Henrico Health & Rehabilitation Center
561 North Airport Drive · Highland Springs, VA · 23075 · 8047370172
120 certified beds For profit - Limited Liability company Chain: Lifeworks Rehab
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $155,937 in fines in the last 24 months.
- 6 citations involved actual harm to residents.
- 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
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 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.
$155,937 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
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: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 3.78 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.44 | 0.55–0.75 |
| Weekend hours / resident-day | 3.19 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 3 · $260,247 |
Inspection citations (77 in the current record)
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Potential for harm · D January 15, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 11, 2026 · Resident Rights
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Potential for harm · D January 15, 2026
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 February 11, 2026 · Resident Rights
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Potential for harm · D January 15, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 11, 2026 · Quality of Life and Care
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Potential for harm · D January 15, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 11, 2026 · Quality of Life and Care
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Potential for harm · D January 15, 2026
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected February 11, 2026 · Pharmacy Service
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Potential for harm · D January 15, 2026
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.
Corrected February 11, 2026 · Pharmacy Service
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Potential for harm · E January 15, 2026
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.
Corrected February 11, 2026 · Nutrition and Dietary
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Potential for harm · E January 15, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected February 11, 2026 · Nutrition and Dietary
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Potential for harm · E January 15, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 11, 2026 · Nutrition and Dietary
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Potential for harm · E January 15, 2026
Dispose of garbage and refuse properly.
Corrected February 11, 2026 · Nutrition and Dietary
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Potential for harm · E January 15, 2026
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected February 11, 2026 · Administration
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Potential for harm · F January 15, 2026
Keep all essential equipment working safely.
Corrected February 11, 2026 · Environmental
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Potential for harm · F January 15, 2026
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected February 11, 2026 · Environmental
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Potential for harm · D July 22, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 22, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 4, 2025 · Quality of Life and Care
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Actual harm · G May 13, 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 June 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 13, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 13, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 13, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 11, 2025 · Quality of Life and Care
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Potential for harm · D February 24, 2025 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · D February 24, 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 21, 2025 · Resident Rights
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Potential for harm · D February 24, 2025 · found via complaint
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · D February 24, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 21, 2025 · Quality of Life and Care
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Potential for harm · E February 24, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 21, 2025 · Nursing and Physician Services
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Immediate jeopardy · J September 6, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 1, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 24, 2025 | Fine | $132,741 |
| September 6, 2024 | Fine | $23,196 |
| October 4, 2023 | Fine | $104,310 |
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 495193 · certified since July 6, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.