Shalom Gardens Health & Rehabilitation

1600 John Rolfe Parkway · Richmond, VA · 23233 · 8047502183

101 certified beds For profit - Corporation Chain: Hill Valley Healthcare

  • 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.

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Red flags

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.

67% of nursing staff left within a year

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

Score breakdown

Inspection record 30% of score 62
Serious harm & abuse 20% 94
Staffing 20% 64
Federal penalties 15% 75
Trend 10% 85
Context 5% 75

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

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.633.48 min · 4.1 strong
RN hours / resident-day0.650.55–0.75
Weekend hours / resident-day3.18≈ weekday level
Nursing turnover / year67%median 45%
Fines (3-yr window)1 · $12,177

Inspection citations (41 in the current record)

  • Actual harm · G November 5, 2024 · found via complaint

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

    Corrected December 13, 2024 · Quality of Life and Care

  • Potential for harm · E June 28, 2024 · found via complaint

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

    Corrected August 1, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 28, 2024 · found via complaint

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

    Corrected August 1, 2024 · Quality of Life and Care

  • Potential for harm · D June 28, 2024 · found via complaint

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

    Corrected August 1, 2024 · Quality of Life and Care

  • Potential for harm · D June 28, 2024 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected August 1, 2024 · Quality of Life and Care

  • Potential for harm · D June 28, 2024 · found via complaint

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

    Corrected August 1, 2024 · Pharmacy Service

  • Potential for harm · D September 14, 2023 · found via complaint

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

    Corrected October 18, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D July 22, 2021

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected September 3, 2021 · Resident Rights

  • Potential for harm · D July 22, 2021

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Corrected September 3, 2021 · Resident Rights

  • Potential for harm · D July 22, 2021

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected September 3, 2021 · Resident Rights

  • Potential for harm · E July 22, 2021

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

    Corrected September 3, 2021 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 22, 2021

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

    Corrected September 3, 2021 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 22, 2021

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected September 3, 2021 · Resident Assessment and Care Planning

  • Potential for harm · D July 22, 2021

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

    Corrected September 3, 2021 · Resident Assessment and Care Planning

  • Potential for harm · D July 22, 2021

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

    Corrected September 3, 2021 · Quality of Life and Care

  • Potential for harm · D July 22, 2021

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

    Corrected September 3, 2021 · Quality of Life and Care

  • Potential for harm · D July 22, 2021

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected September 3, 2021 · Pharmacy Service

  • Potential for harm · D July 22, 2021

    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 September 3, 2021 · Pharmacy Service

  • Potential for harm · D July 22, 2021

    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

    Corrected September 3, 2021 · Nutrition and Dietary

  • Potential for harm · D March 14, 2019

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

    Corrected April 28, 2019 · Resident Rights

  • Potential for harm · E March 14, 2019

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

    Corrected April 28, 2019 · Resident Rights

  • Potential for harm · D March 14, 2019

    Reasonably accommodate the needs and preferences of each resident.

    Corrected April 28, 2019 · Resident Rights

  • Potential for harm · D March 14, 2019

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

    Corrected April 28, 2019 · Resident Rights

  • Potential for harm · E March 14, 2019

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected April 28, 2019 · Resident Rights

  • Potential for harm · D March 14, 2019

    Keep residents' personal and medical records private and confidential.

    Corrected April 28, 2019 · Resident Rights

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

Federal penalties

DateTypeAmount / length
November 5, 2024Fine$12,177

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495291 · certified since January 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.