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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.
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 is a licensed assisted living community managed by Nyema Jackson in Henrico, Virginia, providing a residential setting for long-term care, dementia services, and short-term rehabilitation. The community currently supports approximately 17 residents with a 70-bed capacity, which represents a low occupancy rate of about 24%. Since this is significantly below the Virginia state average of 85.7%, families searching for placement in the greater Richmond area will find immediate availability.
The regulatory record for this community reflects a positive trend in compliance and oversight, with a total of eight inspections, which is fewer than the state average of 14, and half of those visits resulted in violations. Over its entire history, the community has recorded 11 total deficiencies, a number notably lower than the Virginia average of 32. During the most recent inspection on June 4, 2025, only one deficiency was identified related to an unsigned and undated service plan, which was corrected immediately during the visit.
Maintenance needs, storage of hazardous materials, and documentation gaps have also been cited in previous inspections, yet two separate complaint investigations in 2023 and 2024 were found to be unsubstantiated. With no record of fines, license suspensions, or findings of immediate jeopardy, the community demonstrates a stable commitment to state standards.
A wide range of care services, including skilled nursing support and 24-hour staffing provided by licensed nurses and CNAs, are offered, along with an on-site rehabilitation gym, which assists those recovering from medical procedures or managing functional changes. Specialized programming is also available for those requiring dementia care. To ensure a comfortable lifestyle, the community includes amenities such as a library, a beauty and barber shop, pastoral support, and transportation services. Outdoor spaces like the patio garden and recreation area also provide opportunities for relaxation and social engagement in a supportive environment.
Lakeside Alf Operations, LLC is well-suited for older adults seeking a smaller, more intimate setting with consistent nursing oversight or memory care. Due to its modest resident population, families can expect a high level of personalized attention from the staff. With a combination of post-acute recovery support and cognitive care, this community is a compelling option for families in the Richmond area exploring senior care options.
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.
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.
This home is ranked 72nd out of 85 homes 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
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.
| 2h 52m per day | ▼ 12% State avg: 3h 16m per day · National avg: 3h 25m per day |
Lower than the Virginia average: 85.7%Lakeside ALF Operations, LLC is administrated by Nyema Jackson.
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.
This scorecard compares key inspection, citation, 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.
Deficiencies
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 78 | 32 | This facility has 144% more total deficiencies than a typical Virginia nursing home (78 vs. VA avg 32).↑ 144% worse |
|
Deficiencies per year
Average deficiencies per year since 2019.
| 11.1 | 4.6 | This facility has 141% more deficiencies per year than a typical Virginia nursing home (11.1 vs. VA avg 4.6).↑ 141% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 9.8 | 2.3 | This facility has 326% more deficiencies per inspection than a typical Virginia nursing home (9.8 vs. VA avg 2.3).↑ 326% worse |
Inspections
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 8 | 14 | This facility has 43% fewer total inspections than a typical Virginia nursing home (8 vs. VA avg 14).↓ 43% better |
|
Inspections with violations
Inspections that uncovered at least one regulatory violation.
| 4 | 9 | 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% | 64% | This facility has 14 percentage points lower inspection violation rate than a typical Virginia nursing home (50% vs. VA avg 64%).↓ 14% better |
Complaints & Investigations
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 2 | 7 | This facility has 71% fewer total complaints than a typical Virginia nursing home (2 vs. VA avg 7).↓ 71% better |
|
Complaints per year
Average complaints per year since 2019.
| 0.3 | 1 | This facility has 70% fewer complaints per year than a typical Virginia nursing home (0.3 vs. VA avg 1).↓ 70% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Virginia average 4.2
Last Health inspection on Aug 2024
Virginia average 38.4
Virginia average 8.93
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
52 of 73 citations resulted from standard inspections; 7 of 73 resulted from complaint investigations; and 14 of 73 came from combined inspections (standard and complaint).
100% better than Virginia averageVirginia average: 0.4
In line with Virginia averageVirginia average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
16% more staff per resident than Virginia average
0% compared with Virginia average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
23 total: 13 full-time employees and 10 contractors.
23
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursAssists with medical care and medications.
49 total: 40 full-time employees and 9 contractors.
49
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursHelps with daily care and mobility.
198 total: 79 full-time employees and 119 contractors.
198
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5,963 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 79 | 119 | 198 | 29,255 | 92 | 100% | 8 |
| Licensed Practical Nurse | 40 | 9 | 49 | 12,105 | 92 | 100% | 8.3 |
| Physical Therapist | 17 | 0 | 17 | 5,342 | 92 | 100% | 6.4 |
| RN Director of Nursing | 19 | 0 | 19 | 4,039 | 92 | 100% | 8.5 |
| Registered Nurse | 13 | 10 | 23 | 3,750 | 92 | 100% | 8 |
| Clinical Nurse Specialist | 10 | 0 | 10 | 2,713 | 74 | 80% | 7.8 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,635 | 92 | 100% | 7.7 |
| Physical Therapy Assistant | 4 | 0 | 4 | 1,108 | 83 | 90% | 7 |
| Mental Health Service Worker | 2 | 0 | 2 | 989 | 66 | 72% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 950 | 72 | 78% | 7.4 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 949 | 69 | 75% | 7.7 |
| Speech Language Pathologist | 2 | 0 | 2 | 706 | 83 | 90% | 5.3 |
| Physical Therapy Aide | 2 | 0 | 2 | 609 | 72 | 78% | 4.9 |
| Dietitian | 1 | 0 | 1 | 523 | 66 | 72% | 7.9 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 60 | 65% | 7.9 |
| Nurse Aide in Training | 1 | 0 | 1 | 115 | 16 | 17% | 7.2 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.0
51% better than Virginia averageVirginia average: 10.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.2
33% better than Virginia averageVirginia average: 19.7
Percent of long-stay residents whose need for help with daily activities has increased
5.2%
69% better than Virginia averageVirginia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
5.4%
73% better than Virginia averageVirginia average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.8%
27% worse than Virginia averageVirginia average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
1.8%
51% better than Virginia averageVirginia average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
4.7%
13% better than Virginia averageVirginia average: 5.4%
Percent of long-stay residents with a urinary tract infection
1.0%
37% better than Virginia averageVirginia average: 1.5%
Percent of long-stay residents who lose too much weight
7.9%
35% worse than Virginia averageVirginia average: 5.9%
Percent of long-stay residents who have depressive symptoms
11.8%
21% better than Virginia averageVirginia average: 14.9%
Percent of long-stay residents who received an antipsychotic medication
22.0%
71% worse than Virginia averageVirginia average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
93.2%
In line with Virginia averageVirginia average: 91.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.0%
In line with Virginia averageVirginia average: 94.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
44.2%
41% worse than Virginia averageVirginia average: 74.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Virginia averageVirginia average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
36.9%
50% worse than Virginia averageVirginia average: 73.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
3% of new residents, usually for short-term rehab.
7% of new residents, often for short stays.
90% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
176Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Lakeside ALF Operations, LLC based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #29 / 85Payroll — State benchmarkedThis home is ranked 29th out of 85 homes in Virginia for payroll. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
11.2 miles from city center
Estimated distance in miles from Henrico's city center to Lakeside ALF Operations, LLC's address, calculated via Google Maps.
Add your location
Lakeside ALF Operations, LLC is located in HENRICO, Virginia.
Here are the financial assistance programs available to residents in Virginia.
The information below is reported by the Virginia Department of Social Services and Department of Health.
| Our Lady of the Valley |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Roanoke (Gainsboro) | 127
Facility
127
VA AVG
98
Rank
#82 / 371 | 87.4% | +2% | 3.79 | -42% | +1% | $0 | 14 | 4.7 | - | 111 | A+ |
68
Facility
68
VA AVG
44
Rank
#74 / 449 | David Rawlings | $17.2M | $8.2M | 47.6% | 495357 | ||||
| Lakeside ALF Operations, LLC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Henrico | 70
Facility
70
VA AVG
98
Rank
#252 / 371 | 24.3% | -72% | 2.97 | -29% | -21% | $0 | 73 | 14.6 | 1 | 17 | - |
34
Facility
34
VA AVG
44
Rank
#271 / 449 | Joseph Catrambone | $24.5M | $13.1M | 53.4% | 495045 |
Lakeside ALF Operations, LLC has a walk score of 34. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to VA state health department records, Lakeside ALF Operations, LLC's license expires on July 31, 2027.
Lakeside ALF Operations, LLC's occupancy is 24%.
Nyema Jackson is the administrator of Lakeside ALF Operations, LLC.
Lakeside ALF Operations, LLC has 70 beds.
Lakeside ALF Operations, LLC has had 8 recently reported deficiencies.
Lakeside ALF Operations, LLC is located at 2125 Hilliard Road.
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