Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
296
207 employees · 89 contractors · 89 on an average day Lakeside ALF Operations, LLC
Nursing Home, Hospice Care, Memory Care & Skilled Nursing · Henrico, VA
ALM Inspection Grade
B-
ALM's inspection grade is 81 / 100, a B- — a combined grade: its CMS-certified nursing-home beds and its state-licensed beds, weighted by bed count · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 81 / 100, a B- — a combined grade: its CMS-certified nursing-home beds and its state-licensed beds, weighted by bed count · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
2/5
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.
2/5
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
Nursing Home, Hospice Care, Memory Care & Skilled Nursing · Henrico, VA
ALM Inspection Grade
B-
ALM's inspection grade is 81 / 100, a B- — a combined grade: its CMS-certified nursing-home beds and its state-licensed beds, weighted by bed count · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 81 / 100, a B- — a combined grade: its CMS-certified nursing-home beds and its state-licensed beds, weighted by bed count · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
2/5
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.
2/5
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 accepts Medicare, Medicaid, and private pay.
Overview of Lakeside ALF Operations
Plenty of families arrive at Lakeside ALF Operations needing two things answered at once: a parent’s memory is failing and their medical needs have outgrown what a household can manage. The Henrico, Virginia, community handles both, pairing supervised memory care with skilled nursing available around the clock.
Hospice care supports residents receiving end-of-life care. Short-term rehabilitation covers the other end, a temporary stay for someone rebuilding after a hospital admission.
Seventeen residents live in a 70-bed building, which means staff attention is not being rationed. Nursing time comes to 3 hours and 13 minutes per resident daily.
Medicare, Medicaid, and private pay all work here, depending on coverage or a direct payment arrangement. A salon, library, patio, recreation area, and transportation services round out what residents can reach.
At 34 out of 100, the walk score marks the area car-dependent, so errands mean a driver rather than a stroll. Nyema Jackson serves as the administrator.
Quality ratings
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.
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.
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.
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
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 54th out of 68 nursing homes we track in Virginia for nurse hours. 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 13m
This nursing home is ranked 54th out of 68 nursing homes we track in Virginia for nurse hours. 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 13m6 of 6 metrics below Virginia average
Daily care time per resident, by role
Registered nurse (RN)
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. 27 total: 14 of the facility's own employees and 13 agency contractors.
27 staff · 7.7-hour shifts
23m
↓ 45% · VA 42mThis facility: 23m per resident per day, 45% below the Virginia average of 42m (among Virginia facilities reporting a recent figure).
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. 27 total: 14 of the facility's own employees and 13 agency contractors.
27 staff · 7.7-hour shiftsUS average: 42m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 42m
LPN / LVN
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. 56 total: 38 of the facility's own employees and 18 agency contractors.
56 staff · 8.3-hour shifts
58m
↓ 4% · VA 1h 0mThis facility: 58m per resident per day, 4% below the Virginia average of 1h 0m (among Virginia facilities reporting a recent figure).
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. 56 total: 38 of the facility's own employees and 18 agency contractors.
56 staff · 8.3-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. 156 total: 98 of the facility's own employees and 58 agency contractors.
156 staff · 7.7-hour shifts
1h 53m
↓ 11% · VA 2h 6mThis facility: 1h 53m per resident per day, 11% below the Virginia average of 2h 6m (among Virginia facilities reporting a recent figure).
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. 156 total: 98 of the facility's own employees and 58 agency contractors.
156 staff · 7.7-hour shiftsUS average: 2h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 26m
Physical therapist
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.
5m
↓ 10% · VA 5mThis facility: 5m per resident per day, 10% below the Virginia average of 5m (among Virginia facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
2h 55m
↓ 11% · VA 3h 17mThis facility: 2h 55m per resident per day, 11% below the Virginia average of 3h 17m (among Virginia facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 32m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 32m
RN, weekends
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.
Sat–Sun
10m
↓ 66% · VA 29mThis facility: 10m per resident per day, 66% below the Virginia average of 29m (among Virginia facilities reporting a recent figure).
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.
Sat–SunUS average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
296
207 employees · 89 contractors · 89 on an average day
296 total staff / 176 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.68 : 1
↑ 2% · VA 1.66This facility: 1.68 staff per resident, 2% above the Virginia average of 1.66 (among Virginia facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
296 staff ÷ 176 residents
See full Virginia ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.7 h
↓ 4% · VA 8 hThis facility: 7.7 h, 4% below the Virginia average of 8 h (among Virginia facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
62,643 staff hours this quarter
See full Virginia ranking →95.4% of staff hours were worked by the facility's own employees
Virginia average: 91.5% · Contractors this quarter: Certified Nursing Assistant (58), Licensed Practical Nurse (18), Registered Nurse (13)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A large-scale community that may provide a wide range of amenities, services, and structured programs.
264
Rank #6 / 74Bed count — State benchmarked This nursing home is ranked 6th out of 74 nursing homes we track in Virginia for bed count. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A large-scale community that may provide a wide range of amenities, services, and structured programs.
264
Rank #6 / 74Bed count — State benchmarked This nursing home is ranked 6th out of 74 nursing homes we track in Virginia for bed count. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.High-capacity home · May provide extensive amenities, services and programs.
194 nursing-home beds (CMS) + 70 state-licensed beds.
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #40 / 76Walk Score — State benchmarked This nursing home is ranked 40th out of 76 nursing homes we track in Virginia for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Virginia facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #40 / 76Walk Score — State benchmarked This nursing home is ranked 40th out of 76 nursing homes we track in Virginia for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Virginia facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
34
/ 100
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
188
Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
132
days
About This Community
StatusActive
ExpirationJuly 31, 2027
QualificationAssisted Living
Lakeside ALF Operations, LLC is administered by Sarah Blackard.
Resident Council
Short-Term Rehab
Transportation
Business Hours- ,
Pets not allowed
Recreation Area
Patio
Beauty Salon
Library
Pastoral Care
This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.
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.
ALM Inspection Grade
81 / 100
Combined grade: CMS inspection data for this community's nursing-home beds and
Virginia inspection data for its
state-licensed beds, weighted by bed count
How the two records combine
Nursing-home beds (CMS) · 73% of the grade
C+ · 77/100
1 point below the Virginia average for CMS-certified facilities (78/100).
194 certified beds, 73% of the grade. Graded with CMS-certified facilities on the national scale.
Citations
Concern
152 severity-weighted points (72 citations) · 2× higher than the typical CMS-certified VA facility (median: 79)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Typical
43 days to fix issues · slower than the typical CMS-certified VA facility (median: 41)
Virginia state-licensed beds · 27% of the grade
A- · 92/100
9 points above the Virginia average for state-licensed facilities (83/100).
70 licensed beds, 27% of the grade. Graded with Virginia state-licensed facilities on the Virginia scale.
Violations
Typical
1.4 violations per inspection (11 in 8 inspections) · 25% fewer than the typical state-licensed VA facility (median: 1.8)
Finding Frequency
Typical
50% of inspections found a violation · 15% fewer than the typical state-licensed VA facility (median: 59%)
Complaints
Strong
0 complaints · better than the typical state-licensed VA facility (median: 4)
How the final grade is calculated
B- · 81/100
77 × 73% + 92 × 27% = 81 / 100
The two grades are combined in proportion to the beds each record covers: 194 CMS-certified nursing-home beds (73%) and 70 Virginia state-licensed beds (27%). The result, 81 out of 100, is a B- on the same scale every ALM Inspection Grade uses.
Inspection Scorecard
This scorecard compares key inspection, violation, 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.
Overall vs. VA average
0 Worse
No metrics in this bucket.
5 Better
Metrics better than Virginia average:
• Total violations (69% below)
• Violations per inspection (36% below)
• Inspections with violations (56% below)
• Inspection violation rate (12% below)
• Total complaints (100% below)
• Total violations (69% below)
• Violations per inspection (36% below)
• Inspections with violations (56% below)
• Inspection violation rate (12% below)
• Total complaints (100% below)
Violations
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total violations
Formal regulatory issues recorded by inspectors across all inspection types.
| 11 | 36.0 | This facility has 69% fewer total violations than a typical Virginia nursing home (11 vs. VA avg 36).↓ 69% better |
|
Violations per inspection
Average violations per inspection.
| 1.4 | 2.2 | This facility has 36% fewer violations per inspection than a typical Virginia nursing home (1.4 vs. VA avg 2.2).↓ 36% better |
Inspections
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 8 | 16.0 | This facility has had 50% fewer total inspections than the Virginia average (8 vs. VA avg 16). More inspections can mean more regulatory scrutiny rather than worse care.↓ 50% fewer |
|
Inspections with violations
Inspections that uncovered at least one regulatory violation.
| 4 | 9.0 | This facility has 56% fewer inspections with violations than a typical Virginia nursing home (4 vs. VA avg 9).↓ 56% better |
|
Inspection violation rate
Percentage of inspections that resulted in at least one violation.
| 50% | 57% | This facility has 7 percentage points lower inspection violation rate than a typical Virginia nursing home (50% vs. VA avg 57%).↓ 7% better |
Complaints & Investigations
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 0 | 6.0 | This facility has 100% fewer total complaints than a typical Virginia nursing home (0 vs. VA avg 6).↓ 100% better |
CMS Health Inspection History
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
Total health inspections
4
↓ 2% · VA 4.1This facility: 4, 2% below the VA average of 4.1 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
72
Rank #63 / 68Health citations — State benchmarked This nursing home is ranked 63rd out of 68 nursing homes we track in Virginia for health citations. Shows this facility's total health deficiency citations benchmarked to the Virginia State average, with a ranking across all 68 VA facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 86% · VA 38.7This facility: 72, 86% above the VA average of 38.7 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
18
Rank #66 / 68Citations per inspection — State benchmarked This nursing home is ranked 66th out of 68 nursing homes we track in Virginia for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Virginia mean across 68 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 97% · VA 9.15This facility: 18, 97% above the VA average of 9.15 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
72 of 72 citations corrected
Critical
J–L
0
↓ 100% · VA 0.5This facility: 0, 100% below the VA average of 0.5 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
1
≈ 0% · VA 1This facility: 1, level with the VA average of 1 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
70
↑ 91% · VA 36.6This facility: 70, 91% above the VA average of 36.6 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
1
↑ 43% · VA 0.7This facility: 1, 43% above the VA average of 0.7 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: Aug 01, 2024 · 6 citations, all corrected
Most cited category: Resident Rights, 19 of 72 citations · 10 categories in total
Citations history
Most recent first
Aug 01, 2024
6 citations
Environmental moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Feb 28, 2024
15 citations
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
May 23, 2022
27 citations
Infection Control serious citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
May 02, 2019
2 citations
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Showing the 50 most recent of 72 citations.
Top deficiency categories
Share of 72 citations
Resident Rights
19 deficiencies (26%)
Quality of Life & Care
17 deficiencies (24%)
Resident Assessment & Care Planning
12 deficiencies (17%)
Nutrition & Dietary
8 deficiencies (11%)
Administration
4 deficiencies (6%)
Pharmacy Services
4 deficiencies (6%)
Infection Control
3 deficiencies (4%)
Nursing & Physician Services
2 deficiencies (3%)
Environmental
2 deficiencies (3%)
Abuse, Neglect & Exploitation
1 deficiency (1%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
51 of 72 citations resulted from standard inspections; 6 of 72 resulted from complaint investigations; and 15 of 72 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.
Enforcement
Penalties and fines
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 · Data as of Oct 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Oct 2023.
Total fines
$0
VA avg $62KVirginia average: $61,623. Average among the 110 Virginia facilities with a penalty on record.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.
Number of fines
0
VA avg 1.44Virginia average: 1.44. Average among the 110 Virginia facilities with a penalty on record.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
VA avg 0.11Virginia average: 0.11. Average among the 110 Virginia facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Virginia average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
6.1
Score · lower is better
↓ 26% · VA 8.3This facility: 6.1, 26% below the VA average of 8.3 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
13.0
Score · lower is better
↓ 22% · VA 16.7This facility: 13.0, 22% below the VA average of 16.7 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 6 better, 3 worse, 2 near VA average
3 short-stay measures: 2 better, 1 near VA average
Long-stay residents
People who live at the home · 11 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
9.1%
↓ 38% · VA 14.5This facility: 9.1, 38% below the VA average of 14.5 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
9.1%
↓ 38% · VA 14.5This facility: 9.1, 38% below the VA average of 14.5 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
7.1%
↓ 50% · VA 14.2This facility: 7.1, 50% below the VA average of 14.2 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
7.1%
↓ 50% · VA 14.2This facility: 7.1, 50% below the VA average of 14.2 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.0%
↑ 8% · VA 21.3This facility: 23.0, 8% above the VA average of 21.3 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.0%
↑ 8% · VA 21.3This facility: 23.0, 8% above the VA average of 21.3 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
1.3%
↓ 22% · VA 1.6This facility: 1.3, 22% below the VA average of 1.6 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
1.3%
↓ 22% · VA 1.6This facility: 1.3, 22% below the VA average of 1.6 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
↓ 42% · VA 3.5This facility: 2.0, 42% below the VA average of 3.5 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
↓ 42% · VA 3.5This facility: 2.0, 42% below the VA average of 3.5 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
3.1%
↓ 30% · VA 4.4This facility: 3.1, 30% below the VA average of 4.4 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
3.1%
↓ 30% · VA 4.4This facility: 3.1, 30% below the VA average of 4.4 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
9.4%
↑ 76% · VA 5.3This facility: 9.4, 76% above the VA average of 5.3 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
9.4%
↑ 76% · VA 5.3This facility: 9.4, 76% above the VA average of 5.3 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
13.3%
↓ 35% · VA 20.5This facility: 13.3, 35% below the VA average of 20.5 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
13.3%
↓ 35% · VA 20.5This facility: 13.3, 35% below the VA average of 20.5 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
23.7%
↑ 67% · VA 14.2This facility: 23.7, 67% above the VA average of 14.2 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
23.7%
↑ 67% · VA 14.2This facility: 23.7, 67% above the VA average of 14.2 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.2%
↑ 4% · VA 91.2This facility: 95.2, 4% above the VA average of 91.2 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.2%
↑ 4% · VA 91.2This facility: 95.2, 4% above the VA average of 91.2 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.0%
↑ 3% · VA 93.3This facility: 96.0, 3% above the VA average of 93.3 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.0%
↑ 3% · VA 93.3This facility: 96.0, 3% above the VA average of 93.3 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 3 measures
Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
↓ 23% · VA 1.3This facility: 1.0, 23% below the VA average of 1.3 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
↓ 23% · VA 1.3This facility: 1.0, 23% below the VA average of 1.3 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
72.5%
↓ 2% · VA 74.2This facility: 72.5, 2% below the VA average of 74.2 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
72.5%
↓ 2% · VA 74.2This facility: 72.5, 2% below the VA average of 74.2 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.7%
↑ 16% · VA 73.3This facility: 84.7, 16% above the VA average of 73.3 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.7%
↑ 16% · VA 73.3This facility: 84.7, 16% above the VA average of 73.3 (among VA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Lakeside ALF Operations, LLC’s finances from its CMS cost report for the fiscal year ending January 2025, compared with 68 Virginia nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Jan 2025
Is it financially stable?
Losing money on care, and more than last year
−11.6% operating margin
−5.5 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income ($1.0M) trims the net loss to −$1.6M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends less on payroll than most Virginia homes
43.7% payroll share of revenue
VA average 64.1%Rank #47 / 68Payroll % of net patient revenue — State benchmarked This nursing home is ranked 47th out of 68 nursing homes we track in Virginia for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Virginia average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll fell $0.9M while revenue fell $0.1M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2025 scorecard
Each row shows the FY 2025 figure, the change since the prior report, the trend, and how it compares with Virginia homes.
Revenue & profit
Losing money on care
| Metric | FY 2025 | vs prior year | Trend 2017 → 2025Trend | VA median | Compared with VA homesRank in VA | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $22.4M | −$0.1M | Trend 20172025 | VA median $21.0M | Rank in VA Rank #32 / 68Net patient revenue — State benchmarked This nursing home is ranked 32nd out of 68 nursing homes we track in Virginia for net patient revenue. Shows this facility's net patient revenue compared to the Virginia average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 54% of homes | Above VA median Higher net patient revenue than 54% of VA homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $25.0M | +$1.1M | Trend 20172025 | VA median $23.7M | Rank in VA Rank #31 / 68Operating expenses — State benchmarked This nursing home is ranked 31st out of 68 nursing homes we track in Virginia for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Virginia homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 55% of homes | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$2.6M | −$1.2M | Trend 20172025 | VA median −$0.1M | Rank in VA Rank #45 / 68Net patient income — State benchmarked This nursing home is ranked 45th out of 68 nursing homes we track in Virginia for net patient income. Shows net patient revenue minus operating expenses, compared with other Virginia homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 34% of homes | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −11.6% | −5.5 pts | Trend 20172025 | VA median −0.4% | Rank in VA Rank #47 / 68Operating margin — State benchmarked This nursing home is ranked 47th out of 68 nursing homes we track in Virginia for operating margin. Shows net patient income as a share of net patient revenue, compared with other Virginia homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 31% of homes | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $1.0M | — | Trend — | VA median $0.6M | Rank in VA Rank #31 / 67Other income — State benchmarked This nursing home is ranked 31st out of 67 nursing homes we track in Virginia for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Virginia homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 55% of homes | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$1.6M | −$1.1M | Trend — | VA median $1.7M | Rank in VA Rank #66 / 68Net income — State benchmarked This nursing home is ranked 66th out of 68 nursing homes we track in Virginia for net income. Shows the bottom line after other income, compared with other Virginia homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 3% of homes | Loss The bottom line is below zero even after other income. |
Staffing spend
Spends less of revenue on staff than most Virginia homes
| Metric | FY 2025 | vs prior year | Trend 2017 → 2025Trend | VA median | Compared with VA homesRank in VA | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $9.8M | −$0.9M | Trend 20172025 | VA median $9.6M | Rank in VA Rank #34 / 68Payroll costs — State benchmarked This nursing home is ranked 34th out of 68 nursing homes we track in Virginia for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Virginia average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 51% of homes | Above VA median Higher payroll than 51% of VA homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 43.7% | −3.9 pts | Trend 20172025 | VA median 49.2% | Rank in VA Rank #47 / 68Payroll % of net patient revenue — State benchmarked This nursing home is ranked 47th out of 68 nursing homes we track in Virginia for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Virginia average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Virginia that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 31% of homes | 20.4 pts under VA average The VA average is 64.1% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2025 2 charts · VA benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Virginia payroll average.
% of net patient revenue
Payroll share Operating margin VA payroll average No report
Year-by-year data, 2017–2025 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023no report | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $12.8M | $14.2M | $14.9M | $14.9M | $13.8M | $15.8M | $22.5M | $22.4M | |
| Operating expenses | $14.2M | $15.6M | $16.0M | $15.1M | $14.9M | $16.4M | $23.9M | $25.0M | |
| Net patient income | −$1.4M | −$1.3M | −$1.1M | −$0.2M | −$1.0M | −$0.7M | −$1.4M | −$2.6M | |
| Operating margin | −10.6% | −9.3% | −7.2% | −1.5% | −7.5% | −4.3% | −6.1% | −11.6% | |
| Net income | −$1.3M | −$1.3M | −$0.9M | $0.6M | −$0.4M | −$0.5M | −$0.5M | −$1.6M | |
| Payroll costs | $8.6M | $8.8M | $9.3M | $9.3M | $9.1M | $9.6M | $10.7M | $9.8M | |
| Payroll share of revenue | 66.9% | 61.9% | 62.6% | 62.5% | 65.5% | 61.0% | 47.6% | 43.7% | |
| Beds | 264 | 264 | 264 | 264 | 264 | 264 | 214 | 194 | |
| Gross revenue | $16.8M | $19.3M | $19.9M | $18.8M | $17.1M | $19.2M | $23.7M | $24.0M | |
| Salaries | $7.4M | $7.6M | $7.9M | $7.9M | $7.6M | $8.1M | $9.6M | $8.6M | |
| Wage-related costs | $1.1M | $1.2M | $1.4M | $1.5M | $1.5M | $1.6M | $1.2M | $1.2M | |
| Contract labor | $0.1M | $0.6M | $1.1M | $0.8M | $0.5M | $1.4M | $2.4M | $1.3M | |
| Other operating costs | $5.6M | $6.8M | $6.6M | $5.8M | $5.8M | $6.8M | $13.1M | $15.2M | |
| Net patient revenue per day | $201 | $213 | $218 | $230 | $254 | $253 | $331 | $350 | |
| Cost per day | $223 | $233 | $234 | $233 | $273 | $264 | $351 | $390 | |
| Average length of stay | 114.6 days | 97.0 days | 89.0 days | 112.2 days | 115.7 days | 107.8 days | 160.7 days | 132.4 days |
Showing 2025–2023 · scroll sideways for 6 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2025
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
472 admissions · FY2025
Residents admitted during the year.
Medicare
59 · 13%
Medicaid
189 · 40%
Private pay & other
224 · 47%
Resident snapshot
176 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
19 · 11%
Medicaid
149 · 85%
Private pay & other
8 · 5%
Leaving
480 discharges · FY2025
Residents discharged during the year.
Medicare
47 · 10%
Medicaid
252 · 53%
Private pay & other
181 · 38%
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Places of interest near Lakeside ALF Operations, LLC
2125 Hilliard Road, Henrico, VA 23228
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Compare Nursing Homes around the 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-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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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.
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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.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
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.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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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.
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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.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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: 64.1% 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.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Sunnyside Presbyterian Retirement Community | NH AL MC SNF | Harrisonburg | 175
Facility
175
VA AVG
148
Rank
#22 / 74 | A |
80.2%
Facility
80.2%
VA AVG
79.3%
Rank
#37 / 60 | +1% | 4.90
Facility
4.90
VA AVG
3.80
Rank
#22 / 68 | -42% | +29% | $0
Facility
$0
VA AVG
$61.6k
Rank
#1 / 71 | 5
Facility
5
VA AVG
38.7
Rank
#2 / 68 | 1.7
Facility
1.7
VA AVG
9.2
Rank
#1 / 68 | - | 73 | - |
88
Facility
88
VA AVG
41
Rank
#3 / 76 | Richard Morin | $10.5MFiscal year ending 12/2024
Facility
$10.5MFiscal year ending 12/2024
VA AVG
$22.5M
Rank
#59 / 68 | $14.6MFiscal year ending 12/2024
Facility
$14.6MFiscal year ending 12/2024
VA AVG
$12.2M
Rank
#20 / 68 | 138.8%Fiscal year ending 12/2024
Facility
138.8%Fiscal year ending 12/2024
VA AVG
64.1%
Rank
#3 / 68 | 495387 | ||||
| Goodwin House Bailey’s Crossroads | NH AL HC HOS IL MC PC SNF | Falls Church | 573
Facility
573
VA AVG
148
Rank
#1 / 74 | A |
60.8%
Facility
60.8%
VA AVG
79.3%
Rank
#48 / 60 | -23% | 5.95
Facility
5.95
VA AVG
3.80
Rank
#8 / 68 | +129% | +57% | $0
Facility
$0
VA AVG
$61.6k
Rank
#1 / 71 | 16
Facility
16
VA AVG
38.7
Rank
#21 / 68 | 5.3
Facility
5.3
VA AVG
9.2
Rank
#21 / 68 | - | 304 | - |
65
Facility
65
VA AVG
41
Rank
#12 / 76 | Donald Calloway | $49.8MFiscal year ending 09/2024
Facility
$49.8MFiscal year ending 09/2024
VA AVG
$22.5M
Rank
#3 / 68 | $31.1MFiscal year ending 09/2024
Facility
$31.1MFiscal year ending 09/2024
VA AVG
$12.2M
Rank
#2 / 68 | 62.6%Fiscal year ending 09/2024
Facility
62.6%Fiscal year ending 09/2024
VA AVG
64.1%
Rank
#15 / 68 | 495171 | ||||
| Brandermill Woods Healthcare Communities | NH AL CCRC IL MC SNF | Midlothian | 151
Facility
151
VA AVG
148
Rank
#30 / 74 | A |
60.4%
Facility
60.4%
VA AVG
79.3%
Rank
#50 / 60 | -24% | 5.52
Facility
5.52
VA AVG
3.80
Rank
#10 / 68 | -25% | +45% | $0
Facility
$0
VA AVG
$61.6k
Rank
#1 / 71 | 11
Facility
11
VA AVG
38.7
Rank
#4 / 68 | 3.7
Facility
3.7
VA AVG
9.2
Rank
#4 / 68 | - | 55 | - |
4
Facility
4
VA AVG
41
Rank
#74 / 76 | Frasier Brickhouse | $31.4MFiscal year ending 06/2025
Facility
$31.4MFiscal year ending 06/2025
VA AVG
$22.5M
Rank
#15 / 68 | $13.3MFiscal year ending 06/2025
Facility
$13.3MFiscal year ending 06/2025
VA AVG
$12.2M
Rank
#25 / 68 | 42.3%Fiscal year ending 06/2025
Facility
42.3%Fiscal year ending 06/2025
VA AVG
64.1%
Rank
#55 / 68 | 495183 | ||||
| Windsormeade Williamsburg, Pinnacle Living | NH AL IL SNF | Williamsburg | 54
Facility
54
VA AVG
148
Rank
#69 / 74 | A |
93.8%
Facility
93.8%
VA AVG
79.3%
Rank
#12 / 60 | +18% | 5.02
Facility
5.02
VA AVG
3.80
Rank
#20 / 68 | -21% | +32% | $0
Facility
$0
VA AVG
$61.6k
Rank
#1 / 71 | 12
Facility
12
VA AVG
38.7
Rank
#10 / 68 | 4.0
Facility
4.0
VA AVG
9.2
Rank
#10 / 68 | - | 30 | - |
80
Facility
80
VA AVG
41
Rank
#7 / 76 | Virginia United Methodist Homes Of Williamsburg, Inc | $24.6MFiscal year ending 05/2025
Facility
$24.6MFiscal year ending 05/2025
VA AVG
$22.5M
Rank
#28 / 68 | $10.3MFiscal year ending 05/2025
Facility
$10.3MFiscal year ending 05/2025
VA AVG
$12.2M
Rank
#33 / 68 | 41.9%Fiscal year ending 05/2025
Facility
41.9%Fiscal year ending 05/2025
VA AVG
64.1%
Rank
#56 / 68 | 495402 | ||||
| Lakeside ALF Operations, LLC | NH HOS MC SNF | Henrico | 264
Facility
264
VA AVG
148
Rank
#6 / 74 | B- | - | - | 3.22
Facility
3.22
VA AVG
3.80
Rank
#54 / 68 | -12% | -15% | $0
Facility
$0
VA AVG
$61.6k
Rank
#1 / 71 | 72
Facility
72
VA AVG
38.7
Rank
#63 / 68 | 18.0
Facility
18.0
VA AVG
9.2
Rank
#66 / 68 | 1 | 188 | - |
34
Facility
34
VA AVG
41
Rank
#40 / 76 | Joseph Catrambone | $22.4MFiscal year ending 01/2025
Facility
$22.4MFiscal year ending 01/2025
VA AVG
$22.5M
Rank
#32 / 68 | $9.8MFiscal year ending 01/2025
Facility
$9.8MFiscal year ending 01/2025
VA AVG
$12.2M
Rank
#34 / 68 | 43.7%Fiscal year ending 01/2025
Facility
43.7%Fiscal year ending 01/2025
VA AVG
64.1%
Rank
#47 / 68 | 495045 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other VA nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Know before you visit
Frequently Asked Questions about Lakeside ALF Operations, LLC
Quick answers from public records and the community's own listing.01 Is Lakeside ALF Operations, LLC in a walkable area?
Lakeside ALF Operations, LLC has a walk score of 34. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
02 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.
03 What is the occupancy rate at Lakeside ALF Operations, LLC?
Lakeside ALF Operations, LLC's occupancy is 88.7%.
04 Are pets allowed at Lakeside ALF Operations, LLC?
No, Lakeside ALF Operations, LLC has a no-pet policy.
05 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.
06 Who is the administrator of Lakeside ALF Operations, LLC?
Sarah Blackard is the administrator of Lakeside ALF Operations, LLC.
07 What is the overall rating for Lakeside ALF Operations, LLC?
Lakeside ALF Operations, LLC received a 2-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
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