Parham Health Care & Rehab Center, Richmond, Virginia

126
Citations from health inspectionsVirginia average: 39 a home: 10
Residents harmed or put in dangerVirginia average: 1.5 a home: $266,181
Fines from the federal governmentVirginia average: $23,688 a home: 1 out of 5
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

Nine inspection visits produced 126 citations. Residents were in immediate danger in five findings. Residents were found hurt in five cases. Federal fines came to $266,181 (two fines). Once, Medicare stopped paying for new admissions.

A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.

The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.

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Quick Look at the Record

The home's overall star rating: 1 out of 5
Rating for health inspections: 1 out of 5
Rating for staffing: 1 out of 5
Rating for quality of care: 3 out of 5
Nurse time for each resident: 2.93 hours each dayThe Virginia average is 3.76 hours
Time from registered nurses: 0.34 hours each dayThe Virginia average is 0.69 hours
Nursing staff who left during one year: 62.2%against the Virginia average of 48.1%
Beds that are certified: 180
Ownership: Limited Liability company (for profit)
Chain: Lifeworks Rehab, with 64 homes
Street address: 2400 E Parham Road, Richmond, Virginia 23228
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.

Two citations dated March 19, 2026

F760 Significant Medication Errors: 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.

Nine citations dated Feb. 13, 2026

F921 A Safe, Clean Building: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F805 Food Prepared to Meet Individual Needs: residents were harmed, one or a few residents, found on a complaint visit.
F760 Significant Medication Errors: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F583 Keep Resident Records Private: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

37 citations dated Dec. 17, 2025

F946 Compliance and Ethics Training: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F945 Infection Control Training for Staff: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F944 Staff Training on Quality Improvement Program: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F943 Staff Training on Abuse, Neglect, and Dementia: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F942 Staff Training on Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F926 Smoking Policies: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F924 Secure Handrails in Hallways: risk of harm, no one found hurt, one or a few 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.
F919 Working Call System in Bathrooms: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F868 Quality Group Membership and Quarterly Meetings: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F865 Written Quality Improvement Plan: risk of harm, no one found hurt, widespread, found on a complaint visit.
F850 Full Time Social Worker in Large Facilities: risk of harm, no one found hurt, widespread, 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.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F805 Food Prepared to Meet Individual Needs: residents were harmed, one or a few residents, found on a complaint visit.
F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F760 Significant Medication Errors: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F689 Accident Hazards and Supervision: immediate danger to residents, a pattern, several residents, found on a complaint visit.
F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few 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.
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, a pattern, several 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.
F656 A Complete Care Plan: 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, a pattern, several 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: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F600 Freedom From Abuse and Neglect: immediate danger to residents, a pattern, several residents, found on a complaint visit.
F585 Right to File Complaints Without Retaliation: 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.
F583 Keep Resident Records Private: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F554 Let Residents Take Own Medicines When Appropriate: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Five citations dated Sept. 3, 2025

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.
F755 Pharmacy Services: risk of harm, no one found hurt, one or a few 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.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

36 citations dated April 28, 2025

F925 Pest Control Program: risk of harm, no one found hurt, widespread.
F921 A Safe, Clean Building: risk of harm, no one found hurt, widespread.
F909 Regular Safety Checks of Beds and Rails: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F908 Keep Essential Equipment Working Safely: risk of harm, no one found hurt, a pattern, several residents.
F880 Infection Prevention and Control: immediate danger to residents, a pattern, several residents, found on a complaint visit.
F835 Run the Facility Effectively: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F809 Meals and Snacks at Preferred Times: risk of harm, no one found hurt, widespread.
F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
F760 Significant Medication Errors: risk of harm, no one found hurt, a pattern, several residents.
F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
F742 Mental Health and Trauma Treatment: risk of harm, no one found hurt, a pattern, several residents.
F700 Safe Use of Bed Rails: risk of harm, no one found hurt, one or a few residents.
F698 Dialysis Care: risk of harm, no one found hurt, a pattern, several residents.
F697 Pain Management: risk of harm, no one found hurt, a pattern, several residents.
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, one or a few residents.
F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F689 Accident Hazards and Supervision: immediate danger to residents, a pattern, several residents, found on a complaint visit.
F687 Proper Foot Care: risk of harm, no one found hurt, one or a few residents.
F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents.
F658 Care That Meets Professional Standards: risk of harm, no one found hurt, a pattern, several residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
F645 Screening for Mental Illness or Intellectual Disability: 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.
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.
F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F600 Freedom From Abuse and Neglect: 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, widespread, found on a complaint visit.
F580 Telling the Family About a Change: risk of harm, no one found hurt, a pattern, several residents.
F565 Right to Resident and Family Groups: risk of harm, no one found hurt, a pattern, several residents.
F561 Respect Resident Choices and Self Determination: risk of harm, no one found hurt, one or a few residents.
F558 Meeting Residents' Needs and Preferences: 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, found on a complaint visit.

Two citations dated Feb. 13, 2024

F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

10 citations dated Sept. 14, 2023

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.
F760 Significant Medication Errors: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F755 Pharmacy Services: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F692 Enough Food and Fluids: risk of harm, no one found hurt, one or a few 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.
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, 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.

17 citations dated April 27, 2022

F888 Staff Coronavirus Vaccination: risk of harm, no one found hurt, one or a few residents.
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: risk of harm, no one found hurt, one or a few residents.
F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, a pattern, several residents.
F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, one or a few residents.
F807 Drinks to Keep Residents Hydrated: risk of harm, no one found hurt, one or a few residents.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents.
F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, a pattern, several residents.
F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
F692 Enough Food and Fluids: residents were harmed, one or a few residents.
F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
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.
F565 Right to Resident and Family Groups: risk of harm, no one found hurt, a pattern, several residents.

Eight citations dated Dec. 6, 2018

F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
F791 Dental Services for Residents: risk of harm, no one found hurt, one or a few residents.
F689 Accident Hazards and Supervision: residents were harmed, one or a few residents.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
F661 Share Information at Planned Discharge: risk of harm, no one found hurt, one or a few residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
F622 Valid Reasons and Paperwork for Transfer or Discharge: risk of harm, no one found hurt, one or a few residents.
F554 Let Residents Take Own Medicines When Appropriate: risk of harm, no one found hurt, one or a few residents.

Payment Denials and Fines

Date	Penalty	Amount
Dec. 17, 2025	Fine	$205,445
Dec. 17, 2025	Payment denial for new admissions	43 days
April 28, 2025	Fine	$60,736

Ownership and Management of the Home

The home is run by Rybst Central Manager LLC (operational or managerial control).
The direct 100% owner is Parharm Holdings I 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.

10 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 495097. Other homes in Virginia.