August Healthcare at Richmond

In the surveyor’s words

From the most serious findings on record at August Healthcare at Richmond, in the surveyor’s own words.

• Immediate jeopardy, isolatedF607Feb 17, 2021

  Based on interview, clinical record review and facility documentation the facility staff failed to implement policies and procedures related to abuse and neglect for 3 Residents (#15, #13, and #5), in a survey sample of 17 Residents. Immediate Jeopardy was called on 2/10/21 at 3:26 P.M. related to Residents #15 and #13. It was abated on 2/12/21 at 5:30 P.M. After Immediate Jeopardy was removed, the deficiency was assigned a Scope and Severity of level 2, isolated. The findings included: 1. […]

• Immediate jeopardy, isolatedF607Feb 17, 2021

  3. For Resident #5, the facility staff failed to implement their abuse policy when an injury of unknown source was identified on 01/12/2021. Resident #5, a [AGE] year old female, was admitted to the facility on [DATE]. Diagnoses for Resident #5 included but were not limited to atherosclerosis and peripheral vascular disease. Resident #5's most recent Minimum Data Set with an Assessment Reference Date of 01/06/2021 was coded as an annual assessment. The Brief Interview for Mental Status was coded as 99 meaning unable to complete the interview. Cognitive Skills for Daily Decision Making were coded as moderately impaired. Short-term and Long-term memories were coded as memory problem. Functional status for bed mobility and transfers were coded as requiring extensive assistance from staff. […]

• Actual harm, isolatedF692Feb 19, 2026

  Based on observation, resident interview, family interview, staff interviews, clinical record review, and facility documentation review, the facility staff failed to address and implement interventions for significant weight loss for one Resident (Resident #20) in a survey sample of 16 residents, which constituted harm.The findings included:Resident #20 was admitted on [DATE]. The Resident's diagnoses included but were not limited to: Parkinsons's Disease, dementia, anemia, Stroke, Gastro-esophageal Reflux Disease (GERD), dysphagia, and esophageal obstruction.The most recent MDS (Minimum Data Set federal assessment) was completed as a quarterly assessment with an Assessment Reference Date (ARD) of 12-29-25. […]

• Actual harm, isolatedF686Dec 30, 2025

  Based on staff interviews, clinical record review and facility documentation review, the facility staff failed to implement interventions, care and services to prevent the development of a pressure ulcer for one resident in a survey sample of five residents (Resident #1), which resulted in harm for Resident #1. The findings included:For Resident #1, who was identified to be at risk for pressure ulcer development, the facility staff failed to provide interventions to prevent the development of (2) two pressure-related injuries which were at an advanced stage at the time of discovery, which constituted harm.Resident #1 was originally admitted to the facility on [DATE]. […]

• Actual harm, isolatedF600Feb 17, 2021

  Based on observation, interview, clinical record review and facility documentation the faintly staff failed to ensure Residents were free from abuse for 1 Resident (# 15) in a survey sample of 17 Residents. This is harm. The findings included: 1. For Resident #15 the facility failed to prevent abuse. This is harm. Resident #15 an [AGE] year old woman, was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #15's most recent MDS (minimum data set) with an ARD (assessment reference date) of 12/21/20, an quarterly assessment, coded Resident #15 as having a BIMS (brief interview of mental status) score of 10 out of a possible 15. This score indicates moderate cognitive impairment. […]