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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Lakewood Retirement is an esteemed retirement community located in the lively West End of Richmond. Their priority is to ensure residents enjoy a top-quality lifestyle, with generously-sized and well-appointed living spaces such as apartments and cottages that provide ultimate comfort and relaxation. Residents in the community have easy access to popular destinations like Colonial Williamsburg, Virginia Beach, and Washington, D.C. Lakewood’s location is ideal for those seeking an active and diverse lifestyle.
Lakewood Retirement offers independent living residents access to amenities such as chef-prepared meals, housekeeping, transportation, and activities promoting physical and mental well-being. Healthcare services include on-site nursing staff 24/7, medication management, assistance with daily activities, and therapy. An on-site physician provides medical care, while staff work closely with residents and families to meet their personalized healthcare needs. It’s worth noting that their calendar is always buzzing with exciting activities that aim to enhance the lives of their residents and keep them in the loop. These activities consist of intriguing live entertainment, educational presentations, and lively seasonal celebrations, all aimed at adding value to the residents’ lives. By keeping them informed and engaged, these events provide a sense of community and connectedness.
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 24th out of 85 homes in Virginia. 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.
| 4h 4m per day | ▲ 24% State avg: 3h 16m per day · National avg: 3h 25m per day |
Lower than the Virginia average: 85.7%Lakewood Retirement is administrated by Jennifer Koeniger.
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.
| 34 | 32 | This facility has 6% more total deficiencies than a typical Virginia nursing home (34 vs. VA avg 32).↑ 6% worse |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 6.8 | 6.4 | This facility has 6% more deficiencies per year than a typical Virginia nursing home (6.8 vs. VA avg 6.4).↑ 6% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.6 | 2.3 | This facility has 13% more deficiencies per inspection than a typical Virginia nursing home (2.6 vs. VA avg 2.3).↑ 13% worse |
Inspections
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 13 | 14 | This facility has 7% fewer total inspections than a typical Virginia nursing home (13 vs. VA avg 14).↓ 7% better |
|
Inspections with violations
Inspections that uncovered at least one regulatory violation.
| 7 | 9 | This facility has 22% fewer inspections with violations than a typical Virginia nursing home (7 vs. VA avg 9).↓ 22% better |
|
Inspection violation rate
Percentage of inspections that resulted in at least one violation.
| 54% | 64% | This facility has 10 percentage points lower inspection violation rate than a typical Virginia nursing home (54% vs. VA avg 64%).↓ 10% better |
Complaints & Investigations
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 5 | 7 | This facility has 29% fewer total complaints than a typical Virginia nursing home (5 vs. VA avg 7).↓ 29% better |
|
Complaints per year
Average complaints per year since 2021.
| 1 | 1.4 | This facility has 29% fewer complaints per year than a typical Virginia nursing home (1 vs. VA avg 1.4).↓ 29% 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 Jun 2023
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.
All 22 citations resulted from standard inspections.
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.
28% better than Virginia average
6% worse than Virginia average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 9 RN Staff are full-time employees. No contractors work on this role.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursAssists with medical care and medications.
46 total: 42 full-time employees and 4 contractors.
46
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursHelps with daily care and mobility.
84 total: 75 full-time employees and 9 contractors.
84
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,257 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 75 | 9 | 84 | 20,857 | 92 | 100% | 7.8 |
| Licensed Practical Nurse | 42 | 4 | 46 | 9,875 | 92 | 100% | 8 |
| Registered Nurse | 9 | 0 | 9 | 2,177 | 90 | 98% | 7.4 |
| RN Director of Nursing | 7 | 0 | 7 | 2,064 | 92 | 100% | 6.9 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,440 | 66 | 72% | 8 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,311 | 66 | 72% | 8.5 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 988 | 80 | 87% | 4.3 |
| Dietitian | 2 | 0 | 2 | 929 | 66 | 72% | 7.9 |
| Physical Therapy Assistant | 0 | 4 | 4 | 817 | 68 | 74% | 5.7 |
| Physical Therapy Aide | 0 | 3 | 3 | 785 | 77 | 84% | 6.4 |
| Nurse Practitioner | 2 | 0 | 2 | 516 | 61 | 66% | 7.9 |
| Speech Language Pathologist | 0 | 3 | 3 | 469 | 61 | 66% | 5.4 |
| Administrator | 1 | 0 | 1 | 440 | 55 | 60% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 295 | 57 | 62% | 5.2 |
| Other Dietary Services Staff | 1 | 0 | 1 | 266 | 47 | 51% | 5.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 172 | 43 | 47% | 4 |
| Medical Director | 0 | 1 | 1 | 73 | 21 | 23% | 3.5 |
| Diagnostic X-ray Services Staff | 0 | 1 | 1 | 37 | 13 | 14% | 2.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 29 | 7 | 8% | 4.1 |
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.
9.5
6% better than Virginia averageVirginia average: 10.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.7
In line with Virginia averageVirginia average: 19.7
Percent of long-stay residents whose need for help with daily activities has increased
13.4%
20% better than Virginia averageVirginia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
20.0%
In line with Virginia averageVirginia average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.7%
27% worse than Virginia averageVirginia average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
In line with Virginia averageVirginia average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
5.2%
In line with Virginia averageVirginia average: 5.4%
Percent of long-stay residents with a urinary tract infection
1.4%
13% better than Virginia averageVirginia average: 1.5%
Percent of long-stay residents who lose too much weight
5.3%
10% better than Virginia averageVirginia average: 5.9%
Percent of long-stay residents who have depressive symptoms
0.5%
97% better than Virginia averageVirginia average: 14.9%
Percent of long-stay residents who received an antipsychotic medication
22.2%
73% worse than Virginia averageVirginia average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
83.1%
9% worse than Virginia averageVirginia average: 91.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
50.9%
46% worse than Virginia averageVirginia average: 94.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
36.4%
51% worse than Virginia averageVirginia average: 74.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
40% worse than Virginia averageVirginia average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
24.9%
66% 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.
73% of new residents, usually for short-term rehab.
27% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
84Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
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 Lakewood Retirement 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 #16 / 85Payroll — State benchmarkedThis home is ranked 16th out of 85 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.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.
Pets Allowed
Housing Options: Studio / 1 Bed / 2 Bed
Building Type: Mid-rise
Transportation Services
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
16.7 miles from city center
Estimated distance in miles from Richmond's city center to Lakewood Retirement's address, calculated via Google Maps.
— 1.14 miles to nearest hospital (Pinnell Donna I)
Add your location
Lakewood Retirement is located in Richmond, Virginia.
Here are the financial assistance programs available to residents in Virginia.
| Lakewood Retirement |
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. | Richmond (Henrico) | 74 | 71.6% | -16% | 4.81 | -48% | +29% | $0 | 22 | 7.3 | 1 | 53 | - | 8 | Heather Rusnak | $42.1M | $16.9M | 40.1% | 495403 | ||||
| Legacy at Imperial Village |
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. | Richmond (North Side) | 128 | - | - | 2.84 | +50% | -24% | $73.8k | 109 | 13.6 | 4 | 120 | B- | 34 | Stephanie Crabbe | $13.3M | $7.3M | 55.1% | 495283 |
Lakewood Retirement is in the Henrico neighborhood of Richmond.
Lakewood Retirement has a walk score of 8. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to VA state health department records, Lakewood Retirement's license expires on September 1, 2026.
Lakewood Retirement's occupancy is 72%.
Jennifer Koeniger is the administrator of Lakewood Retirement.
Lakewood Retirement has 74 beds.
Lakewood Retirement has had 13 recently reported deficiencies.
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