Henrico County, Virginia · Nursing home
Shalom Gardens Health & Rehabilitation
1 of 5 overall from CMS
1600 John Rolfe Parkway, Richmond, VA 23233
At a glance
- Overall rating 1 of 5 Below the state average of 3.0
- Nurse time per resident, per day 3.72 hours Below the state average of 3.76
- Nursing staff who left in a year 65.8% Above the state average of 48.1%
- Health citations, last 3 inspection cycles 49 3 at the harm level or above
- Fines in 3 years $39,555 2 fines
- Certified beds in use 97.4% of 101 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Shalom Gardens Health & Rehabilitation is a 101-bed nursing home in Richmond, Virginia (Henrico County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.72 nurse staffing hours per resident per day, below the Virginia average of 3.76. CMS lists 2 fines totaling $39,555 in the past three years.
- Certified beds
- 101
- Residents per day (average)
- 98.4
- Certified since
- 1995 (31 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Hill Valley Healthcare (43 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Shalom Gardens Health & Rehabilitation
Chosen from this home's public data.
- CMS lists 2 fines totaling $39,555 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 65.8%, above the Virginia average of 48.1%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 3.19 hours per resident on weekends against 3.72 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Virginia average 3.0
- Health inspections 2 of 5 Virginia average 2.7
- Staffing 1 of 5 Virginia average 2.4
- Quality measures 3 of 5 Virginia average 3.9
The vertical line marks the Virginia average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.72 h Virginia average 3.76
- Nurse aides 1.85 h Virginia average 2.07
- Licensed practical nurses 1.31 h Virginia average 1.00
- Registered nurses 0.56 h Virginia average 0.69
- All staff, weekends 3.19 h Virginia average 3.29
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Virginia average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover65.8%
- Virginia average48.1%
- Registered nurse turnover58.3%
- Virginia average48.2%
- Administrators who left2
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Virginia and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Virginia | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 15.6% | 14.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 3.1% | 5.4% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% | 0.4% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.4% | 1.6% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 5.7% | 18.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% | 3.6% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.6% | 90.9% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 16.7% | 15.6% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.7% | 20.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 88.3% | 94.0% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 6.9% | 4.7% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.8% | 21.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 10.6% | 14.2% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.69 | 1.52 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.93 | 1.48 | 1.78 |
Short-stay residents
| Measure | This home | Virginia | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 62.7% | 73.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 2.6% | 1.3% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 57.6% | 73.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.9% | 22.3% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 16.1% | 11.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 49 health deficiencies in the three most recent inspection cycles. Of these, 2 were at the immediate jeopardy level and 1 involved actual harm; the rest were graded as no actual harm. 15 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on May 6, 2026: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jun 28, 2024 | 13 | 6 |
| Jul 22, 2021 | 13 | 9 |
| Mar 14, 2019 | 23 | 21 |
Virginia homes averaged 14.3 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (49)
-
JImmediate jeopardy, isolated
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jun 3, 2026)
-
JImmediate jeopardy, isolated
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jun 3, 2026)
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has plan of correction (Jun 3, 2026)
-
EPotential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has plan of correction (Jun 3, 2026)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jun 3, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has plan of correction
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · No revisit needed
-
DPotential for more than minimal harm, isolated
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jun 3, 2026)
-
GActual harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Dec 13, 2024)
-
EPotential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 1, 2024)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 1, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 1, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Aug 1, 2024)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Aug 1, 2024)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 18, 2023)
-
EPotential for more than minimal harm, pattern
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 3, 2021)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights · Deficient, Provider has date of correction (Sep 3, 2021)
-
DPotential for more than minimal harm, isolated
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights · Deficient, Provider has date of correction (Sep 3, 2021)
-
DPotential for more than minimal harm, isolated
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · Deficient, Provider has date of correction (Sep 3, 2021)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 3, 2021)
-
DPotential for more than minimal harm, isolated
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 3, 2021)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Sep 3, 2021)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 3, 2021)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Sep 3, 2021)
-
DPotential for more than minimal harm, isolated
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service · Deficient, Provider has date of correction (Sep 3, 2021)
-
DPotential for more than minimal harm, isolated
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service · Deficient, Provider has date of correction (Sep 3, 2021)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Nutrition and Dietary · Deficient, Provider has date of correction (Sep 3, 2021)
-
EPotential for more than minimal harm, pattern
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · Deficient, Provider has date of correction (Apr 28, 2019)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights · Deficient, Provider has date of correction (Apr 28, 2019)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 28, 2019)
Showing the 30 most recent of 49.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| May 6, 2026 | Fine | $27,378 |
| Nov 5, 2024 | Fine | $12,177 |
Virginia homes averaged 0.5 fines and $23,688 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Virginia
- Size168 of 289 by certified beds
- Virginia average residents per day99.5
- ChainHill Valley Healthcare
- Chain average overall rating1.7 of 5
- Resident or family councilResident
- Homes in Richmond19
- Homes in Henrico County14
Common questions
What is the CMS star rating for Shalom Gardens Health & Rehabilitation?
Shalom Gardens Health & Rehabilitation has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 1 and quality measures is 3.
How many beds does Shalom Gardens Health & Rehabilitation have?
Shalom Gardens Health & Rehabilitation has 101 certified beds. It averages 98.4 residents per day, about 97.4% of its certified beds.
How much nursing care do residents get at Shalom Gardens Health & Rehabilitation?
The home reports 3.72 hours of nurse staffing per resident per day, including 0.56 hours from registered nurses. The Virginia average is 3.76 hours and 0.69 hours from registered nurses.
Has Shalom Gardens Health & Rehabilitation been fined?
Yes. CMS lists 2 fines totaling $39,555 in the past three years.
Does Shalom Gardens Health & Rehabilitation accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Canterbury Rehabilitation and Healthcare Center 183beds 98.2%in use 3.34nurse hours a day
- 3 of 5 Lakewood Manor 96beds 76.8%in use 5.03nurse hours a day
- – not rated Cedarfield Pinnacle Living 20beds 93.0%in use 5.64nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Henrico County
Who to call in Virginia
These offices serve residents of every nursing home in Virginia.
- Long-term care ombudsman Virginia Long-Term Care Ombudsman Program (Office of the State Long-Term Care Ombudsman) 800-552-5019 (Toll-free. Also 804-565-1600.) An advocate for residents and their families.
- File a complaint about a nursing home VDH Office of Licensure and Certification (OLC) Complaint Unit 1-800-955-1819 (Metro Richmond (804) 367-2106. Messages left after hours, on weekends or holidays are returned the next business day. An online complaint portal is also available.) The state agency that inspects nursing homes.
Virginia staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 495291. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.