Lakeside ALF Operations, LLC
Nursing Home, Hospice Care, Memory Care & Nursing Care · Henrico, VA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Lakeside ALF Operations, LLC

Nursing Home, Hospice Care, Memory Care & Nursing Care · Henrico, VA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Lakeside ALF Operations, LLC accepts Medicare, Medicaid, and private pay.

Inspection History

In Virginia, the Department of Social Services (for assisted living facilities) and the Department of Health (for nursing homes) perform the inspections required to maintain state and federal licensing.

Since 2019 · 7 years of data 78 deficiencies 2 complaints 8 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Virginia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2019 vs. Virginia state average
Overall vs. VA average 3 Worse Metrics worse than Virginia average:
• Total deficiencies (144% above)
• Deficiencies per year (141% above)
• Deficiencies per inspection (326% above)
5 Better Metrics better than Virginia average:
• Total inspections (43% below)
• Inspections with violations (56% below)
• Inspection violation rate (22% below)
• Total complaints (71% below)
• Complaints per year (70% below)
Latest Inspection June 4, 2025 Renewal

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityVA Averagevs. VA Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 7832 This facility has 144% more total deficiencies than a typical Virginia assisted living residence (78 vs. VA avg 32).↑ 144% worse
Deficiencies per year Info Average deficiencies per year since 2019. 11.14.6 This facility has 141% more deficiencies per year than a typical Virginia assisted living residence (11.1 vs. VA avg 4.6).↑ 141% worse
Deficiencies per inspection Info Average deficiencies per inspection. 9.82.3 This facility has 326% more deficiencies per inspection than a typical Virginia assisted living residence (9.8 vs. VA avg 2.3).↑ 326% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityVA Averagevs. VA Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 814 This facility has 43% fewer total inspections than a typical Virginia assisted living residence (8 vs. VA avg 14).↓ 43% better
Inspections with violations Info Inspections that uncovered at least one regulatory violation. 49 This facility has 56% fewer inspections with violations than a typical Virginia assisted living residence (4 vs. VA avg 9).↓ 56% better
Inspection violation rate Info Percentage of inspections that resulted in at least one violation. 50%64% This facility has 14 percentage points lower inspection violation rate than a typical Virginia assisted living residence (50% vs. VA avg 64%).↓ 14% better

Complaints & Investigations Info Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

This FacilityVA Averagevs. VA Avg
Total complaints Info Formal expressions of concern made by residents, families, or staff. 27 This facility has 71% fewer total complaints than a typical Virginia assisted living residence (2 vs. VA avg 7).↓ 71% better
Complaints per year Info Average complaints per year since 2019. 0.31 This facility has 70% fewer complaints per year than a typical Virginia assisted living residence (0.3 vs. VA avg 1).↓ 70% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The June 4, 2025 renewal inspection found no violations except one individual service plan signature issue corrected on site.
  • The May 12, 2023 monitoring inspections found seven deficiencies including unsecured hazardous materials, missing discharge statements, incomplete allergy documentation, and lack of emergency drill records.
  • The July 27, 2023 renewal under new ownership found three deficiencies related to resident agreements, building cleanliness, and incomplete first aid kit.

Health Inspection History

Inspections since 2019
Total health inspections 5

State average N/A


Last Health inspection on Aug 2024

Total health citations
73 Rank #84 / 90Health citations — State benchmarkedThis home is ranked 84th out of 90 homes in Virginia. Shows this facility's total health deficiency citations benchmarked to the Virginia State average, with a ranking across all 90 VA facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
14.6 Rank #79 / 90Citations per inspection — State benchmarkedThis home is ranked 79th out of 90 homes in Virginia. Shows average deficiency citations per CMS inspection for this facility versus the Virginia mean across 90 facilities with citation data. Lower is better.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

52 of 73 citations resulted from standard inspections; 7 of 73 resulted from complaint investigations; and 14 of 73 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 7 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
1
In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

70 moderate citations State average: N/A

2 minor citations State average: N/A
Citations history (last 7 years)
Abuse/Neglect moderate citation Aug 01, 2024
Corrected

Environmental moderate citation Aug 01, 2024
Corrected

Quality of Care moderate citation Aug 01, 2024
Corrected

Care Planning moderate citation Aug 01, 2024
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 339
Employees 201
Contractors 138
Staff to resident ratio 1.93 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 92
Average shift 7.8 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 65,779

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 23 total: 13 full-time employees and 10 contractors. 23
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 49 total: 40 full-time employees and 9 contractors. 49
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 198 total: 79 full-time employees and 119 contractors. 198
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

9.1%

5,963 contractor hours this quarter

Certified Nursing Assistant: 119 Registered Nurse: 10 Licensed Practical Nurse: 9

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant7911919829,25592100%8
Licensed Practical Nurse4094912,10592100%8.3
Physical Therapist170175,34292100%6.4
RN Director of Nursing190194,03992100%8.5
Registered Nurse1310233,75092100%8
Clinical Nurse Specialist100102,7137480%7.8
Other Dietary Services Staff4041,63592100%7.7
Physical Therapy Assistant4041,1088390%7
Mental Health Service Worker2029896672%8
Qualified Social Worker2029507278%7.4
Respiratory Therapy Technician3039496975%7.7
Speech Language Pathologist2027068390%5.3
Physical Therapy Aide2026097278%4.9
Dietitian1015236672%7.9
Administrator1015206571%8
Nurse Practitioner1014726065%7.9
Nurse Aide in Training1011151617%7.2
198 Certified Nursing Assistant
% of Days 100%
49 Licensed Practical Nurse
% of Days 100%
17 Physical Therapist
% of Days 100%
19 RN Director of Nursing
% of Days 100%
23 Registered Nurse
% of Days 100%
10 Clinical Nurse Specialist
% of Days 80%
4 Other Dietary Services Staff
% of Days 100%
4 Physical Therapy Assistant
% of Days 90%
2 Mental Health Service Worker
% of Days 72%
2 Qualified Social Worker
% of Days 78%
3 Respiratory Therapy Technician
% of Days 75%
2 Speech Language Pathologist
% of Days 90%
2 Physical Therapy Aide
% of Days 78%
1 Dietitian
% of Days 72%
1 Administrator
% of Days 71%
1 Nurse Practitioner
% of Days 65%
1 Nurse Aide in Training
% of Days 17%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 5.0
51% better than State average

State average: 10.1

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 13.2
33% better than State average

State average: 19.7

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 5.2%
69% better than State average

State average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 5.4%
73% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 28.8%
27% worse than State average

State average: 22.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.8%
51% better than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.7%
13% better than State average

State average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.0%
37% better than State average

State average: 1.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.9%
35% worse than State average

State average: 5.9%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 11.8%
21% better than State average

State average: 14.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 22.0%
71% worse than State average

State average: 12.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 93.2%
In line with State average

State average: 91.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93.0%
In line with State average

State average: 94.0%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 44.2%
41% worse than State average

State average: 74.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 36.9%
50% worse than State average

State average: 73.6%

Breakdown by payment type

Medicare

3% of new residents, usually for short-term rehab.

Typical stay 4 - 5 months

Private pay

7% of new residents, often for short stays.

Typical stay 10 - 11 months

Medicaid

90% of new residents, often for long-term daily care.

Typical stay 5 - 6 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 176
Medicare
19
10.8% of residents
Medicaid
149
84.7% of residents
Private pay or other
8
4.5% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 01/2024.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$22.5M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.4M
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$22.5M Rank #45 / 89Revenue — State benchmarkedThis home is ranked 45th out of 89 homes in Virginia. Shows this facility's annual revenue compared to the Virginia average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$1.4M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$862.2K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #31 / 89Payroll — State benchmarkedThis home is ranked 31st out of 89 homes in Virginia. Shows total annual staff payroll benchmarked to the Virginia average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$10.7M 47.6% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #22 / 89Payroll % — State benchmarkedThis home is ranked 22nd out of 89 homes in Virginia. Shows payroll as a percentage of revenue versus the Virginia average. Well-run Virginia facilities typically land around 51–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$13.1M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$23.9M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (90% of admissions), and a typical Medicaid stay runs around 5 - 6 months.

Admissions
398 total

Coverage residents most often arrive under.

Medicare 3%
Private pay 7%
Medicaid 90%
Discharges
397 total

Coverage residents most often leave under.

Medicare 3%
Private pay 7%
Medicaid 90%

Places of interest near Lakeside ALF Operations, LLC

Address 2125 Hilliard Road, Henrico, VA 23228

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Frequently Asked Questions about Lakeside ALF Operations, LLC

Is Lakeside ALF Operations, LLC in a walkable area?

Lakeside ALF Operations, LLC has a walk score of 34. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

When does Lakeside ALF Operations, LLC's license expire?

According to VA state health department records, Lakeside ALF Operations, LLC's license expires on July 31, 2027.

What is the occupancy rate at Lakeside ALF Operations, LLC?

Lakeside ALF Operations, LLC's occupancy is 24%.

Does Lakeside ALF Operations, LLC operate as a for-profit or non-profit?

Lakeside ALF Operations, LLC is registered as a for-profit in VA.

Who is the administrator of Lakeside ALF Operations, LLC?

Nyema Jackson is the administrator of Lakeside ALF Operations, LLC.

How many beds does Lakeside ALF Operations, LLC have?

Lakeside ALF Operations, LLC has 70 beds.

Has Lakeside ALF Operations, LLC had any recent deficiencies?

Lakeside ALF Operations, LLC has had 8 recently reported deficiencies.

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