Parham Health Care & Rehab Center
Nursing Home · Richmond, VA
CMS certification number495097
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
2400 E Parham RoadRichmond, VA 23228
Henrico County
- Phone
- (804) 264-9185
- ZIP code
- 23228 – all care providers
Facility details
- Certified beds
- 180
- Residents per day
- 156.6 (87% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Parham Care Center LLC
- Chain
- Lifeworks Rehab (64 facilities, avg 2.1★)
- Medicare certified since
- February 1, 1979
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 2.93 (state 3.76 · U.S. 3.86)
- Registered nurses (RN)
- 0.34 (state 0.69 · U.S. 0.69)
- Licensed practical nurses
- 1.02 (state 1.00 · U.S. 0.86)
- Nurse aides
- 1.57 (state 2.07 · U.S. 2.32)
- Weekend total
- 2.51 (state 3.29 · U.S. 3.42)
- Nursing staff turnover
- 62.2 (state 48.1 · U.S. 45.8)%
- RN turnover
- 50.0 (state 48.2 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- April 28, 2025
- Health deficiencies (last cycle)
- 89.0 (state 14.5 · U.S. 9.3)
- From complaints
- 65
- Citations on record (3 years)
- 76 health · 4 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-03-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2026-03-30 |
| 2026-03-19 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-29 |
| 2026-02-13 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-03-30 |
| 2026-02-13 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2026-02-13 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-29 |
| 2026-02-13 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2026-02-13 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2026-02-13 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2026-02-13 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. F0585 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2026-02-13 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2026-02-13 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2025-12-17 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2026-01-27 |
| 2025-12-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2026-03-30 |
| 2025-12-17 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-03-30 |
| 2025-12-17 | Hire a qualified full-time social worker in a facility with more than 120 beds. F0850 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2026-01-27 |
| 2025-12-17 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2026-01-27 |
| 2025-12-17 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2025-12-17 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2025-12-17 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2025-12-17 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-27 |
| 2025-12-17 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2025-12-17 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-29 |
| 2025-12-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2025-12-17 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2025-12-17 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2025-12-17 | Allow residents to self-administer drugs if determined clinically appropriate. F0554 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-27 |
| 2025-12-17 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2025-12-17 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. F0585 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2025-12-17 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2025-12-17 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-27 |
| 2025-12-17 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-27 |
| 2025-12-17 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2025-12-17 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-27 |
| 2025-12-17 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-27 |
| 2025-12-17 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-27 |
| 2025-12-17 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2025-12-17 | Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-27 |
| 2025-12-17 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2025-12-17 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2025-12-17 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-27 |
| 2025-12-17 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-27 |
| 2025-12-17 | Put firmly secured handrails on each side of hallways. F0924 · Environmental Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2025-12-17 | Have policies on smoking. F0926 · Environmental Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2025-12-17 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. F0942 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2025-12-17 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2025-12-17 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F0944 · Administration Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2025-12-17 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. F0945 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2025-12-17 | Provide training in compliance and ethics. F0946 · Administration Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-30 |
| 2025-09-03 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-24 |
| 2025-09-03 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-09-24 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
3 penalties in the last three years, including $266,181 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-12-17 | Payment Denial | 43 days payment denial |
| 2025-12-17 | Fine | $205,445 |
| 2025-04-28 | Fine | $60,736 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Parharm Holdings I LLC (organization) | 5%+ Direct Ownership Interest · 100% | |
| Ak 2003 Family Trust (organization) | 5%+ Indirect Ownership Interest | |
| Al 2003 Family Trust (organization) | 5%+ Indirect Ownership Interest | |
| Central Bay LLC (organization) | 5%+ Indirect Ownership Interest | |
| Charles 1994 Family Grantor Trust (organization) | 5%+ Indirect Ownership Interest | |
| Edward 1998 Family Grantor Trust (organization) | 5%+ Indirect Ownership Interest | |
| Golden 2017 Family Grantor Trust (organization) | 5%+ Indirect Ownership Interest | |
| Golden 2017 LLC (organization) | 5%+ Indirect Ownership Interest | |
| Matt 2002 Family Grantor Trust (organization) | 5%+ Indirect Ownership Interest | |
| Matt 2002 LLC (organization) | 5%+ Indirect Ownership Interest | |
| Mrcz Central LLC (organization) | 5%+ Indirect Ownership Interest | |
| Nathan 5604 & Family LLC (organization) | 5%+ Indirect Ownership Interest | |
| Nathan 5604 Family Grantor Trust (organization) | 5%+ Indirect Ownership Interest | |
| Nathan 5604 LLC (organization) | 5%+ Indirect Ownership Interest | |
| Pivotal Central LLC (organization) | 5%+ Indirect Ownership Interest | |
| Sas 1998 Family Trust (organization) | 5%+ Indirect Ownership Interest | |
| Saul 2012 Family Grantor Trust (organization) | 5%+ Indirect Ownership Interest | |
| Hales-Richards, Kourtney (individual) | Corporate Director · NOT APPLICABLE | |
| Hales-Richards, Kourtney (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Rybst Central Manager LLC (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Parham Health Care & Rehab Center?
Parham Health Care & Rehab Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Virginia.
How many beds does Parham Health Care & Rehab Center have?
It has 180 certified beds and cares for about 157 residents per day.
Has Parham Health Care & Rehab Center been fined?
Yes. CMS lists 3 penalties totaling $266,181 in the last three years.
Who owns Parham Health Care & Rehab Center?
It is part of Lifeworks Rehab and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Parham Health Care & Rehab Center?
(804) 264-9185. The facility is located at 2400 E Parham Road, Richmond, VA 23228.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.