Elizabeth Adam Crump Health and Rehab

3600 Mountain Road · Glen Allen, VA · 23060 · 8046728725

180 certified beds For profit - Corporation Chain: Trio Healthcare

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

Cited under the freedom-from-abuse rule

Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

RN staffing in the bottom 10% nationally

0.30 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

69% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

No standard inspection in over 2 years

The inspection record here is older than usual — conditions may have changed since.

Score breakdown

Inspection record 30% of score 22
Serious harm & abuse 20% 94
Staffing 20% 50
Federal penalties 15% 100
Trend 10% 33
Context 5% 60

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.423.48 min · 4.1 strong
RN hours / resident-day0.300.55–0.75
Weekend hours / resident-day3.10≈ weekday level
Nursing turnover / year69%median 45%
Fines (3-yr window)none

Inspection citations (93 in the current record)

  • Potential for harm · D October 30, 2025 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected November 24, 2025 · Resident Rights

  • Potential for harm · E October 30, 2025 · found via complaint

    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 November 24, 2025 · Resident Rights

  • Potential for harm · D October 30, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected November 24, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 30, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected November 24, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D October 30, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected November 24, 2025 · Quality of Life and Care

  • Potential for harm · E October 30, 2025 · found via complaint

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected November 24, 2025 · Pharmacy Service

  • Potential for harm · E October 30, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected November 24, 2025 · Pharmacy Service

  • Potential for harm · D October 30, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected November 24, 2025 · Infection Control

  • Potential for harm · D October 1, 2024 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected October 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 1, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 25, 2024 · Quality of Life and Care

  • Potential for harm · D October 1, 2024 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected October 25, 2024 · Pharmacy Service

  • Potential for harm · D January 30, 2024 · found via complaint

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected March 7, 2024 · Resident Rights

  • Potential for harm · D January 30, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected March 7, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E January 30, 2024 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected March 7, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 30, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected March 7, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 30, 2024 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected March 7, 2024 · Quality of Life and Care

  • Potential for harm · D June 28, 2023 · found via complaint

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected July 27, 2023 · Resident Rights

  • Potential for harm · D June 28, 2023 · found via complaint

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Corrected July 27, 2023 · Resident Rights

  • Potential for harm · D June 28, 2023 · found via complaint

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    Corrected July 27, 2023 · Resident Rights

  • Potential for harm · D June 28, 2023 · 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 July 27, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 28, 2023 · found via complaint

    Plan the resident's discharge to meet the resident's goals and needs.

    Corrected July 27, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 28, 2023 · found via complaint

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected July 27, 2023 · Resident Assessment and Care Planning

  • Actual harm · G August 18, 2022

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Corrected June 28, 2022 · Quality of Life and Care

  • Potential for harm · E August 18, 2022

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected September 20, 2022 · Resident Rights

  • Potential for harm · D August 18, 2022

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected September 20, 2022 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495299 · certified since March 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.