4325 Crutchfield St, Richmond, VA 23225
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
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Medicare-certifiedSkilled Nursing
Forest Hill Health & Rehabilitation
Richmond, VirginiaMedicare inspection record
About Forest Hill Health & Rehabilitation
Forest Hill Health & Rehabilitation brings together experienced clinical staff and modern equipment to support recovery in Richmond, Virginia. Our skilled nursing and rehabilitation program focuses on helping patients regain strength and independence through personalized care plans tailored to each individual's goals.
Community at a glance
Capacity
174 residents
Location
Richmond, VA
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
4403 FOREST HILL AVENUE, Richmond, Virginia 23225
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on February 5, 2025, state inspectors cited 35 health deficiencies (the Virginia average is 14.4).
Nurses and nurse aides spend 3 hours 2 minutes with each resident a day, below the Virginia average of 3 hours 46 minutes.
Medicare fined Forest Hill Health & Rehabilitation once in the last three years, $80,132 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 2 minutesBelow the Virginia average |
| Registered nurse time per resident, per day | 34 minutesBelow the Virginia average |
| Nursing staff who left in the past year | 70%Above the Virginia average |
1 administrator has left the home in the past year.
Inspections
53 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
February 5, 2025 · Complaint investigation · 2 citations
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Immediate danger to residents, a pattern (level K)AdministrationFrom a complaintCorrected Mar 20, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Mar 20, 2025
February 5, 2025 · Standard inspection · 35 citations
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.
Risk of harm, no one hurt, widespread (level F)Resident RightsFrom a complaintCorrected Mar 20, 2025Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Risk of harm, no one hurt, widespread (level F)EnvironmentalFrom a complaintCorrected Mar 20, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 20, 2025Protect each resident from the wrongful use of the resident's belongings or money.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 20, 2025Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected May 26, 2025Provide or obtain dental services for each resident.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Mar 20, 2025Provide 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.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Mar 20, 2025Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Mar 20, 2025Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 20, 2025Assist a resident in gaining access to vision and hearing services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 26, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 20, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 20, 2025Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 20, 2025Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 20, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 26, 2025Honor the resident's right to manage his or her financial affairs.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 26, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 26, 2025PASARR screening for Mental disorders or Intellectual Disabilities
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 20, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 20, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 20, 2025Allow residents to self-administer drugs if determined clinically appropriate.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 20, 2025Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 20, 2025Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 26, 2025Provide bedrooms that don't allow residents to see each other when privacy is needed.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Mar 20, 2025Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Mar 20, 2025Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 20, 2025Provide appropriate foot care.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 26, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 20, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected May 26, 2025Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Mar 20, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected May 26, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Mar 20, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Mar 20, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 26, 2025Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 20, 2025
March 28, 2024 · Complaint investigation · 16 citations+
Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected May 10, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 10, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 10, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 10, 2024Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 10, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 10, 2024Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 10, 2024Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected May 10, 2024Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 10, 2024Honor each resident's preferences, choices, values and beliefs.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 10, 2024Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 10, 2024Provide safe, appropriate dialysis care/services for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 10, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected May 10, 2024Prepare residents for a safe transfer or discharge from the nursing home.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 10, 2024Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected May 10, 2024Plan the resident's discharge to meet the resident's goals and needs.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 10, 2024
Fines and payment denials
1 fine totaling $80,132 in the last three years.
- February 5, 2025Fine: $80,132
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Westover Hills SNF Operations LLC
- Medicare-certified beds
- 174
- Average residents per day
- 133
- Accepts
- Medicare and Medicaid
- First certified
- February 1, 1998
- Part of a chain
- Hill Valley Healthcare, 43 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 495327
Location
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4403 FOREST HILL AVENUERichmond, VA 23225
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Questions about Forest Hill Health & Rehabilitation
How did Forest Hill Health & Rehabilitation do on its last inspection?+
State inspectors visited on February 5, 2025 and cited 35 health deficiencies, 21 of them from complaint investigations. The Virginia average is 14.4.
How much nursing care does each resident get at Forest Hill Health & Rehabilitation?+
Nurses and aides spend 3 hours 2 minutes with each resident per day, including 34 minutes from registered nurses. 70% of nursing staff left over the past year.
Has Forest Hill Health & Rehabilitation been fined by Medicare?+
Yes. Medicare fined Forest Hill Health & Rehabilitation once in the last three years, totaling $80,132.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.