Springs of Richmond, The

In the surveyor’s words

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

• Actual harm, isolatedF686Feb 13, 2026

  Based on interview, observation, and record review, the facility failed to timely implement wound care orders and interventions for a resident resulting in the deterioration of a sacral wound (Resident 6) and failed to thoroughly complete admission skin assessment for a resident's wound (Resident 2) for 2 of 2 residents reviewed for pressure ulcer management. Findings include: 1. During an observation and interview, on 2/9/2026 at (time not documented), Resident 6 indicated the facility was not changing his wound dressings as they should. He had big wounds on his bottom that he got at home. He reported his wound was severe and that he goes to wound care. […]

• Actual harm, isolatedF684Jun 4, 2025

  Based on interview and record review, the facility failed to timely follow up on hemolyzed lab results for a resident at risk for complications related to a cancer diagnosis for 1 of 3 residents reviewed for laboratory services. This deficient practice resulted in hospitalization for treatment of acute on chronic anemia with the need for multiple transfusions of blood products. (Resident D) Findings include: The clinical record for Resident D was reviewed on 6/3/2025 at 1:43 p.m. The medical diagnoses included malignant melanoma and encephalopathy. An admission Minimum Data Set assessment, dated 4/24/2025, indicated Resident D was cognitively impaired. […]

• Actual harm, isolatedF686Jan 22, 2021

  Based on observation, interview and record review the facility failed to implement pressure relieving boots for a resident who had a unstageable pressure ulcer to the right heel and was experiencing pain from the right heel pressure ulcer for 1 of 3 residents reviewed for pressure ulcers (Resident C). Finding include: Review of the record of Resident C on 1/21/2021 at 3:00 p.m., indicated the resident's [DIAGNOSES REDACTED]. The physician order [REDACTED]. The Admission Minimum Data Set (MDS) assessment for Resident C, dated 1/12/2021, indicated the resident had the ability to be understood and understand others. The resident was independent for daily decision making. The resident's decisions were consistent and reasonable. […]

• No harm, potential for more than minimal, widespreadF812May 17, 2024

  Based on observation, interview and record review, the facility failed to ensure: 1. 1. Food products held in the refrigerator for re-use were properly dated for date placed in the refrigerator and date to be used by. 2. The bin covers for the flour and sugar containers were closed. 3. Refrigerator and freezer temperatures were documented on facility forms routinely. 4. Manual ware washing logs were documented on facility forms routinely. These deficient practices have the potential to adversely affect 64 of the 65 residents who receive foods from the dietary department. Findings include: 1. During a tour of the walk-in cooler (refrigerator) with the Dietary Manager on 5-14-24 at 1:55 p.m., she indicated any leftovers are to be discarded after 3 days. […]

• No harm, potential for more than minimal, patternF558Feb 13, 2026

  Based on interview and record review, the facility failed to ensure call lights were answered timely for 5 of 6 residents reviewed for accommodations of needs. (Resident 92, Resident 6, Resident 61, Resident 55, and Resident 26) Findings include:During an interview for Resident Council on 2/11/26 at 1:03 p.m., Resident 61, Resident 55 and Resident 26 indicated the residents were unable to get their call lights answered to get assistance. It would take the staff from 20 to 30 minutes to answer a call light. Review of the resident council meetings, dated October 2025, November 2025, December 2025, and February 2026, indicated the residents had concern of call lights not being answered timely. […]