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D
Poor

Parham Health Care & Rehab Center

2400 E PARHAM ROAD · RICHMOND, VA 23228

8042649185 · For profit - Limited Liability company

180 beds151.5 residents253 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
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

Parham Health Care & Rehab Center receives an overall staffing grade of D (Poor). With 3.2209 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3639 HPRD, below the recommended 0.75. It is 0.68 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 21.17% compared to weekdays. The facility relies heavily on temporary agency staff (24.15% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2209 HPRD — needs 0.26 more hours per resident per day.
⚠️RN staffing (0.3639 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️24.15% 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 (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.2209hrs/resident/day▼ 0.68
CMS benchmark: 3.48
RN HPRD
0.3639hrs/resident/day▼ 0.32
Recommended: 0.75
Weekend Drop-off
21.17%
3.4259 weekday → 2.7007 weekend
⚠ Significant weekend reduction
Agency Staff
24.15%
0% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7143hrs/resident/day
Direct care aides
LPN HPRD
1.1294hrs/resident/day
Licensed practical nurses
Consistency
0.5376std 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. Henrico County Average-0.79 HPRD
4.01
03.22 HPRD
vs. Virginia State Average-0.61 HPRD
3.83
03.22 HPRD
vs. National Average-0.68 HPRD
3.90
03.22 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
Parham Health Care & Rehab Center ★
RICHMOND · This facility
—
D
3.22090.3639★☆☆☆☆
LAKESIDE HEALTH & REHABILITATION
RICHMOND
1.9 mi
C
3.11150.4716★★☆☆☆
ELIZABETH ADAM CRUMP HEALTH AND REHAB
GLEN ALLEN
2.8 mi
D
3.64780.398★☆☆☆☆
WESTPORT REHABILITATION AND NURSING CENTER
RICHMOND
3.3 mi
C
3.49930.4186★☆☆☆☆
WESTMINSTER-CANTERBURY OF RICHMOND
RICHMOND
3.4 mi
A
4.67081.1792★★★★★
ROSEDALE HEALTH & REHABILITATION
RICHMOND
3.8 mi
D
2.91970.3319★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

7
Inspections
102
Total Deficiencies
$60,736
Fines Assessed
Dec 17, 2025Health
24 deficiencies cited· Includes actual harm
▼
Sep 3, 2025Health
5 deficiencies cited
▼
Apr 28, 2025Health
36 deficiencies cited· Includes actual harm
▼
Feb 13, 2024Health
2 deficiencies cited
▼
Sep 14, 2023Health
10 deficiencies cited
▼
Apr 27, 2022Health
17 deficiencies cited· Includes actual harm
▼
Dec 6, 2018Health
8 deficiencies cited· Includes actual harm
▼

Penalty History

Apr 28, 2025Fine
$60,736
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.