ENVOY OF WESTOVER HILLS

📍 4403 FOREST HILL AVENUE, richmond, VA 23225 📞 8042310231 🛏️ 174 beds

Inspection History Overview

161
Total Violations
8 years of data
$619,838
Total Fines
12 penalties
7
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 16 violations

Tag 0559 D Mar 28, 2024

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

✓ Corrected: May 10, 2024
Tag 0563 D Mar 28, 2024

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

✓ Corrected: May 10, 2024
Tag 0573 D Mar 28, 2024

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

✓ Corrected: May 10, 2024
Tag 0584 D Mar 28, 2024

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: May 10, 2024
Tag 0624 D Mar 28, 2024

Prepare residents for a safe transfer or discharge from the nursing home.

✓ Corrected: May 10, 2024
Tag 0656 D Mar 28, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: May 10, 2024
Tag 0657 D Mar 28, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: May 10, 2024
Tag 0658 E Mar 28, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: May 10, 2024
Tag 0660 D Mar 28, 2024

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: May 10, 2024
Tag 0675 D Mar 28, 2024

Honor each resident's preferences, choices, values and beliefs.

✓ Corrected: May 10, 2024
Tag 0677 D Mar 28, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: May 10, 2024
Tag 0686 D Mar 28, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: May 10, 2024
Tag 0698 D Mar 28, 2024

Provide safe, appropriate dialysis care/services for a resident who requires such services.

✓ Corrected: May 10, 2024
Tag 0804 D Mar 28, 2024

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: May 10, 2024
Tag 0842 D Mar 28, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: May 10, 2024
Tag 0921 D Mar 28, 2024

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: May 10, 2024

2023 1 violations

Tag 0677 D Apr 20, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: May 5, 2023

2022 38 violations

Tag 0584 E Oct 28, 2022

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Dec 13, 2022
Tag 0600 D Oct 28, 2022

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Dec 13, 2022
Tag 0658 D Oct 28, 2022

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Dec 13, 2022
Tag 0921 E Oct 28, 2022

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Dec 13, 2022
Tag 0550 D Jul 14, 2022

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Tag 0561 D Jul 14, 2022

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

✓ Corrected: Aug 25, 2022
Tag 0563 D Jul 14, 2022

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

✓ Corrected: Aug 25, 2022
Tag 0584 E Jul 14, 2022

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Tag 0609 D Jul 14, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Tag 0645 D Jul 14, 2022

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Aug 25, 2022
Tag 0655 D Jul 14, 2022

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Aug 25, 2022
Tag 0657 E Jul 14, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Tag 0658 E Jul 14, 2022

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Aug 25, 2022
Tag 0686 G Jul 14, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Tag 0689 D Jul 14, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Aug 25, 2022
Tag 0692 D Jul 14, 2022

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Aug 25, 2022
Tag 0725 E Jul 14, 2022

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Tag 0727 E Jul 14, 2022

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Tag 0730 E Jul 14, 2022

Observe each nurse aide's job performance and give regular training.

✓ Corrected: Aug 25, 2022
Tag 0745 D Jul 14, 2022

Provide medically-related social services to help each resident achieve the highest possible quality of life.

✓ Corrected: Aug 25, 2022

2021 11 violations

Tag 0883 D Nov 10, 2021

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Dec 3, 2021
Tag 0886 D Nov 10, 2021

Perform COVID19 testing on residents and staff.

✓ Corrected: Dec 3, 2021
Tag 0887 E Nov 10, 2021

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

✓ Corrected: Dec 3, 2021
Tag 0584 E Apr 8, 2021

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: May 4, 2021
Tag 0602 D Apr 8, 2021

Protect each resident from the wrongful use of the resident's belongings or money.

✓ Corrected: May 4, 2021
Tag 0607 E Apr 8, 2021

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: May 4, 2021
Tag 0727 D Apr 8, 2021

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

✓ Corrected: May 4, 2021
Tag 0755 D Apr 8, 2021

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: May 4, 2021
Tag 0791 D Apr 8, 2021

Provide or obtain dental services for each resident.

✓ Corrected: May 4, 2021
Tag 0880 E Apr 8, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: May 4, 2021
Tag 0921 D Apr 8, 2021

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: May 4, 2021

2020 6 violations

Tag 0880 D Jun 26, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 28, 2020
Tag 0552 D Jan 23, 2020

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Feb 18, 2020
Tag 0580 D Jan 23, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Feb 18, 2020
Tag 0657 D Jan 23, 2020

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Feb 18, 2020
Tag 0842 B Jan 23, 2020

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Feb 18, 2020
Tag 0880 D Jan 23, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 18, 2020

2019 35 violations

Tag 0557 G Sep 30, 2019

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: Oct 25, 2019
Tag 0600 G Sep 30, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Oct 25, 2019
Tag 0624 D Sep 30, 2019

Prepare residents for a safe transfer or discharge from the nursing home.

✓ Corrected: Oct 25, 2019
Tag 0578 D Jul 25, 2019

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Sep 8, 2019
Tag 0584 E Jul 25, 2019

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Sep 8, 2019
Tag 0600 G Jul 25, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Sep 8, 2019
Tag 0644 D Jul 25, 2019

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Sep 8, 2019
Tag 0645 D Jul 25, 2019

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Sep 8, 2019
Tag 0656 D Jul 25, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Sep 8, 2019
Tag 0657 D Jul 25, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Sep 8, 2019
Tag 0679 D Jul 25, 2019

Provide activities to meet all resident's needs.

✓ Corrected: Sep 8, 2019
Tag 0689 G Jul 25, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Sep 8, 2019
Tag 0690 D Jul 25, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Sep 8, 2019
Tag 0695 D Jul 25, 2019

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Sep 8, 2019
Tag 0755 E Jul 25, 2019

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Sep 8, 2019
Tag 0758 D Jul 25, 2019

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.

✓ Corrected: Sep 8, 2019
Tag 0812 D Jul 25, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Sep 8, 2019
Tag 0919 E Jul 25, 2019

Make sure that a working call system is available in each resident's bathroom and bathing area.

✓ Corrected: Sep 8, 2019
Tag 0656 D Mar 21, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Apr 15, 2019
Tag 0812 E Mar 21, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Apr 15, 2019

2018 32 violations

Tag 0658 E Nov 8, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Dec 10, 2018
Tag 0697 E Nov 8, 2018

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Dec 10, 2018
Tag 0755 E Nov 8, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Dec 10, 2018
Tag 0557 D Sep 19, 2018

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: Oct 30, 2018
Tag 0558 D Sep 19, 2018

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Oct 30, 2018
Tag 0559 D Sep 19, 2018

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

✓ Corrected: Oct 30, 2018
Tag 0622 D Sep 19, 2018

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

✓ Corrected: Oct 30, 2018
Tag 0626 D Sep 19, 2018

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

✓ Corrected: Oct 30, 2018
Tag 0690 D Sep 19, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Oct 30, 2018
Tag 0755 D Sep 19, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Oct 30, 2018
Tag 0756 D Sep 19, 2018

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

✓ Corrected: Oct 30, 2018
Tag 0758 D Sep 19, 2018

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.

✓ Corrected: Oct 30, 2018
Tag 0760 E Sep 19, 2018

Ensure that residents are free from significant medication errors.

✓ Corrected: Oct 30, 2018
Tag 0921 D Sep 19, 2018

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Oct 30, 2018
Tag 0558 D Jul 23, 2018

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Oct 30, 2018
Tag 0559 D Jul 23, 2018

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

✓ Corrected: Oct 30, 2018
Tag 0580 G Jul 23, 2018

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Sep 5, 2018
Tag 0584 D Jul 23, 2018

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

✓ Corrected: Sep 5, 2018
Tag 0600 G Jul 23, 2018

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Sep 5, 2018
Tag 0607 G Jul 23, 2018

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Sep 5, 2018

2017 22 violations

Tag 0323 D Jul 12, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Jul 24, 2017
Tag 0166 D May 19, 2017

Try to resolve each resident's complaints quickly.

✓ Corrected: Jul 3, 2017
Tag 0224 D May 19, 2017

Protect each resident from mistreatment, neglect and misappropriation of personal property.

✓ Corrected: Jul 3, 2017
Tag 0225 D May 19, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

✓ Corrected: Jul 24, 2017
Tag 0226 D May 19, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

✓ Corrected: Jul 24, 2017
Tag 0241 D May 19, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

✓ Corrected: Jul 3, 2017
Tag 0280 E May 19, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

✓ Corrected: Aug 19, 2017
Tag 0281 J May 19, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Jul 3, 2017
Tag 0309 J May 19, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Jul 3, 2017
Tag 0312 D May 19, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

✓ Corrected: Jul 3, 2017
Tag 0314 G May 19, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

✓ Corrected: Jul 3, 2017
Tag 0323 G May 19, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

✓ Corrected: Jul 24, 2017
Tag 0333 G May 19, 2017

Ensure that residents are safe from serious medication errors.

✓ Corrected: Jul 3, 2017
Tag 0364 E May 19, 2017

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

✓ Corrected: Jul 3, 2017
Tag 0367 D May 19, 2017

Make sure that special or therapeutic diets are ordered by the attending doctor.

✓ Corrected: Jul 3, 2017
Tag 0371 E May 19, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Jul 3, 2017
Tag 0460 D May 19, 2017

Provide bedrooms that don't allow residents to see each other when privacy is needed.

✓ Corrected: Jul 3, 2017
Tag 0497 E May 19, 2017

1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews.

✓ Corrected: Jul 3, 2017
Tag 0498 E May 19, 2017

Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.

✓ Corrected: Jul 3, 2017
Tag 0514 D May 19, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Jul 3, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2025 1 penalties totaling $70,080

$70,080
Fine
February 5, 2025
Average: $70,080 | Range: $70,080 - $70,080

2022 4 penalties totaling $32,992

$2,689
Fine
November 15, 2022
$23,989
Fine
July 14, 2022
$3,169
Fine
May 16, 2022
$3,145
Fine
May 16, 2022
Average: $8,248 | Range: $2,689 - $23,989

2021 1 penalties totaling $9,750

$9,750
Fine
April 8, 2021
Average: $9,750 | Range: $9,750 - $9,750

2020 1 penalties totaling $3,250

$3,250
Fine
June 26, 2020
Average: $3,250 | Range: $3,250 - $3,250

2019 3 penalties totaling $361,959

$37,700
Fine
September 30, 2019
$240,188
Fine
July 25, 2019
$84,071
Fine
January 31, 2019
Average: $120,653 | Range: $37,700 - $240,188

2018 2 penalties totaling $141,807

$141,807
Fine
July 23, 2018
$0
Payment Denial
July 23, 2018
Average: $70,904 | Range: $0 - $141,807

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

March 28, 2024
0.00

Health

April 20, 2023
0.00

Health

October 28, 2022
0.00

Health

July 14, 2022
0.00

Health

November 10, 2021
0.00

Health

April 8, 2021
0.00

Health

January 23, 2020
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
495327
495327
8042310231
Richmond City

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Organization