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Nursing homeFAID #12602

Forest Hill Health & Rehabilitation

4403 FOREST HILL AVENUE, RICHMOND, VA, 23225
(804) 231-0231
174 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo of FOREST HILL HEALTH & REHABILITATION
Photo via Google · Tia Coleman

Address

4403 Forest Hill Avenue
Richmond, VA 23225
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What we can show you for free.
Bed capacity
174
CMS facility ID
495327
Care type
Nursing home
County
Richmond City
Facility name
Forest Hill Health & Rehabilitation
Street address
4403 FOREST HILL AVENUE
City / state / ZIP
Richmond, VA 23225
Phone
(804) 231-0231

Forest Hill Health & Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Richmond, Virginia. It is licensed for 174 beds — above the median for skilled nursing facilities in Virginia (117 beds).

It is one of 103 senior care facilities in Richmond and 289 skilled nursing facilities across Virginia. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Forest Hill Health & Rehabilitation 122 times across 8 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $80,132 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Hill Valley Healthcare
Ownership type
For profit - Limited Liability company

Registered owners & officers

Va 6 Snf Operations Holdings Llc
Direct owner — 100% stake — since 2022
Idels, Shimon
Officer · Operational control — since 2022

Regulatory standing

Federal court records
1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1998-02-01
CMS overall rating
1 of 5 stars
Health deficiencies
35 at the last standard inspection
Federal fines
$80,132 total
Last standard inspection
2025-02-05
Nurse staffing
3.0 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$317 per day (≈ $9,640/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
96% Medicaid · 2% Medicare · 3% private/other
Occupancy
75% (fiscal year 2024)
Vs. state median
21% below the VA median of $401/day — full state cost breakdown

Services & coverage

Licensed beds
174
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.
2025-02-05Health inspectionComplaint-triggered37 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-05-26
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-03-20
F-0558
E · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-05-26
F-0567
D · No harm foundFrom a complaint
Honor the resident's right to manage his or her financial affairs.
Corrected 2025-05-26
F-0578
D · No harm foundFrom a complaint
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.
Corrected 2025-03-20
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-03-20
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2025-03-20
F-0584
F · No harm foundFrom a complaint
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.
Corrected 2025-03-20
F-0586
D · No harm foundFrom a complaint
Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.
Corrected 2025-03-20
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-20
F-0602
E · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-03-20
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-03-20
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-20
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2025-03-20
F-0623
D · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-03-20
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2025-03-20
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-03-20
F-0657
E · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-03-20
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-26
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-03-20
F-0685
D · No harm found
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-05-26
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-03-20
F-0687
D · No harm found
Provide appropriate foot care.
Corrected 2025-05-26
F-0688
E · No harm found
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.
Corrected 2025-03-20
F-0689
K · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-20
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-05-26
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-03-20
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-03-20
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2025-05-26
F-0791
E · No harm found
Provide or obtain dental services for each resident.
Corrected 2025-03-20
F-0803
D · No harm foundFood safetyFrom a complaint
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.
Corrected 2025-03-20
F-0804
D · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-05-26
F-0835
K · Immediate jeopardyFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-03-20
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-05-26
F-0914
D · No harm foundFrom a complaint
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Corrected 2025-03-20
F-0925
F · No harm foundFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-03-20
F-0947
E · No harm foundFrom a complaint
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-03-20
2024-03-28Health inspectionComplaint-triggered16 citations
F-0559
D · No harm foundFrom a complaint
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2024-05-10
F-0563
D · No harm foundFrom a complaint
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected 2024-05-10
F-0573
D · No harm foundFrom a complaint
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2024-05-10
F-0584
D · No harm foundFrom a complaint
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.
Corrected 2024-05-10
F-0624
D · No harm foundFrom a complaint
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2024-05-10
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-10
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-05-10
F-0658
E · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-05-10
F-0660
D · No harm foundFrom a complaint
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-05-10
F-0675
D · No harm foundFrom a complaint
Honor each resident's preferences, choices, values and beliefs.
Corrected 2024-05-10
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-10
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-10
F-0698
D · No harm foundFrom a complaint
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-05-10
F-0804
D · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-05-10
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-05-10
F-0921
D · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-05-10
5 earlier / fire-safety inspections (69 citations)
2022-07-14Health inspection34 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-08-25
F-0561
D · No harm found
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2022-08-25
F-0563
D · No harm found
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected 2022-08-25
F-0584
E · No harm found
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.
Corrected 2022-08-25
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-08-25
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2022-08-25
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2022-08-25
F-0657
E · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-08-25
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-08-25
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-08-25
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-08-25
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-08-25
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2022-08-25
F-0727
E · No harm found
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2022-08-25
F-0730
E · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2022-08-25
F-0745
D · No harm found
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2022-08-25
F-0761
E · No harm found
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2022-08-25
F-0802
E · No harm foundFood safety
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2022-08-25
F-0803
D · No harm foundFood safety
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.
Corrected 2022-08-25
F-0835
F · No harm found
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2022-08-25
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-08-25
F-0850
F · No harm found
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected 2022-08-25
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2022-08-25
F-0881
E · No harm found
Implement a program that monitors antibiotic use.
Corrected 2022-08-25
F-0882
F · No harm found
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2022-08-25
F-0883
E · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-08-25
F-0885
F · No harm found
Report COVID19 data to residents and families.
Corrected 2022-08-25
F-0886
E · No harm found
Perform COVID19 testing on residents and staff.
Corrected 2022-08-25
F-0887
E · No harm found
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2022-08-25
F-0888
E · No harm found
Ensure staff are vaccinated for COVID-19
Corrected 2022-08-25
F-0908
D · No harm found
Keep all essential equipment working safely.
Corrected 2022-08-25
F-0909
D · No harm found
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2022-08-25
F-0919
D · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2022-08-25
F-0943
E · No harm found
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2022-08-25
2021-04-08Health inspection8 citations
F-0584
E · No harm found
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.
Corrected 2021-05-04
F-0602
D · No harm found
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2021-05-04
F-0607
E · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2021-05-04
F-0727
D · No harm found
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2021-05-04
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2021-05-04
F-0791
D · No harm found
Provide or obtain dental services for each resident.
Corrected 2021-05-04
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2021-05-04
F-0921
D · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2021-05-04
2025-02-05Fire-safety inspection6 citations
E-0018
C · No harm found
Establish procedures for tracking staff and patients during an emergency.
Corrected 2025-03-20
E-0033
C · No harm found
Establish methods for sharing information.
Corrected 2025-03-20
E-0036
C · No harm found
Establish emergency prep training and testing.
Corrected 2025-03-20
K-0291
D · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-03-13
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-13
K-0901
D · No harm found
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2025-03-13
2022-07-14Fire-safety inspection3 citations
E-0037
B · No harm found
Establish staff and initial training requirements.
Corrected 2022-08-25
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-09-15
K-0916
D · No harm found
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2022-09-15
2021-04-08Fire-safety inspection18 citations
E-0037
B · No harm found
Establish staff and initial training requirements.
Corrected 2021-05-04
E-0039
C · No harm found
Conduct testing and exercise requirements.
Corrected 2021-05-04
K-0161
D · No harm found
Use approved construction type or materials.
Corrected 2021-10-14
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-10-14
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2021-12-02
K-0293
F · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2021-12-02
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2022-02-01
K-0325
D · No harm found
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2021-10-14
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-12-02
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-02-01
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-10-14
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2021-10-14
K-0511
F · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2021-10-14
K-0521
E · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2021-10-14
K-0531
D · No harm found
Have elevators that firefighters can control in the event of a fire.
Corrected 2021-12-02
K-0711
D · No harm found
Provide a written emergency evacuation plan.
Corrected 2021-10-14
K-0761
E · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2021-12-02
K-0918
E · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-12-02

Federal penalties

2025-02-05Fine$80,132
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 495327.
What people say on Google.
3.8121 ratings on Google
★★★★★K H · 2026-05-01 · via Google

“I had the opportunity to visit Forest Hill Health & Rehab recently, and I was truly impressed. The building has clearly been renovated, and it shows—everything felt fresh, clean, and well-maintained. The atmosphere is incredibly welcoming from the moment you walk in, which makes a huge difference. What stood out the most to me was the overall vibe of the residents. They appeared genuinely happy, …”

★★★★★1011 TheFam · 2026-06-03 · via Google

“Greetings, my name is Allen Roney. I'm kindly submitting this review regarding the staff and services of "Forest Hill, Health & Rehabilitation. For approximately two and half years, my mother has resided at Forest Hill Health & Rehabilitation receiving what I consider as optimal physical and mental health care, and treatment services, provided by a team of excellent staff; consisting of professi…”

★Caitlin “KitKat” Gramm · 2026-05-14 · via Google

“I know somebody who personally stayed here as a patient and this facility allowed her bags to explode on her multiple times and then told her that they didn't have anymore so they didn't know what they were going to do.............. I don't care if a place is understaffed, that's not how you treat people that you care for. If you don't like that job then you shouldn't be working there....... The…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 122 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered