Worth Considering
2
Facilities graded B or better with zero fines
Best Nursing Homes in Richmond, Virginia
2 of 19 nursing homes in Richmond (11%) meet our strict criteria. The Virginia statewide average is 29%.
2 recommended · 4 caution · 13 avoid · data
City Average
2.3
★
+0.00 vs state
Total Beds
2,528
across 19 facilities
High Risk Facilities
13
9 Grade F
$393,341 in combined fines
Zero Fines
10
/19
passed all inspections
Nurse Availability
0 min
RN time per resident daily
Below CMS recommendation
Why These 2?
The nursing home market in Richmond, Virginia, is adequate but has significant concerns, with only 2 out of 19 facilities recommended. Families should be cautious, as 13 facilities face a total of $393,341 in fines, highlighting the importance of thorough research before making a decision.
Exceptional (Grade A, Trust Score 90+)
- 1 VCU HEALTH CHILDREN'S SERVICES AT BROOK ROAD (90) — VCU Health Children's Services at Brook Road shines with an impressive Trust Score of 90/100 and a top-tier CMS 5★ rating. As a non-profit facility, it prioritizes community-focused care, providing a nurturing environment for its 47 residents with no fines recorded, ensuring peace of mind for families.
Strong (Grade B+, Trust Score 80-89)
- 2 WESTMINSTER-CANTERBURY OF RICHMOND (85) — Westminster-Canterbury of Richmond stands out with a solid Trust Score of 85/100 and a commendable CMS 5★ rating. As a non-profit organization, it emphasizes a community-centered approach, offering quality care in its 158-bed facility without any fines, making it a trusted choice for families.
The other 17 Richmond facilities didn't qualify — 13 carry Grade D or F ratings and 9 have fines totaling $393K.
Recommended
VCU Health Children's Services at Brook Road shines with an impressive Trust Score of 90/100 and a top-tier CMS 5★ rating. As a non-profit facility, it prioritizes community-focused care, providing a nurturing environment for its 47 residents with no fines recorded, ensuring peace of mind for families.
Westminster-Canterbury of Richmond stands out with a solid Trust Score of 85/100 and a commendable CMS 5★ rating. As a non-profit organization, it emphasizes a community-centered approach, offering quality care in its 158-bed facility without any fines, making it a trusted choice for families.
Proceed with Caution
These facilities don't meet our recommendation criteria but may still be viable options.
Best Available Alternative
Staffing Comparison
Staffing levels are the strongest predictor of care quality
| Metric | Top Facility | Richmond Avg | CMS Minimum |
|---|---|---|---|
| RN Hours / Resident / Day | 0.00 | 0.00 | 0.75 |
| CMS Star Rating | 5 stars | 2.3 stars | — |
| Deficiencies / Inspection | 0 | 0.0 | — |
Facilities to Avoid
These facilities have significant quality concerns.
What Disqualified the Other 17?
Our criteria: Trust Grade B or better (score 70+) AND zero fines in 3 years
- Grade F facilities
- 9 Grade F — critical inspection failures
- Facilities with fines
- 9 Have fines totaling $393,341
- Low-scoring facilities
- 8 Scored below B — Trust Scores under 70
- Caution group
- 4 Had good grades but fines disqualified them
Questions Richmond Families Should Ask
Based on what we found in local inspection data
-
1
"What is your current CMS star rating and Trust Score?"
Richmond's city average is 2.3 stars
-
2
"Have you received any fines in the past 3 years?"
9 of 19 Richmond facilities have fines
-
3
"How many RN hours per resident do you provide daily?"
CMS recommends 45 min; Richmond avg is 0 min
-
4
"What were your most recent inspection findings?"
Richmond facilities average 0.0 deficiencies per inspection
Explore Nearby Cities
Houston has strong options, but nearby cities add even more choices
Houston at a Glance
Good News
- 12 facilities meet our strict criteria—20% of the market
- 3 exceptional A-grade facilities with 5-star CMS ratings
- 24 facilities with zero fines in the past 3 years
Be Aware
- 30 facilities carry Grade F—nearly half the market
- $3.2M+ in total fines across 37 facilities
- Worst facility has $448,216 in fines alone
Key Numbers
- Average Trust Score: 48.6 (dragged down by 30 F-grades)
- 82% for-profit, 13% non-profit, 5% government
- 9.4 average deficiencies per facility
Frequently Asked Questions
How many nursing homes in Richmond, VA are recommended?
2 of 19 nursing homes in Richmond (11%) meet our strict criteria of excellent inspection results and a clean record with no fines.
What makes a nursing home in Richmond "recommended"?
A facility earns our recommendation when it achieves a Trust Grade of B or better (score of 70+) AND has zero fines in the past three years. This combination indicates consistent quality care and regulatory compliance.
How should I evaluate nursing homes in Richmond?
Look beyond star ratings. Check for recent fines, abuse citations, staffing levels (especially RN hours), and inspection deficiencies. Visit in person during different times of day to observe care quality firsthand.