Parham Health Care & Rehab Center
2400 E Parham Road · Richmond, VA · 23228 · 8042649185
180 certified beds For profit - Limited Liability company Chain: Lifeworks Rehab
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (5 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $254,906 in fines in the last 24 months.
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 candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
5 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$254,906 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: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.42 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.38 | 0.55–0.75 |
| Weekend hours / resident-day | 2.98 | ≈ weekday level |
| Nursing turnover / year | 56% | median 45% |
| Fines (3-yr window) | 2 · $254,906 |
Inspection citations (126 in the current record)
-
Immediate jeopardy · J March 19, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 30, 2026 · Quality of Life and Care
-
Potential for harm · E March 19, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 29, 2026 · Pharmacy Service
-
Actual harm · G February 13, 2026 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected March 30, 2026 · Nutrition and Dietary
-
Potential for harm · D February 13, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 30, 2026 · Resident Rights
-
Potential for harm · E February 13, 2026 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected March 30, 2026 · Resident Rights
-
Potential for harm · D February 13, 2026 · found via complaint
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.
Corrected March 30, 2026 · Resident Rights
-
Potential for harm · D February 13, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected March 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 13, 2026 · 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 March 30, 2026 · Resident Assessment and Care Planning
-
Potential for harm · E February 13, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 29, 2026 · Pharmacy Service
-
Potential for harm · E February 13, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 30, 2026 · Infection Control
-
Potential for harm · E February 13, 2026 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected March 30, 2026 · Environmental
-
Immediate jeopardy · K December 17, 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 January 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · K December 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 30, 2026 · Quality of Life and Care
-
Actual harm · G December 17, 2025 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected March 30, 2026 · Nutrition and Dietary
-
Potential for harm · D December 17, 2025 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected January 27, 2026 · Resident Rights
-
Potential for harm · E December 17, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected March 30, 2026 · Resident Rights
-
Potential for harm · D December 17, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 30, 2026 · Resident Rights
-
Potential for harm · E December 17, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected March 30, 2026 · Resident Rights
-
Potential for harm · E December 17, 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 30, 2026 · Resident Rights
-
Potential for harm · D December 17, 2025 · found via complaint
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.
Corrected March 30, 2026 · Resident Rights
-
Potential for harm · D December 17, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected March 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 17, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected January 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 17, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E December 17, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 17, 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 March 30, 2026 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 17, 2025 | Fine | $194,170 |
| December 17, 2025 | Payment Denial | 43 days |
| April 28, 2025 | Fine | $60,736 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495097 · certified since February 1, 1979. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.