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on January 10, 2019.
Citation F0661. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
CMS lists it as corrected on January 10, 2019.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on January 28, 2019.
Citation F0791. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide or obtain dental services for each resident.
CMS lists it as corrected on January 10, 2019.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on January 10, 2019.
Fire safety inspection on December 6, 2018
14 citationsCMS lists this as a standard inspection.
Show the 14 citations
Citation K0321. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on February 14, 2019.
Citation K0293. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on February 14, 2019.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on February 14, 2019.
Citation K0161. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Use approved construction type or materials.
CMS lists it as corrected on February 14, 2019.
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on February 14, 2019.
Citation K0253. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide two separate exits in rooms of more than 1000 square feet.
CMS lists it as corrected on February 14, 2019.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on February 14, 2019.
Citation K0914. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
CMS lists it as corrected on February 14, 2019.
Citation K0919. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet requirements for the use of electrical equipment.
CMS lists it as corrected on February 14, 2019.
Citation K0920. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on February 14, 2019.
Citation K0300. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Meet other general requirements that are deficient.
CMS lists it as corrected on February 14, 2019.
Citation K0521. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on February 14, 2019.
Citation K0712. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on February 14, 2019.
Citation K0918. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on February 14, 2019.
CMS star ratings
- 1 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 3 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (804) 264-9185
- Last standard health inspection
- April 28, 2025 (1 year ago)
- Certified beds
- 180
- Residents per day, on average
- 129.1
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Parham Care Center LLC
- Chain
- Lifeworks Rehab
- Takes part in
- Medicare and Medicaid
More health citations than the Virginia average (116 vs 39).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- PARHARM HOLDINGS I LLC5% or greater direct ownership interest · 100% · since 05/28/2021
- AK 2003 FAMILY TRUST5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- AL 2003 FAMILY TRUST5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- CHARLES 1994 FAMILY GRANTOR TRUST5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- EDWARD 1998 FAMILY GRANTOR TRUST5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
Show 14 more
- GOLDEN 2017 FAMILY GRANTOR TRUST5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- GOLDEN 2017 LLC5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- MATT 2002 FAMILY GRANTOR TRUST5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- MATT 2002 LLC5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- MRCZ CENTRAL LLC5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- NATHAN 5604 & FAMILY LLC5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- NATHAN 5604 FAMILY GRANTOR TRUST5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- NATHAN 5604 LLC5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- PIVOTAL CENTRAL LLC5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- SAS 1998 FAMILY TRUST5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- SAUL 2012 FAMILY GRANTOR TRUST5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- SILVERSTONE EAST LLC5% or greater indirect ownership interest · no percentage provided · since 05/28/2021
- RYBST CENTRAL MANAGER LLCOperational/managerial control · not applicable · since 05/28/2021
- HALES-RICHARDS, KOURTNEYOperational/managerial control · not applicable · since 09/13/2023
Questions
When was Parham Health Care & Rehab Center last inspected?
CMS lists April 28, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Parham Health Care & Rehab Center have?
CMS lists 116 health citations since December 6, 2018. CMS also calls these deficiencies.
Has Parham Health Care & Rehab Center been fined?
CMS lists 2 fines in the past three years, $194,276 in total.
What is the CMS star rating of Parham Health Care & Rehab Center?
Its CMS overall star rating is 1 of 5.
Is Parham Health Care & Rehab Center a Special Focus Facility?
Yes. CMS lists it as a Special Focus Facility candidate.
Other nursing homes in Richmond
- August Healthcare at Richmond
- Beaufont Health and Rehabilitation Center
- Canterbury Rehabilitation and Healthcare Center
- Cedarfield Pinnacle Living
- Forest Hill Health & Rehabilitation
- Glenburnie Rehab & Nursing Center
- Lakeside Health & Rehabilitation
- Lakewood Manor
- Our Lady Of Hope Health Center
- Rosedale Health & Rehabilitation