August Healthcare at Richmond
1503 Michael Road · Richmond, VA · 23229 · 8042886245
32 certified beds For profit - Corporation Chain: Simcha Hyman & Naftali Zanziper
Why this verdict
- 4 citations involved actual harm to residents.
- Staffing hours comfortably above national benchmarks.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 5.52 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.87 | 0.55–0.75 |
| Weekend hours / resident-day | 4.94 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 1 · $14,300 |
Inspection citations (25 in the current record)
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Actual harm · G February 19, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected March 17, 2026 · Quality of Life and Care
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Potential for harm · D February 19, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected March 17, 2026 · Pharmacy Service
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Potential for harm · E February 19, 2026
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected March 17, 2026 · Administration
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Potential for harm · D February 19, 2026
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected March 17, 2026 · Environmental
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Actual harm · G December 30, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 20, 2026 · Quality of Life and Care
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Potential for harm · D December 30, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 7, 2022
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.
Corrected April 26, 2022 · Resident Rights
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Potential for harm · E April 7, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 26, 2022 · Resident Assessment and Care Planning
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Potential for harm · D April 7, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 28, 2022 · Quality of Life and Care
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Potential for harm · D April 7, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 26, 2022 · Quality of Life and Care
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Potential for harm · E April 7, 2022
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.
Corrected April 26, 2022 · Nursing and Physician Services
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Potential for harm · E April 7, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 26, 2022 · Pharmacy Service
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Potential for harm · E April 7, 2022
Provide and implement an infection prevention and control program.
Corrected April 26, 2022 · Infection Control
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Immediate jeopardy · J February 17, 2021
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected April 2, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G February 17, 2021
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 2, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G February 17, 2021
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 2, 2021 · Quality of Life and Care
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Potential for harm · D February 17, 2021
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 2, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 17, 2021
Respond appropriately to all alleged violations.
Corrected April 2, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 17, 2021
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 2, 2021 · Resident Assessment and Care Planning
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Potential for harm · D February 17, 2021
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 2, 2021 · Resident Assessment and Care Planning
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Potential for harm · D February 17, 2021
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 24, 2021 · Quality of Life and Care
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Potential for harm · D February 17, 2021
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected April 2, 2021 · Quality of Life and Care
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Potential for harm · E February 17, 2021
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 2, 2021 · Nutrition and Dietary
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Potential for harm · D February 17, 2021
Provide and implement an infection prevention and control program.
Corrected April 2, 2021 · Infection Control
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Potential for harm · D February 17, 2021
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected April 2, 2021 · Freedom from Abuse, Neglect, and Exploitation
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 30, 2025 | Fine | $14,300 |
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495428 · certified since June 1, 2021. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.