FOREST HILL HEALTH & REHABILITATION – RICHMOND, VA

CMS Verified | 2026-03-01

Forest Hill Health & Rehabilitation

4403 FOREST HILL AVENUE, Richmond, VA 23225
(804) 231-0231
174 beds
All Richmond facilities
1.0*
Overall
1.0*
Health Inspection
1.0*
Quality Care
1.0*
Staffing
35.31
Score /100
#14660
National Rank

#14660
of 14703 facilities
National
0.3% position
#288
of 289 in VA
State Rank
#6
County Rank
#18
of 19 in Richmond
City Rank
#3
of 3 in ZIP 23225
ZIP Rank






About Forest Hill Health & RehabilitationForest Hill Health & Rehabilitation is located at 4403 Forest Hill Avenue, Richmond, VA, reachable at (804) 231-0231. This For profit – Limited Liability company facility operates 174.0 certified beds and serves an average of 129 residents per day. It is part of the Hill Valley Healthcare network (40 facilities nationwide). Medicare and Medicaid services have been provided since 1998-02-01. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Forest Hill Health & Rehabilitation

Address

4403 Forest Hill Avenue, Richmond, VA 23225

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 174 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: HILL VALLEY HEALTHCARE

Quick Verdict

Overall Quality
❌ Poor (1★) overall rating
Health Inspection
❌ Poor (1★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
❌ Poor (1★) quality of care
Compliance
❌ 16 fine(s) over 5 years
5-Year Trend
Declining over 5 years
35.31
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#14660 of 14703 nationally – #288 of 289 in Virginia

Who Is This Facility Best For?

Forest Hill Health & Rehabilitation may be considered for families with limited options in Richmond, VA, but its lower CMS ratings suggest careful due diligence is warranted. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

1 / 5
Health Inspection

1 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

1 / 5
Long-Stay QM Rating

1 / 5
Short-Stay QM Rating

N/A

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightForest Hill Health & Rehabilitation currently provides 2 hours 57 minutes of total nurse staffing per resident per day, including 34 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. RN hours per resident have increased from 15 min/day (2022) to 34 min/day (2026), a positive sign of investment in skilled nursing. Total nursing staff turnover is high at 67.2%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing2 hours 57 minutes
Nurse Aide Hours1 hour 38 minutes
Licensed Practical Nurse (LPN) Hours45 minutes
Registered Nurse (RN) Hours34 minutes
Physical Therapist Hours1 minute

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 41 minutes
Weekend Registered Nurse (RN) Hours31 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $80,132. 70 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 1
Total Fines Amount $80132.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record N
Total Weighted Health Survey Score 358.25 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#14,660
of 14,703
National
Bottom 1%
#288
of 289
VA State
Bottom 1% in VA
#6
of 6
️ Richmond City County
#6 of 6
#18
of 19
️ Richmond
#18 of 19
#3
of 3
ZIP 23225
#3 of 3

Nationally, Forest Hill Health & Rehabilitation ranks 14660th out of 14,703 facilities (composite score: 35.3/100), placing it in the bottom 25% nationwide. Within VA, it ranks 288th out of 289 nursing homes. In Richmond, it ranks 18th out of 19 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 3. For 2026 staffing: total nurse hours rank #13,338 nationally and RN hours rank #7,370 nationally (#121 in VA).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank VA State Rank Note
2022 2.98 #11,848 / 14,703 #178 / 289 ⚠️ Bottom 25%
2023 2.17 #13,937 / 14,703 #279 / 289 ⚠️ Bottom 10%
2024 2.64 #13,678 / 14,703 #273 / 289 ⚠️ Bottom 10%
2025 2.97 #13,047 / 14,703 #251 / 289 ⚠️ Bottom 25%
2026 2.95 #13,338 / 14,703 #266 / 289 ⚠️ Bottom 10%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank VA State Rank Note
2022 0.25 #13,055 / 14,703 #246 / 289 ⚠️ Bottom 25%
2023 0.23 #13,140 / 14,703 #265 / 289 ⚠️ Bottom 25%
2024 0.22 #13,526 / 14,703 #275 / 289 ⚠️ Bottom 10%
2025 0.37 #11,278 / 14,703 #217 / 289 ⚠️ Bottom 25%
2026 0.57 #7,370 / 14,703 #121 / 289 Below average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Forest Hill Health & Rehabilitation is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1998-02-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (804) 231-0231 or your local Medicaid office to verify current eligibility.

Forest Hill Health & Rehabilitation holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (1★), and Quality of Resident Care (1★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 35.3/100, placing it #14660 of 14703 facilities nationally and #288 of 289 in Virginia. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Forest Hill Health & Rehabilitation receives a reported average of 2 hours 57 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 34 minutes; Licensed Practical Nurse (LPN) — 45 minutes; Nurse Aide — 1 hour 38 minutes. On weekends, total nurse staffing is 2 hours 41 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 67.2%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $80,132. 70 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $80,132, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 358.25 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Forest Hill Health & Rehabilitation ranks 14660th out of 14,703 facilities (composite score: 35.3/100), placing it in the bottom 25% nationwide. Within VA, it ranks 288th out of 289 nursing homes. In Richmond, it ranks 18th out of 19 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 3. For 2026 staffing: total nurse hours rank #13,338 nationally and RN hours rank #7,370 nationally (#121 in VA). Our composite quality score of 35.3/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Richmond, visit: https://nursinghomesnearme.org/virginia/richmond/

Contact and Location

ADR
Address

4403 FOREST HILL AVENUE, Richmond, VA 23225
Get directions on Google Maps

TEL
LLC
Legal Name

WESTOVER HILLS SNF OPERATIONS LLC

MAP
Browse by Location

All Virginia ·
Richmond City County ·
Richmond ·
ZIP 23225

Facility Details

Number of Certified Beds 174
Average Residents / Day 129 (75% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County Richmond City County, VA
City Richmond, VA
ZIP Code 23225
Approved Since February 1, 1998
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 495327
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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