All 19 Medicare-certified nursing homes in Richmond,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Sitter and Barfoot in Richmond is state-run and staffs heavily: 4.91 nurse hours per resident day, roughly 27 percent above the national average, with a 5/5 CMS staffing rating to match. Turnover sits at 24.4 percent, well under the national 45.8 percent, so the people caring for residents tend to stay. The caution is in the inspection record, 31 deficiencies, four at harm or jeopardy level and four abuse-related, with a June 2025 inspection and a middling 3/5 health inspection rating. Strong daily coverage and stable staff, but a compliance history worth asking about directly.
Westminster-Canterbury of Richmond runs 4.75 nurse hours per resident day, which is about 23% more than the national average of 3.86. Weekend coverage dips roughly 7% below its own weekday levels, and annual turnover sits at 43.8%, slightly under the national 45.8%, which for a nursing home this size is steadier than most. The health inspection record shows 14 deficiencies, but none at the harm or jeopardy level, and no abuse citations. State surveyors were last in the building in June 2024. As a nonprofit, it isn't working around shareholder returns, and the staffing and quality measure ratings both land at 4 out of 5.
Nurse staffing here runs 9.41 hours per resident day, roughly two and a half times the national average of 3.86. Weekend coverage dips only about 6% below weekday levels, so families visiting on a Saturday should still find adequate hands on deck. Annual turnover sits at 26.4%, well under the 45.8% national figure, which suggests a workforce that stays put rather than cycling through constantly. The current record shows five deficiencies, none involving harm or jeopardy and none abuse-related, with the most recent inspection dated November 2025. Nonprofit ownership and perfect marks across health inspection, quality measures, and staffing round out a picture of a facility performing at a high level on the measures that matter most.
Lakewood Manor runs 5.03 nurse hours per resident day, roughly 30% above the national average of 3.86, and that shows up in the staffing and quality measure ratings. The trade-off is on the health inspection side: 22 deficiencies on record, one of them at the harm or jeopardy level and three tied to abuse, with the last inspection back in June 2023. Staff turnover sits at 46.4%, right about at the national norm, and weekend coverage dips about 9% below the weekday level, so evenings and Sundays are where the extra hours are least likely to reach the floor.
The Laurels of University Park runs 145 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average of 3.86. Weekends dip about 12% below its own weekday coverage, so the thinnest shifts are predictable. Turnover of 44.4% lands close to the national 45.8%, meaning this isn't an unusual churn problem, just steady replacement of caregivers. What stands out is the inspection record: 65 deficiencies on file, one tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was April 2024. Quality measures score well; staffing and health inspections don't.
August Healthcare At Richmond runs 32 beds under corporate ownership, and its nurse staffing sits at 4.60 hours per resident day, roughly 19% above the national average, which is genuinely a point in its favor. The catch is consistency: weekend coverage drops about 14% below what the home staffs on weekdays, and annual turnover hits 58.1% against a national average of 45.8%, so the people caring for residents keep changing. Its inspection record shows 25 deficiencies, including five at the harm or jeopardy level and five tied to abuse, plus two fines totaling $35,055. The most recent inspection was February 2026. Strong hours on paper, but the record underneath them is what a family should weigh.
Lakeside runs 194 beds in Richmond under for-profit LLC ownership, and its staffing numbers are the first thing to look at. At 3.01 nurse hours per resident day, it sits roughly 22 percent under the national average of 3.86, and weekends drop another 10 percent below its own weekday level. Turnover is 48.3 percent against a 45.8 percent national average. The inspection record is heavy: 72 deficiencies, including one at the harm level and one abuse-related, with the most recent inspection in February 2024. CMS rates staffing and health inspections 1 out of 5, while quality measures score 5. The gap between those ratings is the real story here.
Southampton runs about 3.02 nurse hours per resident per day, roughly 22% under the national average, and weekends are staffed about 9% thinner than weekdays. That thin coverage shows up in the numbers: 52.2% annual turnover, 55 deficiencies on the current record including 3 at harm level and 8 abuse-related, and four fines totaling $36,283. The last inspection was September 2021, so the record is old. Ownership is for-profit partnership. Quality measure scores look strong on paper, but staffing is where the daily reality lives, and that's what families should weigh most heavily here.
Our Lady of Hope Health Center runs under a church-affiliated nonprofit, and its 4.19 nurse hours per resident day sit about 8% above the national average, real coverage on paper. But weekends drop roughly 9% below its own weekday level, and annual turnover of 67.3% is well above the 45.8% national figure, so the faces around a resident change often. The inspection history shows 33 deficiencies, including three tied to abuse, though none reached harm or jeopardy level, and the most recent look came in May 2023. Federal quality and staffing stars both land at 2 out of 5, which tells you the day-to-day experience doesn't match the raw staffing number.
The Virginia Home in Richmond is a nonprofit with 130 certified beds, and its staffing tells a mixed story. Nurses provide 4.67 hours per resident day, about 21 percent above the national average, and turnover sits at 16.5 percent against a national average near 46, a big deal, since stable staff usually means residents see familiar faces. Weekends run roughly 7 percent lighter than weekdays, so coverage does dip.
The trouble is inspections. The current record shows 14 deficiencies, including two at the harm or jeopardy level and one involving abuse, and the last full inspection was in July 2023. Quality measures score well, but quality data is self-reported. The staffing and outcomes look good on paper; the survey history is what pulls this one down.
Beaufont Health and Rehabilitation Center runs 120 certified beds in Richmond under for-profit LLC ownership, and the staffing numbers are where the trouble shows. At 2.96 nurse hours per resident day, it sits roughly 23 percent under the national average of 3.86, and weekends dip about 12 percent below its own weekday coverage. Staff turnover is 61.8 percent against a national 45.8 percent, so the people providing that thin coverage keep changing. The current record carries 43 deficiencies, including one at the harm or jeopardy level and two abuse-related, with $8,197 in fines. A May 2024 inspection is recent enough to matter. Quality measures look decent on paper, but steady hands at the bedside are harder to document.
Glenburnie Rehab & Nursing Center runs a 125-bed for-profit partnership in Henrico County, and its numbers pull in opposite directions. The quality measure score is perfect, but everything else tells a harder story: nurse staffing sits at 3.20 hours per resident day against a national average of 3.86, weekend coverage drops roughly 22% below its own weekday levels, and annual turnover hits 69.4% while the country averages 45.8%. On inspections, CMS gives it 1 out of 5 stars, with 127 deficiencies on the current record, four tied to abuse and one at the harm or jeopardy level, plus a $54,211 fine. A January 2024 inspection is the most recent on file.
Westport Rehabilitation and Nursing Center runs 225 beds in Henrico County under for-profit LLC ownership, and its staffing sits at 3.19 nurse hours per resident day, roughly 17% under the national average of 3.86. Weekends drop about another 10% below its own weekday levels, and more than half the staff turned over in the past year, against a national rate nearer 46%. The inspection record is the harder read: 126 deficiencies, seven tied to abuse, and two serious enough to reach harm or jeopardy, with $63,670 in fines. CMS scored it one out of five on both health inspections and staffing. The last survey was November 2024, so the picture is current, not stale.
Shalom Gardens runs 101 beds in Henrico County under corporate ownership, and the staffing numbers are the first thing worth knowing. At 3.72 nurse hours per resident day, it sits just under the national average, but weekends drop roughly 14% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. A 65.8% annual turnover rate means most of the people caring for your relative are new, still learning the building, or already halfway out the door. The inspection record is heavier than that: 49 deficiencies, three involving harm or jeopardy, five tied to abuse, and a 2-out-of-5 health inspection rating. One fine on record, $12,177.
Canterbury Rehabilitation and Healthcare Center is a 183-bed for-profit home in Henrico County where the staffing numbers are the story. At 3.34 nurse hours per resident day, it runs about 14 percent under the national average, and weekends drop roughly 16 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 58.1 percent against a national 45.8 percent, meaning more than half the nursing team leaves each year. The inspection record is heavy: 132 deficiencies, including 5 at harm or jeopardy level and 9 abuse-related, with three fines totaling $436,524 and a July 2024 inspection. Quality measures score well, but that's a narrow bright spot against staffing and oversight.
Forest Hill runs on 3.04 nurse hours per resident per day, about a fifth less than the national average of 3.86, and weekends drop roughly 9 percent below its own weekday staffing. Turnover sits at 69.6 percent against a national 45.8 percent, meaning most of the aides and nurses who know your family member may not be there in a year. The current record carries 95 deficiencies, including 3 at the harm or jeopardy level and 9 tied to abuse, with one fine of $80,132 and an inspection from February 2025. Resident outcome measures look strong here, but the staffing and inspection numbers are where the risk lives.
Rosedale runs on thin nursing coverage: 3.10 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 13% below its own weekday level. Turnover compounds it, nearly two-thirds of staff leave each year against a national rate of about 46%, so the people at the bedside keep changing. The inspection record is where the real weight sits: 101 deficiencies, four serious enough to involve harm or jeopardy, one tied to abuse, and a $73,788 fine. The last full inspection was September 2023, so that record is getting old, which isn't the same as getting better.
Parham Health Care & Rehab Center runs a 180-bed for-profit operation in Henrico County, and the staffing numbers are the first thing that stand out. At 2.93 nurse hours per resident day, it's about a quarter below the national average, and weekends drop another 14% under its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 62.2%, well above the 45.8% national figure, which means the people providing care are often new. The inspection record backs that up: 126 deficiencies, ten at harm or jeopardy level, plus 11 abuse-related findings and two fines totaling $266,181. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems.
Cedarfield Pinnacle Living runs about 5.64 nurse hours per resident day, roughly 46% above the national average, which is a real cushion for a 20-bed nonprofit home in Henrico County. That staffing isn't perfectly even, though, weekends run about 13% leaner than weekdays, so coverage can thin out when families tend to visit. Turnover sits at 46.7%, essentially tracking the national rate, meaning the hands-on hours come from a workforce that changes over about as often as everyone else's. The current record shows no deficiencies at all, none at the harm level and none tied to abuse, with the last inspection in May 2023.