Parham Health Care: Cockroach Infestation Found - VA
The September 3, 2025 inspection was triggered by a complaint. What inspectors documented when they got there was a cockroach infestation in the room of Resident 124, along with at least one ceiling tile in a condition serious enough that it required either immediate repair or removal before it came down on its own.
The pest control contractor was called in and responded the same day. The ceiling tile was flagged for immediate attention by the housekeeping and maintenance directors. On paper, the response looked prompt.
But the infestation was already there. The tile was already failing. Whatever monitoring or maintenance routines were in place at Parham had not caught either problem before an outside complaint forced inspectors through the door.
On the evening of August 29, 2025, four days before the formal inspection date recorded on the report, the facility's Administrator, Corporate RN, and Director of Nursing were brought together for an end-of-day debrief on what inspectors had found. The three of them, the people responsible for the building and everyone living in it, were told about the cockroaches in Resident 124's room and the ceiling tile that could fall. Their response, as recorded in the federal inspection report, was that they had no further evidence to present.
Not a plan. Not an explanation. Not a timeline for how the infestation had gone undetected or how long the ceiling tile had been in that condition. Nothing further to present.
The inspection was classified as a complaint survey, meaning someone, a resident, a family member, a staff member, had contacted authorities before any of this became official. That call is what set the process in motion. It is worth sitting with what that means: the conditions in Resident 124's room were not identified through the facility's own oversight. They were identified because someone outside the normal chain of management decided to pick up the phone.
Cockroach infestations in nursing homes are not merely a housekeeping failure. Residents in long-term care facilities are, by definition, people who cannot simply leave a room that has been compromised. They cannot call an exterminator themselves. They cannot move their belongings to a cleaner space while the problem is addressed. Resident 124 was living in that room.
The inspection report does not describe how long the infestation had been present, how many cockroaches were found, or whether Resident 124 or anyone on staff had raised concerns about the room before the complaint was filed. The report records only that the infestation existed, that inspectors found it, and that the pest control contractor came and treated the room after being notified.
The ceiling tile is documented alongside the infestation in the same deficiency, which gives some indication of the general condition of the environment inspectors encountered. A ceiling tile that could fall is a physical hazard to anyone in the room beneath it. In a facility housing people with limited mobility, people who may spend most of their hours in a bed or a chair, that kind of hazard is not abstract.
The deficiency was cited at a level of minimal harm or potential for actual harm, and the report notes that some residents were affected. The facility's plan of correction is not included in the inspection narrative; the report directs anyone seeking that information to contact the nursing home or the state survey agency directly.
Parham Health Care & Rehab Center operates at 2400 East Parham Road in Richmond. The inspection was conducted under the Centers for Medicare and Medicaid Services and printed in the federal record.
What the record does not show is anyone at the facility, in the days or weeks before that complaint was filed, finding the cockroaches in Resident 124's room and doing something about it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Parham Health Care & Rehab Center from 2025-09-03 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 26, 2026 · Our methodology
Parham Health Care & Rehab Center in RICHMOND, VA was cited for violations during a health inspection on September 3, 2025.
The September 3, 2025 inspection was triggered by a complaint.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.