Forest Hill Health & Rehabilitation
Nursing Home Facility
4403 Forest Hill Avenue, Richmond, VA 23225
Forest Hill Health & Rehabilitation is a senior care community located in Richmond, VA. It provides nursing home care and senior living for older adults in the Richmond area. To learn more or schedule a tour, call (804) 231-0231.
Operated by Hill Valley Healthcare, which runs 34 communities in our directory.
With 174 beds, Forest Hill Health & Rehabilitation is one of the larger communities in the area, senior care communities in Richmond average about 84 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 76% of its licensed beds. That is below the Richmond average of roughly 91%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Richmond average about 2.4 stars. Its most recent standard health inspection was in February 2025 and recorded 35 deficiencies.
Residents receive about 3.0 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Communities in Richmond average about 4.1 hours. Nursing staff turnover over the past year was about 70%, which is high and can affect continuity of care.
The community is located in Richmond City County, VA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 95 problems at Forest Hill Health & Rehabilitation. 3 findings involved harm to a resident, including 2 that put residents in immediate danger. 39 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $80,132.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, widespread
Resident Rights
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.
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Could cause more than minimal harm, widespread
Environmental
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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Could cause more than minimal harm, a pattern
Resident Rights
Reasonably accommodate the needs and preferences of each resident.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from the wrongful use of the resident's belongings or money.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
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.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide or obtain dental services for each resident.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Show 27 more
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Allow residents to self-administer drugs if determined clinically appropriate.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to manage his or her financial affairs.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Keep residents' personal and medical records private and confidential.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
PASARR screening for Mental disorders or Intellectual Disabilities
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Assist a resident in gaining access to vision and hearing services.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate foot care.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide enough food/fluids to maintain a resident's health.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Ensure that residents are free from significant medication errors.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
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.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Environmental
Provide bedrooms that don't allow residents to see each other when privacy is needed.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Forest Hill Health & Rehabilitation offers nursing home care and senior living.
Facility details
- Organization type For profit - Partnership
- Beds / units 174
- Occupancy 76%
- Nursing hours per resident/day 3.0
- Annual staff turnover 70%
- Last health inspection February 2025
Resident & family reviews
No one has shared a review of Forest Hill Health & Rehabilitation yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.