All states › Virginia › Richmond › Parham Health Care & Rehab Center
2400 E Parham Road Richmond, VA 23228 · Henrico County
All 19 nursing homes in Richmond, VA (17 take Medicaid)
CMS certification number 495097 · See this home on Medicare Care Compare
Is Parham Health Care & Rehab Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Parham Health Care & Rehab Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Virginia average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.73 hours per resident per day at Parham Health Care & Rehab Center, above the Virginia median of 3.57 (US median: 3.72). About 0.37 of those hours are from registered nurses. On weekends it falls to 3.25 hours, 13% below its all-week average. 70.8% of nursing staff left within a year (Virginia median 47.7%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Parham Health Care & Rehab Center: Medicare and Medicaid
Parham Health Care & Rehab Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Virginia's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on April 28, 2025 and found 24 deficiencies, plus 60 from complaint inspections in the same period. In total, inspectors issued 116 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 116 citations at Parham Health Care & Rehab Center across 8 inspection dates, 67 of them from complaint investigations. 4 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on December 17, 2025 (complaint inspection). The most common areas cited were resident rights (25) and quality of life and care (24). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level K, December 17, 2025). 11 citations were under CMS's abuse, neglect and exploitation rules.
March 19, 2026 · 2 citations · includes complaint inspection
EEnsure that residents are free from significant medication errors.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
February 13, 2026 · 9 citations, includes actual harm · includes complaint inspection
GEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
EKeep residents' personal and medical records private and confidential.
EEnsure that residents are free from significant medication errors.
EProvide and implement an infection prevention and control program.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DHonor 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.
DProtect each resident from the wrongful use of the resident's belongings or money.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
December 17, 2025 · 37 citations, includes immediate jeopardy · includes complaint inspection
KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
FHire a qualified full-time social worker in a facility with more than 120 beds.
FHave a plan that describes the process for conducting QAPI and QAA activities.
EReasonably accommodate the needs and preferences of each resident.
EKeep residents' personal and medical records private and confidential.
EHonor 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.
ERespond appropriately to all alleged violations.
EEnsure services provided by the nursing facility meet professional standards of quality.
EEnsure that residents are free from significant medication errors.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DAllow residents to self-administer drugs if determined clinically appropriate.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DHonor 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.
DProtect each resident from the wrongful use of the resident's belongings or money.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DObserve each nurse aide's job performance and give regular training.
DEnsure 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
DMake sure that a working call system is available in each resident's bathroom and bathing area.
DPut firmly secured handrails on each side of hallways.
DHave policies on smoking.
DEnsure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
DGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
DConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
DInclude as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
DProvide training in compliance and ethics.
September 3, 2025 · 5 citations · includes complaint inspection
EHonor 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.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
April 28, 2025 · 36 citations, includes immediate jeopardy · includes complaint inspection
KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
KProvide and implement an infection prevention and control program.
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
FHonor 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.
FEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide safe, appropriate pain management for a resident who requires such services.
EProvide safe, appropriate dialysis care/services for a resident who requires such services.
EProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
EEnsure that residents are free from significant medication errors.
EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EKeep all essential equipment working safely.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DReasonably accommodate the needs and preferences of each resident.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DPASARR screening for Mental disorders or Intellectual Disabilities
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate foot care.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide enough food/fluids to maintain a resident's health.
DProvide safe and appropriate respiratory care for a resident when needed.
DTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
DRegularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
February 13, 2024 · 2 citations · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
April 27, 2022 · 17 citations, includes actual harm
GProvide enough food/fluids to maintain a resident's health.
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
EEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
DEnsure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DPerform COVID19 testing on residents and staff.
DEnsure staff are vaccinated for COVID-19
December 6, 2018 · 8 citations, includes actual harm
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DAllow residents to self-administer drugs if determined clinically appropriate.
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide or obtain dental services for each resident.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Parham Health Care & Rehab Center
- Inspectors cited the home at the immediate-jeopardy level on December 17, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on February 13, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 70.8% a year. How many of the staff come from agencies?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
3 penalties in the last three years, including $194,276 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Dec 17, 2025 | Fine | $133,540 |
| Dec 17, 2025 | Payment Denial | 43 days of payments denied |
| Apr 28, 2025 | Fine | $60,736 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 3/5 |
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Location
Hospitals near Parham Health Care & Rehab Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
3.5 mi
Henrico Doctors' Hospital RichmondEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 28m for patients treated and sent home
-
3.9 mi
Bon Secours - St Marys Hospital of Richmond RichmondEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 34m for patients treated and sent home
- 4.3 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Parham Health Care & Rehab Center › All nursing homes in Richmond ›
Compare Parham Health Care & Rehab Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Westminster-Canterbury of Richmond · Richmond · 5 stars · 3.4 mi
- Cedarfield Pinnacle Living · Richmond · 5 stars · 5.0 mi
- Vcu Health Children's Services at Brook Road · Richmond · 5 stars · 5.3 mi
- Covenant Woods Nursing Home · Mechanicsville · 4 stars · 8.3 mi
Other Lifeworks Rehab nursing homes in Virginia
- Berkshire Health & Rehabilitation Center · Vinton · 5 stars
- Springtree Healthcare & Rehab Center · Roanoke · 4 stars
- Burke Health & Rehabilitation Center · Burke · 4 stars
- Pulaski Health & Rehab Center · Pulaski · 4 stars
- Stanleytown Health and Rehabilitation Center · Bassett · 4 stars
- Raleigh Court Health and Rehabilitation Center · Roanoke · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 64 Lifeworks Rehab nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.