★★★★★CMS 5/526 bedsNon-profit
- Nurse hours
- 4.71 /day
- Staff turnover
- 89%
- Serious cites
- 0
Telford Terrace runs a small 26-bed nonprofit home in Richmond, and the raw staffing number looks strong: 4.71 nurse hours per resident day, roughly 22% above the national average. The catch is who's providing that care. Annual turnover sits at 89.3%, nearly double the national figure, and weekends run about 18% thinner than weekdays, so the coverage families see on a Tuesday may not resemble a Sunday. Inspections are recent and the health rating is strong, but seven deficiencies are on record, one serious enough to reach harm or jeopardy level. Nothing here suggests danger, just a home where consistent hands are harder to keep than the numbers alone imply.
★☆☆☆☆CMS 1/592 bedsFor-profitMedicaid
- Nurse hours
- 3.56 /day
- Staff turnover
- 52%
- Serious cites
- 0
Madison Health and Rehabilitation Center runs 92 certified beds in Richmond under corporate for-profit ownership, and the staffing numbers are the first thing to look at. Nurse coverage sits at 3.56 hours per resident per day, roughly 8% under the national average, and weekends drop about 9% below what the home staffs on weekdays. Annual turnover is 51.6% against a national 45.8%, so aides and nurses are cycling through steadily.
The inspection record shows 12 deficiencies, two of them serious enough to cite harm or jeopardy, though none abuse-related. CMS rates the home 2 out of 5 on health inspections and 1 out of 5 on both quality measures and staffing. The most recent inspection was July 2025, so the picture is current.
★★★★★CMS 5/593 bedsFor-profitMedicaid
- Nurse hours
- 3.65 /day
- Staff turnover
- 41%
- Serious cites
- 0
Kenwood Health and Rehabilitation Center in Richmond runs 93 certified beds under corporate for-profit ownership, and the staffing numbers are where the story starts. At 3.65 nurse hours per resident day, it sits about 5% under the national average of 3.86, and weekends drop roughly 15% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover at 40.7% is actually better than the 45.8% national figure, which matters for consistency of care. The inspection record is genuinely strong: a 5-out-of-5 CMS health inspection rating, one deficiency on the current record, none at harm level, none abuse-related, and a survey as recent as July 2025. Quality measures and staffing both rate 2 out of 5, though, which is the tension here, clean inspections, lighter day-to-day coverage.