WILLOWS OF RICHMOND

About WILLOWS OF RICHMOND

This Medicare-certified nursing home has 87 certified beds and reports 3.3 total nursing hours per resident per day, below the state median of 3.5. Weekend nursing coverage falls to 2.5 hours per resident per day, about 22% below its overall level, and nursing staff turnover of 35% per year is below the state median of 46%. CMS records show 17 health citations in the last 3 years and 4 substantiated complaints; most recent inspection October 2025.

Summary generated from this facility's CMS inspection, staffing, and enforcement records. Every statement is derived directly from federal data — nothing is estimated or invented.

Resident Outcomes

These rates come from clinical assessments (the federal Minimum Data Set) that nursing homes are required to submit for every resident, covering long-stay residents over the most recent reporting period. Lower rates are better for every measure shown here. Use them to ask pointed questions on a tour — for example, how the facility prevents falls or limits antipsychotic use.

• Residents who experienced a fall with major injury

  4.7%Worse than average

• Residents with pressure ulcers (bed sores)

  3.9%Around average

• Residents who received an antipsychotic medication

  24.8%Bottom 20% nationally (more events)

• Residents who were physically restrained

  0%Top 20% nationally (fewer events)

• Residents who lost too much weight

  4.6%Around average

• Residents with a urinary tract infection

  0%Top 20% nationally (fewer events)

• Residents with a catheter inserted and left in their bladder

  0%Top 20% nationally (fewer events)

• Residents with new or worsened bowel or bladder incontinence

  24.8%Worse than average

• Residents who have symptoms of depression

  84.5%Bottom 20% nationally (more events)

• Residents whose need for help with daily activities increased

  39.4%Bottom 20% nationally (more events)

• Residents whose ability to walk independently worsened

  29.9%Bottom 20% nationally (more events)

Source: CMS quality measures, as of June 2026. Rates reflect resident populations that differ between facilities, so compare them alongside staffing and inspection results rather than in isolation.

Staffing Detail

Staffing levels are one of the strongest predictors of nursing home quality. These figures are reported by the facility to CMS through payroll records, as hours of care available per resident per day.

Weekend nursing coverage drops about 29% versus a typical weekday at this facility.

Total nurse hours / resident / day

All licensed nursing care combined (RN + LPN + CNA).

3.27 hrs

RN hours / resident / day

Registered nurses handle assessments, medications, and complex care decisions.

0.31 hrs

LPN hours / resident / day

Licensed practical nurses provide routine treatments and monitoring.

0.93 hrs

CNA hours / resident / day

CNA hours are hands-on daily care — bathing, dressing, meals, and mobility help.

2.03 hrs

Weekend nurse hours / resident / day

Staffing often thins out on weekends; ask who covers Saturdays.

2.54 hrs

Total nursing staff turnover

Share of nursing staff who left within a year. High turnover disrupts continuity of care.

35%

RN turnover

Share of registered nurses who left within a year.

43%

Case-mix-adjusted nurse hours

Expected staffing adjusted for how much care this facility's residents actually need.

4.82 hrs

Care hours per resident/day: 3.1 (national avg 3.7)

Daily nurse staffing hours are divided by the resident census for each day.

Weekend staffing drop: 26% lower than weekdays

Saturday and Sunday staffing are compared with the facility's weekday average.

Contract/agency staff: 0% of care hours

Higher agency reliance can make resident care less consistent from day to day.

CMS Payroll-Based Journal, CY2025 Q4

Inspections & Enforcement

State inspectors survey every nursing home roughly once a year and after complaints. Citations and fines below come from federal inspection records for the last three years.

Citations are common — what matters is severity and pattern. Learn how to read inspection reports →

Next Steps

• Contact the facility to verify current availability, pricing, and admission criteria.
• Schedule an in-person or virtual tour and request the latest state inspection report.
• Compare this facility against others in your area using the SunsetWell navigator.