Forest Hill Health & Rehabilitation
4403 Forest Hill Avenue · Richmond, VA · 23225 · 8042310231
174 certified beds For profit - Limited Liability company Chain: Hill Valley Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$80,132 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
70% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
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: 1 of 5
| Total nurse hours / resident-day | 3.04 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.65 | 0.55–0.75 |
| Weekend hours / resident-day | 2.71 | ≈ weekday level |
| Nursing turnover / year | 70% | median 45% |
| Fines (3-yr window) | 1 · $80,132 |
Inspection citations (95 in the current record)
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Immediate jeopardy · K February 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 20, 2025 · Quality of Life and Care
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Immediate jeopardy · K February 5, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected March 20, 2025 · Administration
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Potential for harm · D February 5, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 26, 2025 · Resident Rights
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Potential for harm · D February 5, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 20, 2025 · Resident Rights
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Potential for harm · D February 5, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected March 20, 2025 · Resident Rights
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Potential for harm · D February 5, 2025
Keep residents' personal and medical records private and confidential.
Corrected March 20, 2025 · Resident Rights
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Potential for harm · D February 5, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected March 20, 2025 · Resident Rights
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Potential for harm · D February 5, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected March 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 5, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 5, 2025
Assist a resident in gaining access to vision and hearing services.
Corrected May 26, 2025 · Quality of Life and Care
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Potential for harm · D February 5, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 20, 2025 · Quality of Life and Care
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Potential for harm · D February 5, 2025
Provide appropriate foot care.
Corrected May 26, 2025 · Quality of Life and Care
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Potential for harm · E February 5, 2025
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.
Corrected March 20, 2025 · Quality of Life and Care
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Potential for harm · D February 5, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected March 20, 2025 · Quality of Life and Care
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Potential for harm · D February 5, 2025
Ensure that residents are free from significant medication errors.
Corrected May 26, 2025 · Pharmacy Service
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Potential for harm · E February 5, 2025
Provide or obtain dental services for each resident.
Corrected March 20, 2025 · Quality of Life and Care
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Potential for harm · E February 5, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected May 26, 2025 · Resident Rights
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Potential for harm · D February 5, 2025 · found via complaint
Honor the resident's right to manage his or her financial affairs.
Corrected May 26, 2025 · Resident Rights
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Potential for harm · D February 5, 2025 · found via complaint
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.
Corrected March 20, 2025 · Resident Rights
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Potential for harm · F February 5, 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 March 20, 2025 · Resident Rights
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Potential for harm · D February 5, 2025 · found via complaint
Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.
Corrected March 20, 2025 · Resident Rights
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Potential for harm · D February 5, 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 March 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 5, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected March 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 5, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 5, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 5, 2025 | Fine | $80,132 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495327 · certified since February 1, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.