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D
Poor

FOREST HILL HEALTH & REHABILITATION

4403 FOREST HILL AVENUE · RICHMOND, VA 23225

8042310231 · For profit - Limited Liability company

174 beds129.9 residents249 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
B
Good
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

FOREST HILL HEALTH & REHABILITATION receives an overall staffing grade of D (Poor). With 2.9475 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5648 HPRD, below the recommended 0.75. It is 0.95 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 11.89% compared to weekdays. The facility relies heavily on temporary agency staff (16.16% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.9475 HPRD — needs 0.53 more hours per resident per day.
⚠️RN staffing (0.5648 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️16.16% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
2.9475hrs/resident/day▼ 0.95
CMS benchmark: 3.48
RN HPRD
0.5648hrs/resident/day▼ 0.12
Recommended: 0.75
Weekend Drop-off
11.89%
3.05 weekday → 2.6874 weekend
Agency Staff
16.16%
55.95% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6386hrs/resident/day
Direct care aides
LPN HPRD
0.7442hrs/resident/day
Licensed practical nurses
Consistency
0.2826std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Richmond City County Average-1.73 HPRD
4.68
02.95 HPRD
vs. Virginia State Average-0.88 HPRD
3.83
02.95 HPRD
vs. National Average-0.95 HPRD
3.90
02.95 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
FOREST HILL HEALTH & REHABILITATION ★
RICHMOND · This facility
—
D
2.94750.5648★☆☆☆☆
BEAUFONT HEALTH AND REHABILITATION CENTER
RICHMOND
2.6 mi
D
3.22560.3897★★☆☆☆
ROSEDALE HEALTH & REHABILITATION
RICHMOND
4.7 mi
D
2.91970.3319★☆☆☆☆
WESTMINSTER-CANTERBURY OF RICHMOND
RICHMOND
5.5 mi
A
4.67081.1792★★★★★
WESTPORT REHABILITATION AND NURSING CENTER
RICHMOND
6.6 mi
C
3.49930.4186★☆☆☆☆
LAKESIDE HEALTH & REHABILITATION
RICHMOND
6.7 mi
C
3.11150.4716★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
96
Total Deficiencies
$80,132
Fines Assessed
Feb 5, 2025Health
37 deficiencies cited· Includes actual harm
▼
Mar 28, 2024Health
16 deficiencies cited
▼
Apr 20, 2023Health
1 deficiency cited
▼
Jul 14, 2022Health
34 deficiencies cited· Includes actual harm
▼
Apr 8, 2021Health
8 deficiencies cited
▼

Penalty History

Feb 5, 2025Fine
$80,132
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.