Nursing home
Forest Hill Health & Rehabilitation
4403 Forest Hill Avenue, Richmond, VA 23225 · Map
For profit - Limited Liability company · Part of Hill Valley Healthcare (40 facilities) · 174 certified beds
Forest Hill Health & Rehabilitation is a Medicare-certified nursing home in Richmond, Virginia. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 2.95 hours per resident per day, below the Virginia average of 3.81. Its most recent inspection on Feb 5, 2025 cited 35 deficiencies.
- 1 fine totaling $80,132In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Forest Hill Health & Rehabilitation compares
This facility vs. the Virginia and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Virginia avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.95 | 3.81 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.57 | 0.69 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.64 | 2.12 | 2.34 | below avg |
| Nursing staff turnover | 67.2% | 48.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 35.0 | 14.5 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the February 5, 2025 inspection was corrected by May 26, 2025
Penalties in CMS records: 1 fine totaling $80,132, 1 total penalty.
What inspectors found at Forest Hill Health & Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Feb 5, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 5, 2025 · Full report (PDF) - Potential for harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Feb 5, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Feb 5, 2025 · Full report (PDF) - Potential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Feb 5, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Feb 5, 2025 · Full report (PDF) - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Feb 5, 2025 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Feb 5, 2025 · Full report (PDF) - Potential for harm
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Feb 5, 2025 · Full report (PDF) - Potential for harm
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · Feb 5, 2025 · Full report (PDF) - Potential for harm
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Environmental Deficiencies · Feb 5, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 5, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4403 Forest Hill Avenue
Richmond, VA 23225 - CMS certification #
- 495327
- Ownership
- For profit - Limited Liability company
- Certified beds
- 174
- Avg residents/day
- 129.9
- Provider type
- Medicare and Medicaid
- First certified
- 1998-02-01
- Chain
- Hill Valley Healthcare (40 facilities)
- Setting
- Urban
Part of Hill Valley Healthcare
Hill Valley Healthcare operates 40 nursing facilities across the United States. View all Hill Valley Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Forest Hill Health & Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Cjw Medical Center, Richmond. 2.4 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- The Virginia Home, Richmond. 1.6 miles away, straight line.
- Nearest home health agency office
- Jobeka Health Care Services LLC, Richmond. 2.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 23225 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Forest Hill Avenue Dialysis, Richmond, 1.6 miles away, straight line (CMS rating 2 of 5 stars)
Fresenius Kidney Care Richmond Manchester, Richmond, 1.6 miles away, straight line
Davita Hioaks Dialysis, Richmond, 2.4 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 23 Medicare hospices tell CMS they serve ZIP code 23225.
Bristol Hospice - Richmond, L.L.C., office in Richmond, 2.8 miles away, straight line
Bon Secours Hospice And Palliative Care, office in Richmond, 4.2 miles away, straight line (CMS family survey rating 3 of 5 stars)
Serenity First LLC, office in Richmond, 4.2 miles away, straight line - Nearest geriatric medicine practice
- Centerwell Senior Primary Care Va PLLC, Richmond. 2.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire very low, tornado relatively low, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Forest Hill Health & Rehabilitation a good nursing home?
CMS gives Forest Hill Health & Rehabilitation an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Forest Hill Health & Rehabilitation staffed?
Forest Hill Health & Rehabilitation reports 2.95 total nurse hours per resident per day, compared with the Virginia average of 3.81.
Has Forest Hill Health & Rehabilitation had inspection problems?
Its most recent CMS inspection cited 35 deficiencies.
How many beds does Forest Hill Health & Rehabilitation have?
Forest Hill Health & Rehabilitation is certified for 174 beds.