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Elizabeth House Assisted Living
Nursing Home & Assisted Living · Glen Allen, 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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Elizabeth House Assisted Living

Nursing Home & Assisted Living · Glen Allen, 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.
3590 Mountain Road, Glen Allen, VA 23060 View map Calculator: See prices in your area
Elizabeth House Assisted Living accepts Medicare, Medicaid, and private pay.
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Elizabeth House Assisted Living accepts Medicare, Medicaid, and private pay.

Overview of Elizabeth House Assisted Living

Elizabeth House Assisted Living is an assisted living community located in Glen Allen, VA. It offers 24-hour personalized support and assistance, delicious meals, and various therapeutic activities. The facility accommodates up to 60 residents and provides nearby skilled nursing and rehabilitation services.
Facility Direct Line (804) 672-7580
Facility Direct Line (804) 672-7580 info@elizabethhousealf.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 18m per day
Rank #64 / 89Nurse hours — State benchmarkedThis home is ranked 64th out of 89 homes in Virginia. Shows adjusted nurse hours per resident per day benchmarked to the Virginia average, with a ranking across 89 Virginia facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.
vs avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 18m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 57m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 2h 11m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 3h 6m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 3m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 10m per day

Capacity and availability

Avg. Length of Stay
261 days
Bed community size
60-bed community Rank #273 / 371Bed count — State benchmarkedThis home is ranked 273rd out of 371 homes in Virginia. Shows this facility's certified or reported bed count compared to other Virginia facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.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.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 34 / 100 Rank #271 / 449Walk Score — State benchmarkedThis home is ranked 271st out of 449 homes in Virginia. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Virginia facilities. Higher scores benefit residents, families, and staff.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.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
80%
Rank #113 / 314Occupancy rate — State benchmarkedThis home is ranked 113th out of 314 homes in Virginia. Shows this facility's occupancy rate versus the Virginia average, with its Statewide rank out of 314. Higher occupancy signals strong local demand and financial stability.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.
Lower than the Virginia average: 85.7%
Occupied beds
48 / 60
Average occupied beds in Virginia homes 98 beds

License Details

Facility TypeAssisted Living Facility
StatusActive
ExpirationJune 30, 2026 Expires in 4 days

Ownership & Operating Entity

Elizabeth House Assisted Living is administered by William Hager.

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

2 services
Licensed Nurses/CNAs
24-Hour Staffing

Amenities & Lifestyle

Specific Programs24-hour assistance and support, delicious meals, daily snacks, dressing and grooming, housekeeping and laundry services, facility outings, multi-faith religious services, skilled nursing and rehabilitation services
Religious Services

Pricing & Financial Information

Starting Price$2,835 per month
Starting Price$4,095 per month
Starting Price$4,375.50 per month
Starting Price$4,725 per month
Entry Fee$1,000

Contact Elizabeth House Assisted Living

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 2022 · 4 years of data 7 complaints 16 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 2022 vs. Virginia state average
Overall vs. VA average 1 Worse Metrics worse than Virginia average:
• Total inspections (14% above) 2 At Avg Metrics at Virginia average:
• Total complaints (at VA avg)
• Complaints per year (at VA avg) 2 Better Metrics better than Virginia average:
• Inspections with violations (44% below)
• Inspection violation rate (52% below)

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. 1614 This facility has 14% more total inspections than a typical Virginia assisted living residence (16 vs. VA avg 14).↑ 14% worse
Inspections with violations Info Inspections that uncovered at least one regulatory violation. 59 This facility has 44% fewer inspections with violations than a typical Virginia assisted living residence (5 vs. VA avg 9).↓ 44% better
Inspection violation rate Info Percentage of inspections that resulted in at least one violation. 31%64% This facility has 33 percentage points lower inspection violation rate than a typical Virginia assisted living residence (31% vs. VA avg 64%).↓ 33% 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. 77 This facility has total complaints in line with the Virginia average (7 vs. VA avg 7).— At avg
Complaints per year Info Average complaints per year since 2022. 1.81.8 This facility has complaints per year in line with the Virginia average (1.8 vs. VA avg 1.8).— At avg
Show Inspection Reports

Health Inspection History

Inspections since 2022
Total health inspections 7

State average N/A

Last Health inspection on Oct 2025

Total health citations
93 Rank #86 / 90Health citations — State benchmarkedThis home is ranked 86th 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
13.29 Rank #71 / 90Citations per inspection — State benchmarkedThis home is ranked 71st 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.

71 of 93 citations resulted from standard inspections; and 22 of 93 resulted from complaint investigations.

Breakdown of citation severity (last 4 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
90 moderate citations State average: N/A
2 minor citations State average: N/A
Citations history (last 4 years)
Abuse/Neglect moderate citation Oct 30, 2025
Infection Control moderate citation Oct 30, 2025
Pharmacy moderate citation Oct 30, 2025
Pharmacy moderate citation Oct 30, 2025

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

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

Total staff 180
Employees 106
Contractors 74
Staff to resident ratio 1.28 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 66
Average shift 9.4 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 56,834

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 10 total: 9 full-time employees and 1 contractor. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 25 LPN Staff are full-time employees. No contractors work on this role. 25
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 103 total: 56 full-time employees and 47 contractors. 103
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.3 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

18%

10,243 contractor hours this quarter

Certified Nursing Assistant: 47 Respiratory Therapy Technician: 4 Feeding Assistant: 3 Physical Therapy Assistant: 3 RN Director of Nursing: 3 Physical Therapy Aide: 3 Speech Language Pathologist: 3 Qualified Social Worker: 2 Clinical Nurse Specialist: 1 Registered Nurse: 1 Nurse Practitioner: 1 Medical Director: 1 Occupational Therapy Assistant: 1 Occupational Therapist: 1

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 Assistant564710330,10692100%10.3
Licensed Practical Nurse2502511,70492100%10
Registered Nurse91102,80192100%8.9
RN Director of Nursing4371,8307278%9
Physical Therapy Aide0331,2937480%6.9
Speech Language Pathologist0331,2489199%6.5
Medication Aide/Technician2021,2308997%9
Other Dietary Services Staff2021,04992100%7.7
Physical Therapy Assistant0331,0397177%6.2
Clinical Nurse Specialist4159196267%7.6
Respiratory Therapy Technician0447767076%6.5
Nurse Practitioner1125146470%7.9
Administrator1015046368%8
Dental Services Staff1015046267%8.1
Qualified Social Worker0224886874%7.2
Dietitian1014455863%7.7
Feeding Assistant0333064549%4.9
Medical Director0114289%5.3
Occupational Therapy Assistant0112433%7.8
Occupational Therapist0111211%12
103 Certified Nursing Assistant
% of Days 100%
25 Licensed Practical Nurse
% of Days 100%
10 Registered Nurse
% of Days 100%
7 RN Director of Nursing
% of Days 78%
3 Physical Therapy Aide
% of Days 80%
3 Speech Language Pathologist
% of Days 99%
2 Medication Aide/Technician
% of Days 97%
2 Other Dietary Services Staff
% of Days 100%
3 Physical Therapy Assistant
% of Days 77%
5 Clinical Nurse Specialist
% of Days 67%
4 Respiratory Therapy Technician
% of Days 76%
2 Nurse Practitioner
% of Days 70%
1 Administrator
% of Days 68%
1 Dental Services Staff
% of Days 67%
2 Qualified Social Worker
% of Days 74%
1 Dietitian
% of Days 63%
3 Feeding Assistant
% of Days 49%
1 Medical Director
% of Days 9%
1 Occupational Therapy Assistant
% of Days 3%
1 Occupational Therapist
% of Days 1%
View All Staffing Data

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. 11.6
14% worse 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. 24.5
24% worse 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 19.1%
13% worse than State average

State average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 22.0%
11% worse 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 32.4%
43% 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 2.4%
35% 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 6.6%
22% worse than State average

State average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.5%
67% 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 8.5%
43% better than State average

State average: 14.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 16.8%
31% worse than State average

State average: 12.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.9%
5% better than State average

State average: 91.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.4%
6% better than 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 64.0%
15% worse than State average

State average: 74.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 2.5%
105% worse than State average

State average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 71.7%
In line with State average

State average: 73.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

13% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

11% of new residents, often for short stays.

Typical stay 1 - 2 years

Medicaid

76% of new residents, often for long-term daily care.

Typical stay 1 years

Facility Characteristics

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

Total residents 141
Medicare
3
2.1% of residents
Medicaid
121
85.8% of residents
Private pay or other
17
12.1% 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.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
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."
$15.8M
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."
-$580.2K
For-profit Corporation
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."
$15.8M Rank #52 / 89Revenue — State benchmarkedThis home is ranked 52nd 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."
-$580.2K
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.
$301.4K
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 #44 / 89Payroll — State benchmarkedThis home is ranked 44th 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.
$7.8M 49.5% 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 #46 / 89Payroll % — State benchmarkedThis home is ranked 46th 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).
$8.6M
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).
$16.4M
How we calculate these figures

This home is administered by William Hager.

This home is owned by Kenneth Byers

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 495299

Show certification details

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 (76% of admissions), and a typical Medicaid stay runs around 1 years.

Admissions
133 total

Coverage residents most often arrive under.

Medicare 13%
Private pay 11%
Medicaid 76%
Discharges
202 total

Coverage residents most often leave under.

Medicare 8%
Private pay 12%
Medicaid 80%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Elizabeth House Assisted Living

Address 1.2 miles from city center Info Estimated distance in miles from Glen Allen's city center to Elizabeth House Assisted Living's address, calculated via Google Maps.

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Address

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The information below is reported by the Virginia Department of Social Services and Department of Health.

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Frequently Asked Questions about Elizabeth House Assisted Living

Is Elizabeth House Assisted Living in a walkable area?

Elizabeth House Assisted Living has a walk score of 34. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

When does Elizabeth House Assisted Living's license expire?

According to VA state health department records, Elizabeth House Assisted Living's license expires on June 30, 2026.

What is the occupancy rate at Elizabeth House Assisted Living?

Elizabeth House Assisted Living's occupancy is 80%.

Does Elizabeth House Assisted Living operate as a for-profit or non-profit?

Elizabeth House Assisted Living is registered as a for-profit in VA.

Who is the administrator of Elizabeth House Assisted Living?

William Hager is the administrator of Elizabeth House Assisted Living.

How many beds does Elizabeth House Assisted Living have?

Elizabeth House Assisted Living has 60 beds.

Has Elizabeth House Assisted Living had any recent deficiencies?

Elizabeth House Assisted Living has had 16 recently reported deficiencies.

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