Forest Hill Health & Rehabilitation — Skilled Nursing Facility Profile (CCN #495327)

Richmond, Virginia · CCN 495327 · Phone: 8042310231 · 174 beds · Ownership: For Profit - Limited Liability Company

Forest Hill Health & Rehabilitation is a Medicare-certified skilled nursing facility (CCN 495327) in Richmond, Virginia. It holds a CMS overall Five-Star rating of 1 of 5 stars on CMS Care Compare. FileFlo scores its CMS survey-readiness at 14/100 (High Risk).

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Compliance Indicator: 14/100 — High Risk

About Forest Hill Health & Rehabilitation

Forest Hill Health & Rehabilitation is a Medicare- and Medicaid-certified skilled nursing facility in Richmond, Virginia, operating under CMS Certification Number (CCN) 495327. 174-bed facility. For Profit - Limited Liability Company. Part of the Hill Valley Healthcare chain. The facility is required to comply with the Requirements for Long-Term Care Facilities at 42 CFR Part 483.

Forest Hill Health & Rehabilitation has held its Medicare/Medicaid certification for approximately 28 years (certification date on file: 1998-02-01). Long-tenured facilities (15+ years) often have established F-tag remediation playbooks and a deeper standard-survey trail; newly-certified facilities (under 3 years) are subject to a different initial survey cadence under 42 CFR 488.308.

Local market context (Richmond City County): Forest Hill Health & Rehabilitation shares Richmond City County with 1 other Medicare-certified SNF in our Virginia sample. Two-facility counties typically see direct competitive comparison on Care Compare ratings during discharge-planner decisions.

CMS Five-Star Quality Ratings

CMS publishes Five-Star ratings for nursing homes monthly, drawn from the most recent three years of standard surveys, complaint surveys, and Minimum Data Set (MDS) submissions.

Long-Stay vs Short-Stay Quality Measures

Long-Stay Quality Measure rating: ★☆☆☆☆ (1 of 5). Long-stay measures cover residents in the facility 100+ days and include indicators like residents experiencing one or more falls with major injury, residents whose ability to move independently worsened, and residents with a urinary tract infection.

Differentiating long-stay from short-stay QMs matters for placement decisions — a facility with strong short-stay QMs may still underperform on long-stay metrics, and vice versa.

Compliance Red Flags

Forest Hill Health & Rehabilitation has none of the four CMS-published red-flag indicators active at the most recent publish: not on the Special Focus Facility list, no Abuse Icon on Care Compare, no overdue inspection flag, and no recent change-of-ownership flag. Absence of these flags does not mean the facility is deficiency-free — see the survey history below.

Survey History and Deficiencies

Recent health deficiencies cited at last standard survey: 35. National average for facilities of this size is approximately 8 deficiencies per cycle. In its most recent reporting cycle, Forest Hill Health & Rehabilitation received 1 CMS fine totaling $80,132. Last documented standard health survey: 2025-02-05. CMS conducts standard surveys at most every 15 months for SNFs, with substandard-quality findings triggering more frequent revisits.

Infection Control and Deficiency Weighting

CMS health survey weighted score: 358.25. The weighted score multiplies deficiency severity (A-L) by scope (isolated, pattern, widespread); higher weighted scores translate directly into the Health Inspection star rating tier breakpoints CMS publishes monthly.

CMS Enforcement Actions

Total enforcement penalties assessed in the most recent reporting window: $1. This figure aggregates Civil Money Penalties (CMPs), DPNA-equivalent revenue impacts, and other monetary remedies under 42 CFR Part 488 Subpart F.

Staffing Detail

At today's staffing levels, Forest Hill Health & Rehabilitation would not meet the cadre-specific minimums scheduled to take effect on the May 2027 timeline under 89 FR 40876: nurse-aide HPRD is 1.706 vs the 2.45 floor, a 0.74-hour gap. Closing this gap typically requires either net new hires at the specific cadre, shifted scheduling that reallocates existing FTEs to direct-care hours, or a hardship exemption application under 42 CFR 483.35.

Total nurse staffing: 3.04 hours per resident day (HPRD), which is 0.44 hours below the 3.48 total HPRD floor scheduled to take effect for non-rural facilities by May 2027 (89 FR 40876, May 2024); facilities projected to remain below the floor at the effective date must either close the gap, qualify for a hardship exemption, or face citation under 42 CFR 483.35.

Staffing mix: RN 0.648 HPRD, LPN 0.685 HPRD, CNA 1.706 HPRD. The same CMS final rule also phases in cadre-specific minimums of 0.55 RN HPRD and 2.45 nurse aide HPRD on the 2027 timeline; RN-specific shortfalls have historically been the most common single-facility staffing deficiency at standard surveys.

Weekend RN staffing: 0.552 HPRD. Weekend RN coverage is a separately reported CMS measure; facilities with low weekend RN HPRD frequently see resident-acuity-driven adverse events spike on the weekend shift.

Total nurse staff turnover: 70.3% annualized — extremely high (above the 60% red-flag threshold tracked by CMS).

RN-specific turnover: 70.8% annualized. RN turnover above 50% is the single strongest correlate with QM rating decline in CMS's own internal analyses.

Administrator turnover events in the most recent reporting window: 2. Multiple administrator changes in a 12-month window is associated with substantial leadership-discontinuity risk during the next standard survey.

Chain Context and Facility Type

Forest Hill Health & Rehabilitation is operated as part of Hill Valley Healthcare, a chain operating 43 Medicare-certified facilities (CMS chain identifier 270). Chain-operated facilities tend to share corporate compliance staff, standard operating procedures, and survey-prep resources — but also share enforcement exposure when CMS designates a chain-wide issue under the system-wide quality assurance framework.

Provider type designation: Medicare And Medicaid.

The facility is classified by CMS as urban (within a metropolitan statistical area). Urban SNFs typically face higher acuity post-acute admissions, more competitive labor markets, and stricter local-jurisdiction infection control requirements layered on top of federal CoPs.

How Forest Hill Health & Rehabilitation Compares to Peers in Virginia

Peer comparisons use a same-state cohort of 200 Medicare-certified SNFs, pulled live from CMS Provider Data. The cohort excludes terminated and surrendered certifications.

FileFlo Compliance Indicator

FileFlo's compliance indicator for Forest Hill Health & Rehabilitation is 14/100 (High Risk). The score is derived from publicly published health-deficiency counts, weighted survey scores, infection-control citations, fines, and staffing hours per resident day. It is not a CMS rating. The full survey-readiness audit (covering F-tags from the most recently cited deficiencies, infection control, staffing minimums, MDS accuracy) is at /tools/cms-survey-readiness-score.

Why This Page Exists

FileFlo publishes a profile for every Medicare-certified nursing home so administrators, DONs, and family members can find the same publicly-published quality data without bouncing between Care Compare, the SFF list, and the CMS Provider Data Catalog. Field-level CFR citations are linked throughout. Dispute this record if any field is incorrect — we resync with CMS monthly and process correction requests within five business days.

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Frequently asked questions about Forest Hill Health & Rehabilitation

What is Forest Hill Health & Rehabilitation's CMS overall Five-Star rating?

Forest Hill Health & Rehabilitation (CCN 495327) holds a CMS overall Five-Star rating of 1 of 5 stars on CMS Care Compare. CMS updates these ratings quarterly from the facility's submitted assessment and claims data.

Is Forest Hill Health & Rehabilitation Medicare-certified, and where is it located?

Forest Hill Health & Rehabilitation is a Medicare-certified skilled nursing facility (CMS Certification Number 495327) in Richmond, Virginia.

How survey-ready is Forest Hill Health & Rehabilitation?

FileFlo scores Forest Hill Health & Rehabilitation's CMS survey-readiness at 14/100 (High Risk). This is a FileFlo indicator built from CMS-published data, not an official CMS rating.

Which CMS Conditions of Participation must Forest Hill Health & Rehabilitation meet?

As a Medicare-certified skilled nursing facility, Forest Hill Health & Rehabilitation is surveyed against the Conditions of Participation in 42 CFR Part 483 — covering patient/resident rights, assessment and care planning, quality (QAPI), infection control, and aide services. Each CoP section is linked on this page.

How can Forest Hill Health & Rehabilitation prepare for its next CMS survey?

Run FileFlo's free CMS survey-readiness audit for Forest Hill Health & Rehabilitation — it grades the skilled nursing facility against every Condition of Participation in 42 CFR Part 483 in about three minutes, names each gap's F-Tag, and requires no signup.

Conditions of Participation Forest Hill Health & Rehabilitation is surveyed against

The 42 CFR Part 483 CoP sections a CMS survey actually checks, in plain English:

Compliance terms: F-Tag · Joint Commission. See the Skilled Nursing Facility directory and the Healthcare compliance guide →

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Data sourced from CMS Care Compare (publish 2026-04-01). Information may not reflect the facility's current status. Resync occurs monthly. Dispute this record · Claim this profile

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