PlainNursing
CMS Nursing Home Compare · August 2026

Parham Health Care & Rehab Center

2400 E Parham Road, Richmond, VA 23228

Parham Health Care & Rehab Center, a 180-bed for profit - limited liability company nursing facility in Richmond, VA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #277 of 286 rated homes in VA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 5 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 8042649185

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1 / 5
Much below average · CMS overall · nat'l 3.0
#277 of 286
In-state rank among rated VA homes
2.93
Well below average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 5 serious

The verdict

Parham Health Care & Rehab Center, a 180-bed for profit - limited liability company nursing facility in Richmond, VA, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #277 of 286 rated homes in VA on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 5 inspection findings reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#277 of 286
In-state rank among rated VA homes
2.93
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 5 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 289 VA nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

1/5

Staffing

1/5

Quality Measures

3/5

Long-Stay Quality

4/5

Facility Information

Provider Number
495097
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
180
Residents
157
In Hospital
No
County
Henrico
Last Inspection
Apr 28, 2025
Special Focus
SFF Candidate
Abuse citation on record

Staffing Data

How the 2.93 total nursing hours per resident-day are staffed:

RN Hours
0.34 (nat'l avg: 0.69)
LPN Hours
1.02
CNA Hours
1.57
Total Nursing Hours
2.93 (nat'l avg: 3.86)
PT Hours
0.08
Nursing Turnover
62.2%
RN Turnover
50.0%

What the CMS Record Reveals About Parham Health Care & Rehab Center

According to CMS Nursing Home Compare, Parham Health Care & Rehab Center ranks #277 of 286 rated nursing homes in VA on overall stars (tie-broken by health+staffing+quality, then fewer fines). Parham Health Care & Rehab Center operates 180 certified beds in Richmond, VA with approximately 157 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 1★ · staffing 1★ · quality 3★).

The inspection file contains 50 deficiency records from recent surveys, of which 5 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 2 times by CMS, for a combined $266K. Per resident day, this facility reports 2.93 total nursing hours (national average 3.86) and 0.34 RN hours. This facility is flagged as an SFF Candidate, a larger pool of providers eligible for the Special Focus Facility program but not currently selected (states have a limited number of active SFF slots); it remains under normal, not enhanced, oversight.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Parham Health Care & Rehab Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 62.2% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

E - Pattern - Minimal harm Mar 19, 2026 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Apr 29, 2026

J - Isolated - Jeopardy Mar 19, 2026 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 30, 2026

D - Isolated - Minimal harm Feb 13, 2026 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 30, 2026

D - Isolated - Minimal harm Feb 13, 2026 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 30, 2026

D - Isolated - Minimal harm Feb 13, 2026 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Mar 30, 2026

D - Isolated - Minimal harm Feb 13, 2026 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Mar 30, 2026

E - Pattern - Minimal harm Feb 13, 2026 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Mar 30, 2026

E - Pattern - Minimal harm Feb 13, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 30, 2026

E - Pattern - Minimal harm Feb 13, 2026 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Apr 29, 2026

E - Pattern - Minimal harm Feb 13, 2026 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Mar 30, 2026

G - Isolated - Actual harm Feb 13, 2026 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 30, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0946

Provide training in compliance and ethics.

Category: Administration Deficiencies

Corrected: Mar 30, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0945

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Category: Infection Control Deficiencies

Corrected: Mar 30, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0944

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Category: Administration Deficiencies

Corrected: Mar 30, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0943

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 30, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0942

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Category: Resident Rights Deficiencies

Corrected: Mar 30, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0926

Have policies on smoking.

Category: Environmental Deficiencies

Corrected: Mar 30, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0924

Put firmly secured handrails on each side of hallways.

Category: Environmental Deficiencies

Corrected: Mar 30, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Jan 27, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Jan 27, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 30, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0803

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 30, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 27, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 30, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 27, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 27, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 27, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 30, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 27, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 27, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 30, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Mar 30, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Mar 30, 2026

D - Isolated - Minimal harm Dec 17, 2025 Tag: 0554

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

Category: Resident Rights Deficiencies

Corrected: Jan 27, 2026

E - Pattern - Minimal harm Dec 17, 2025 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Mar 30, 2026

E - Pattern - Minimal harm Dec 17, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 30, 2026

E - Pattern - Minimal harm Dec 17, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 30, 2026

E - Pattern - Minimal harm Dec 17, 2025 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Apr 29, 2026

E - Pattern - Minimal harm Dec 17, 2025 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 30, 2026

E - Pattern - Minimal harm Dec 17, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 27, 2026

E - Pattern - Minimal harm Dec 17, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Mar 30, 2026

E - Pattern - Minimal harm Dec 17, 2025 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Mar 30, 2026

E - Pattern - Minimal harm Dec 17, 2025 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Mar 30, 2026

F - Widespread - Minimal harm Dec 17, 2025 Tag: 0865

Have a plan that describes the process for conducting QAPI and QAA activities.

Category: Administration Deficiencies

Corrected: Jan 27, 2026

F - Widespread - Minimal harm Dec 17, 2025 Tag: 0850

Hire a qualified full-time social worker in a facility with more than 120 beds.

Category: Administration Deficiencies

Corrected: Jan 27, 2026

G - Isolated - Actual harm Dec 17, 2025 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 30, 2026

K - Pattern - Jeopardy Dec 17, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Mar 30, 2026

K - Pattern - Jeopardy Dec 17, 2025 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 27, 2026

D - Isolated - Minimal harm Sep 3, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Sep 24, 2025

D - Isolated - Minimal harm Sep 3, 2025 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 24, 2025

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 6.2% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.1% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.9% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 8.0% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 7.5% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 23.7% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 3.5% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.8% No
Percentage of long-stay residents who have depressive symptoms Long Stay 77.3% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 89.4% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 16.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 93.2% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 25.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 35.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 41.8% No

Penalty History 2 penalties totaling $266K

Date Type Amount
Dec 17, 2025 Fine $205K
Dec 17, 2025 Payment Denial -
Apr 28, 2025 Fine $61K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Parham Health Care & Rehab Center, both outside VA so the neighborhoods are not the same-state geography list below.

What the CMS records show for Parham Health Care & Rehab Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The VA registry aggregates state averages and the highest-rated homes in this cohort. View VA registry
  • Peer homes near 180 beds show how CMS stars vary at a similar scale in VA. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Parham Health Care & Rehab Center?
Parham Health Care & Rehab Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (3★).
Where does Parham Health Care & Rehab Center rank among nursing homes in VA?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Parham Health Care & Rehab Center ranks 277th among 286 rated nursing homes in VA (#277 of 286). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Parham Health Care & Rehab Center?
Parham Health Care & Rehab Center reports 2.93 total nursing hours per resident day (national average: 3.86). RN hours are 0.34 per resident day (national average: 0.69). Nursing staff turnover is 62.2%.
How many beds does Parham Health Care & Rehab Center have?
Parham Health Care & Rehab Center has 180 certified beds with approximately 157 residents. The facility is located at 2400 E Parham Road, Richmond, VA 23228.
Does Parham Health Care & Rehab Center have any deficiencies on record?
Yes, Parham Health Care & Rehab Center has 50 deficiencies on record from recent inspections. Of these, 5 are classified as causing actual harm or jeopardy.
Has Parham Health Care & Rehab Center received any fines or penalties?
Yes, Parham Health Care & Rehab Center has received 2 penalties totaling $266K.
Who owns Parham Health Care & Rehab Center?
Parham Health Care & Rehab Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Parham Health Care & Rehab Center last inspected?
The most recent health inspection for Parham Health Care & Rehab Center was on Apr 28, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Parham Health Care & Rehab Center?
Parham Health Care & Rehab Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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