Best Nursing Homes in Richmond, VA

Why trust this guide? Our editorial team analyzed 7 nursing homes in Richmond, VA using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in VA
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Last updated
We analyzed These are the facilities in Richmond, VA our team has analyzed — not a count of every nursing home provider in Richmond, VA.
7 homes
Other senior care options in Richmond:
Avg Overall CMS Rating: 2.5/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Richmond, VA. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 2.0/ 5The average Staffing Rating across all CMS-certified nursing homes in Richmond, VA. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.5/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Richmond, VA. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Richmond (Metro Area)

Info below is compiled from CMS reports & the VA Depts. of Social Services & Health, senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Virginia average is: 76.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Our Lady of Hope Health Center
NH
AL
MC
SNF
Richmond
97
Facility 97
VA AVG 96
Rank #160 / 365
69.1%
Facility 69.1%
VA AVG 71%
Rank #172 / 293
-3%
4.08
Facility 4.08
VA AVG 3.74
Rank #32 / 70
-59%+9%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 74
31
Facility 31
VA AVG 38.4
Rank #40 / 69
6.2
Facility 6.2
VA AVG 8.9
Rank #28 / 69
-67-
27
Facility 27
VA AVG 45
Rank #325 / 434
Francis Dilorenzo
$18.7MFiscal year ending 06/2024
Facility $18.7MFiscal year ending 06/2024
VA AVG $19.9M
Rank #34 / 69
$8.4MFiscal year ending 06/2024
Facility $8.4MFiscal year ending 06/2024
VA AVG $11.3M
Rank #38 / 69
45%Fiscal year ending 06/2024
Facility 45%Fiscal year ending 06/2024
VA AVG 76.3%
Rank #53 / 69
495311
Lakewood Retirement
NH
AL
IL
MC
SNF
Richmond (Henrico)
74
Facility 74
VA AVG 96
Rank #231 / 365
71.6%
Facility 71.6%
VA AVG 71%
Rank #152 / 293
+1%
5.35
Facility 5.35
VA AVG 3.74
Rank #19 / 70
-48%+43%
$0
Facility $0
VA AVG $54.3k
Rank #1 / 74
22
Facility 22
VA AVG 38.4
Rank #30 / 69
7.3
Facility 7.3
VA AVG 8.9
Rank #34 / 69
153-
8
Facility 8
VA AVG 45
Rank #412 / 434
Heather Rusnak
$39.0MFiscal year ending 12/2023
Facility $39.0MFiscal year ending 12/2023
VA AVG $19.9M
Rank #4 / 69
$15.3MFiscal year ending 12/2023
Facility $15.3MFiscal year ending 12/2023
VA AVG $11.3M
Rank #17 / 69
39.3%Fiscal year ending 12/2023
Facility 39.3%Fiscal year ending 12/2023
VA AVG 76.3%
Rank #63 / 69
495403
Southampton Rehabilitation and Healthcare Center
NH
HOS
PC
RC
SNF
Richmond (Oxford)
195
Facility 195
VA AVG 96
Rank #21 / 365
93.1%
Facility 93.1%
VA AVG 71%
Rank #33 / 293
+31%
2.36
Facility 2.36
VA AVG 3.74
Rank #70 / 70
-5%-37%
$39.0k
Facility $39.0k
VA AVG $54.3k
Rank #71 / 74
51
Facility 51
VA AVG 38.4
Rank #57 / 69
8.5
Facility 8.5
VA AVG 8.9
Rank #40 / 69
2182-
55
Facility 55
VA AVG 45
Rank #149 / 434
Raven Powell
$21.8MFiscal year ending 06/2024
Facility $21.8MFiscal year ending 06/2024
VA AVG $19.9M
Rank #31 / 69
$8.1MFiscal year ending 06/2024
Facility $8.1MFiscal year ending 06/2024
VA AVG $11.3M
Rank #40 / 69
37.3%Fiscal year ending 06/2024
Facility 37.3%Fiscal year ending 06/2024
VA AVG 76.3%
Rank #68 / 69
495423
Westport Rehabilitation and Nursing Center
NH
SNF
Richmond
225
Facility 225
VA AVG 96
Rank #9 / 365
94.9%
Facility 94.9%
VA AVG 71%
Rank #22 / 293
+34%
2.89
Facility 2.89
VA AVG 3.74
Rank #63 / 70
-21%-23%
$63.7k
Facility $63.7k
VA AVG $54.3k
Rank #72 / 74
139
Facility 139
VA AVG 38.4
Rank #69 / 69
10.7
Facility 10.7
VA AVG 8.9
Rank #46 / 69
3214-
28
Facility 28
VA AVG 45
Rank #319 / 434
-
$31.6MFiscal year ending 03/2024
Facility $31.6MFiscal year ending 03/2024
VA AVG $19.9M
Rank #11 / 69
$16.5MFiscal year ending 03/2024
Facility $16.5MFiscal year ending 03/2024
VA AVG $11.3M
Rank #14 / 69
52.2%Fiscal year ending 03/2024
Facility 52.2%Fiscal year ending 03/2024
VA AVG 76.3%
Rank #27 / 69
495227

Rank badges are statewide: each community is ranked against every VA community we track that reports that metric, not just the 7 analyzed for Richmond.

Overview of Our Lady of Hope Health Center

Our Lady of Hope Health Center has been running on Richmond’s outer edge since 1996. The 97-bed campus at 13700 N Gayton Rd covers nursing home, assisted living, and memory care under one roof, in a car-dependent neighborhood 13.5 miles from the city center (Walk Score 27). Assisted Living Administrator Annemarie Neville, RN, BSN, LNHA, leads the operation.

The facility runs at 69% occupancy, with 67 of 97 beds filled and an average stay of 72 days. That length of stay is the most clarifying data point: it marks this as a primarily short-stay, post-acute setting. Skilled rehabilitation services are confirmed on-site, consistent with a facility oriented around recovery and discharge rather than permanent placement.

Nursing coverage totals 4 hours per resident per day. LPN/LVN staff account for 1 hour 20 minutes of that; nurse aides carry 2 hours 18 minutes; registered nurses add 29 minutes. An Active Resident Council meets regularly, giving residents an organized channel for input on policies and daily operations.

State inspections have centered on care planning and documentation, resident rights and protections, and fall and injury prevention. Medicare and private pay are accepted.

This is a short-stay rehabilitation community first, with the additional reach of assisted living and memory care for residents who need a longer-term home. Families navigating post-acute discharge from a Richmond-area hospital will find the most direct fit here.

Contact Our Lady of Hope Health Center

Overview of Lakewood Retirement

Lakewood Retirement is an esteemed retirement community located in the lively West End of Richmond. Their priority is to ensure residents enjoy a top-quality lifestyle, with generously-sized and well-appointed living spaces such as apartments and cottages that provide ultimate comfort and relaxation. Residents in the community have easy access to popular destinations like Colonial Williamsburg, Virginia Beach, and Washington, D.C. Lakewood’s location is ideal for those seeking an active and diverse lifestyle.

Lakewood Retirement offers independent living residents access to amenities such as chef-prepared meals, housekeeping, transportation, and activities promoting physical and mental well-being. Healthcare services include on-site nursing staff 24/7, medication management, assistance with daily activities, and therapy. An on-site physician provides medical care, while staff work closely with residents and families to meet their personalized healthcare needs. It’s worth noting that their calendar is always buzzing with exciting activities that aim to enhance the lives of their residents and keep them in the loop. These activities consist of intriguing live entertainment, educational presentations, and lively seasonal celebrations, all aimed at adding value to the residents’ lives. By keeping them informed and engaged, these events provide a sense of community and connectedness.

Contact Lakewood Retirement

Overview of Southampton Rehabilitation and Healthcare Center

Located on Forest Hill Avenue in Richmond, Virginia, the Southampton Rehabilitation and Healthcare Center offers a variety of services including skilled nursing care, specialized orthopedic rehabilitation, memory care, and wound care. With a total of 196 beds, the center provides 24/7 skilled nursing services to ensure the well-being of its residents.
In addition to its medical services, the center also provides a variety of amenities to enhance each senior’s comfort and quality of life. These include housekeeping and laundry services, local trips and outings, cozy lounges, enclosed patios, fine dining options, WiFi, a salon and barber shop, and concierge services. At Southampton Rehabilitation and Healthcare Center, seniors can feel at ease knowing they are receiving utmost attention and support.

Contact Southampton Rehabilitation and Healthcare Center

Overview of Westport Rehabilitation and Nursing Center

Westport Rehabilitation and Nursing Center in Richmond, Virginia is dedicated to providing patient-focused care that is proactive and tailored to the unique needs of each individual in their retirement years. They have established strong partnerships with local hospitals and physicians to ensure comprehensive and coordinated care for seniors. They mainly offer a wide range of services, including short-term rehabilitation, long-term care, respite care, and room care service. With an array of therapies available, including wound care, IV therapy, occupational therapy, physical therapy, and speech therapy, Westport Rehabilitation and Nursing Center is definitely at the top of their game.
In addition to their medical services, the center also places importance on social, recreational, and religious activities, recognizing the importance of holistic care. They offer round-the-clock admissions, and accept various insurance plans such as Virginia Premier, Tricare, Humana, and more, making their services accessible to a wide range of patients. Westport Rehabilitation and Nursing Center is unquestionably committed to a warm and supportive environment for their residents, with a focus on enhancing their overall well-being.

To ensure effective communication, the home provides sign language and oral interpreters for seniors at no additional cost. They also offer specialized programs for cardiac patients, orthopedic patients, and those requiring long-term care. With a dedicated therapy team and advanced amenities like the AntiGravity treadmill, dynamic stair trainer, CyberCycles, and swallowing stimulation therapy, Parham Healthcare and Rehabilitation Center is committed to delivering top-quality care. In addition to their medical services, the center also places emphasis on providing a delightful dining experience, with nutritious and delicious meals that contribute to the overall well-being of residents.

Contact Westport Rehabilitation and Nursing Center

Overview of The Virginia Home

In 1894, the quaint sanctuary of The Virginia Home opened its doors. Over time, this establishment grew as a renowned symbol of professional nursing care for residents with irreversible disabilities within the community. The home provides top-notch care, from advanced therapies to daily living assistance. Trustworthiness is at the heart of their ethos, creating an environment where residents can feel safe and supported. Their private rooms offer a sense of dignity, while a wide range of services, including round-the-clock nursing care, nutrition services, and housekeeping, add to the convenience and comfort of the home. Their latest technologies, such as state-of-the-art voice output machines, empower residents to express themselves freely.
They feature diverse programs and activities as well. From aquatics and adaptive sports to music therapy, adaptive gardening, arts and crafts, cooking classes, and even special Olympics, residents always have something to engage in. Led by an esteemed executive chef, the dining experience in the community is also immaculate. Seasonal and specialty meals are crafted day in, and day out. The Virginia Home also extends  its warm hospitality to guests, with a guest house for accommodations, ensuring that loved ones could stay close to their family members.

Contact The Virginia Home

Overview of Shalom Gardens Senior Living

Shalom Gardens Senior Living is a senior care community in Richmond, Virginia, offering assisted living, memory care, skilled nursing, and long-term care services. Opened in late 2023, the community is a newer option in the Richmond market and is administered by Brigitta Lewis. The community has 71 licensed beds and is currently operating at approximately 44% occupancy, suggesting open availability for interested families.

For a newly established community, the community’s inspection history is relatively strong, with four inspections, which concluded with zero violations. The most recent inspection on May 12, 2025, confirmed full compliance with all applicable standards. An earlier monitoring visit in March 2024 also reported no issues, and a complaint investigation in October 2024 did not substantiate any concerns. There have been no fines, enforcement actions, or licensing issues, reflecting a consistent record of compliance since operations began.

The community’s clinical model is centered on continuous access to care, with 24-hour on-site nursing serving as a key differentiator for those who require consistent medical oversight. Services also include nursing care, skilled nursing, 24-hour staffing, rehabilitation support, respite care, and emergency response systems, while amenities include medication management, salon and personal care services, and a range of wellness programs and activities. Operating 24/7, the community supports residents with higher acuity needs who may require care at any time.

Shalom Gardens Senior Living is a practical option for older adults in Richmond seeking a higher level of care, particularly those requiring skilled nursing or continuous medical oversight alongside memory care or long-term support, in a newer community with a clean and consistent regulatory record.

Contact Shalom Gardens Senior Living

Overview of Mahova Your Masonic Community

Mahova Your Masonic Community sits on a 90-acre gated campus in Richmond, Virginia, and traces back to 1890. It is home to 220 residents today. Membership is open to qualified Masons age 65 and up, their spouses, or widows over 62, and Virginia Masons sometimes need local lodge affiliation to join.

This is independent living, plain and simple; residents here live on their own, without help from staff for daily activities. The gated setting adds a layer of safety, and the campus itself gives Masons and their families a shared space built around connection.

Community life has real texture to it: live music performances bring people together, and an on-site workshop gives residents a place for woodworking and art projects. A community garden offers something to tend and grow, and movie nights turn into a regular social gathering on the calendar.

Getting around by foot only goes so far here. Walk Score lands at 33, somewhat walkable, so most errands and outings mean getting in a car. Hospitals, pharmacies, dining, shopping, and parks are all a drive away rather than a walk.

MAHOVA is a fit for Masons and their spouses or widows who want independence inside a historic, gated community. Ninety acres, a workshop, a garden, and a steady social calendar give residents room to build a life centered on fellowship and shared history.

Contact MAHOVA Your Masonic Community

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Frequently Asked Questions about Nursing Homes in Richmond, VA

What's the difference between assisted living and a nursing home in Virginia?

Assisted living in Virginia is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Virginia Medicaid cover nursing home care?

Yes — Virginia Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 7 nursing homes in Richmond, VA. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Richmond, VA?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Richmond, VA, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Richmond, VA?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.