Medilodge of Richmond

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Feb 24, 2022

  This citation is based on intake # MI 589. Based on observation, interview and record review, the facility failed to prevent an elopement, respond to an alarming door timely, secure a window, perform a thorough missing resident search, provide adequate supervision, and notify authorities timely for one sampled Resident (Resident #704) of three residents reviewed for elopement risks, resulting in an Immediate Jeopardy when Resident #704 exited the facility through an unsecured window, was found outdoors in inclement weather several hours later, deceased in a field approximately ,d+[DATE] mile away from the facility pulseless without breath sounds. […]

• Actual harm, isolatedF689Jan 7, 2026

  This citation pertains to Intake 2709236.Based on observation, interview, and record review, the facility failed to ensure two-person assistance to prevent a fall from the bed during care for one resident (R901) of three residents reviewed for falls, resulting in pain and a left leg laceration that became infected, required surgical debridement, and requires continued wound treatment. Findings include: Review of Intake 2709236 revealed an allegation that R901 fell from their bed on 12/06/25 while being provided incontinence care. […]

• Actual harm, isolatedF600Apr 27, 2022

  Based on observation, interview, and record review, the facility failed to prevent neglect for three Residents (#14, #47, and #335) when staff transferred residents in an unsafe manner, neglecting to follow their Minimum Data Set (MDS) RAI (Resident Assessment Instrument) assessments and individualized Care Plans, of 22 residents reviewed for neglect. This deficient practice resulted in actual harm and unsafe transfers, with psychosocial distress and feelings of fear for Resident #14, rough treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . Findings include: Resident #14 Review of Resident #14's Minimum Data Set (MDS) assessment, dated 2/09/22, revealed admission on 1/25/22 with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF692Apr 7, 2021

  This citation pertains in part to intake 9. Based on interview and record review, the facility failed to complete a follow-up hydration assessment and obtain lab values to monitor resident health status after a noted decline in intake and 42 pound (lbs) significant weight loss in the facility over two months, and failed to document food/fluid/snack acceptance (FARs) on every shift, for one sampled resident (R#901) of three reviewed for quality of care and nutrition concerns, resulting in inadequate and incomplete monitoring of nutritional status. […]

• No harm, potential for more than minimal, widespreadF812Apr 27, 2022

  Based on observation, interview, and record review, the facility failed to properly cool potentially hazardous food items, failed to maintain the dry storage room and a wall mounted fan in the dish machine room in a sanitary manner, and failed to store wiping cloths in a chemical sanitizer solution, resulting in the increased potential for foodborne illness and cross contamination. This deficient practice had the potential to affect all residents that consume food from the kitchen. Findings include: On 4/25/22 between 12:20-1:10 PM, during an initial tour of the kitchen with District Manager P, the following items were observed: In the walk-in cooler, there was a container of marinara sauce dated 4/18-4/24. […]