Henrico Health & Rehabilitation Center, Highland Springs, Virginia
- 80
- Citations from health inspectionsVirginia average: 39 a home
- 10
- Residents harmed or put in dangerVirginia average: 1.5 a home
- $260,247
- Fines from the federal governmentVirginia average: $23,688 a home
- No rating given
- Overall rating in starsVirginia average: 3.0
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
10 inspection visits produced 80 citations. Residents were in immediate danger in four findings. Residents were found hurt in six cases. Federal fines came to $260,247 (three fines).
This home is a Special Focus Facility. Homes that have done poorly on past inspections are put on this list by CMS, and they get extra attention.
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- The home's overall star rating
- No rating is given while the home stays on the Special Focus list
- Rating for health inspections
- No rating is given while the home stays on the Special Focus list
- Rating for staffing
- No rating is given while the home stays on the Special Focus list
- Rating for quality of care
- No rating is given while the home stays on the Special Focus list
- Nurse time for each resident
- 3.86 hours each dayThe Virginia average is 3.76 hours
- Time from registered nurses
- 0.58 hours each dayThe Virginia average is 0.69 hours
- Nursing staff who left during one year
- 49.5%against the Virginia average of 48.1%
- Beds that are certified
- 120
- Ownership
- Limited Liability company (for profit)
- Chain
- Lifeworks Rehab, with 64 homes
- Street address
- 561 North Airport Drive, Highland Springs, Virginia 23075
- County
- Henrico
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
Four citations dated July 8, 2026
- F925 Pest Control Program: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
13 citations dated Jan. 15, 2026
- F921 A Safe, Clean Building: risk of harm, no one found hurt, widespread.
- F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, widespread.
- F849 Arrange Hospice Care When Needed: risk of harm, no one found hurt, a pattern, several residents.
- F814 Dispose of Garbage Properly: risk of harm, no one found hurt, a pattern, several residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents.
- F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
- F756 Monthly Drug Regimen Review: risk of harm, no one found hurt, one or a few residents.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents.
Two citations dated July 22, 2025
Four citations dated May 13, 2025
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
Five citations dated Feb. 24, 2025
- F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F624 Prepare Residents for Safe Transfer or Discharge: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Four citations dated Sept. 6, 2024
- F925 Pest Control Program: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F921 A Safe, Clean Building: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated May 8, 2024
- F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Two citations dated Dec. 7, 2023
32 citations dated Oct. 4, 2023
- F949 Behavioral Health Training for Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F925 Pest Control Program: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F887 Coronavirus Vaccine Education, Offering, and Records: risk of harm, no one found hurt, widespread.
- F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, a pattern, several residents.
- F867 Ongoing Quality Review Group and Correction Plans: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F838 Facility Wide Assessment of Needed Resources: residents were harmed, one or a few residents.
- F809 Meals and Snacks at Preferred Times: risk of harm, no one found hurt, a pattern, several residents.
- F804 Food Taste and Temperature: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, widespread, found on a complaint visit.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F745 Medically Related Social Services: risk of harm, no one found hurt, one or a few residents.
- F742 Mental Health and Trauma Treatment: residents were harmed, one or a few residents, found on a complaint visit.
- F726 Nurses and Aides Have Needed Skills: residents were harmed, one or a few residents, found on a complaint visit.
- F699 Trauma Informed and Culturally Respectful Care: residents were harmed, one or a few residents, found on a complaint visit.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
- F692 Enough Food and Fluids: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
- F655 Baseline Care Plan at Admission: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F637 Reassess After a Major Change in Condition: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F607 Policies to Prevent Abuse, Neglect, and Theft: immediate danger to residents, a pattern, several residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
- F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F582 Notice of Medicare and Medicaid Coverage and Costs: risk of harm, no one found hurt, one or a few residents.
- F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F565 Right to Resident and Family Groups: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F561 Respect Resident Choices and Self Determination: risk of harm, no one found hurt, one or a few residents.
- F553 Resident Involvement in Care Planning: risk of harm, no one found hurt, one or a few residents.
11 citations dated Sept. 10, 2021
- F887 Coronavirus Vaccine Education, Offering, and Records: risk of harm, no one found hurt, a pattern, several residents.
- F886 Coronavirus Testing for Residents and Staff: immediate danger to residents, widespread.
- F885 Report Coronavirus Data to Residents and Families: risk of harm, no one found hurt, widespread.
- F880 Infection Prevention and Control: immediate danger to residents, widespread.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents.
- F625 Written Notice of Bed Hold Policy: risk of harm, no one found hurt, one or a few residents.
- F623 Notice Before Transfer or Discharge: risk of harm, no one found hurt, one or a few residents.
- F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents.
- F576 Private Access to Communication Methods: risk of harm, no one found hurt, one or a few residents.
- F568 Properly Manage Resident Money Held by Facility: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| Feb. 24, 2025 | Fine | $132,741 |
| Sept. 6, 2024 | Fine | $23,196 |
| Oct. 4, 2023 | Fine | $104,310 |
Ownership and Management of the Home
- The home is run by Rybst Central Manager LLC (operational or managerial control).
- The direct 100% owner is Henrico Holdings 1 LLC.
- Owns a share through another company: Ak 2003 Family Trust.
- Owns a share through another company: Al 2003 Family Trust.
- Owns a share through another company: Charles 1994 Family Grantor Trust.
- Owns a share through another company: Edward 1998 Family Grantor Trust.
- Owns a share through another company: Golden 2017 Family Grantor Trust.
- Owns a share through another company: Golden 2017 LLC.
Nine additional companies have a stake or a management role, according to CMS.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 495193. Other homes in Virginia.