Lakewood Manor
1900 Lauderdale Drive, Richmond, VA 23238 · Goochland County · 96 certified beds · avg 74 residents/day · certified since Apr 20, 2010
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Apr 1, 2021 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 16, 2021 (Deficient, Provider has date of correction)
All citations in the current public record (22)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 23, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 23, 2023 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jun 23, 2023 | C · Minimal risk, facility-wide | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| Apr 1, 2021 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Apr 1, 2021 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 1, 2021 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Apr 1, 2021 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Apr 1, 2021 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Apr 1, 2021 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Apr 1, 2021 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 1, 2021 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Apr 1, 2021 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Apr 1, 2021 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Apr 1, 2021 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Apr 1, 2021 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Apr 1, 2021 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 1, 2021 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Apr 1, 2021 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 16, 2018 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Aug 16, 2018 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Aug 16, 2018 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Aug 16, 2018 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (15 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 4 | 0 | D |
| 2021 | 15 | 1 | G ▲ |
| 2023 | 3 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Virginia avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.35 | 3.67 | 3.95 | top 10% in Virginia; top 9% in the U.S. |
| Registered Nurse hours | 0.67 | 0.66 | 0.69 | top 25% in Virginia; top 39% in the U.S. |
| Weekend total nurse staffing | 4.87 | 3.21 | 3.50 | top 8% in Virginia; top 7% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.33 | 0.46 | 0.48 | bottom 49% in Virginia; bottom 39% in the U.S. |
| Total nursing staff turnover (%) | 46.4 | 48.1 | 45.8 | top 44% in Virginia; bottom 46% in the U.S. |
| RN turnover (%) | 55.6 | 48.2 | 42.9 | bottom 37% in Virginia; bottom 28% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.03, RN 0.63, weekend 4.59. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Albritton, Tracey | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2021 |
| Bales, James | Individual | Corporate Director | NOT APPLICABLE | 01/01/2019 |
| Brooks, Sharon | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Browning, Herbert | Individual | Corporate Director | NOT APPLICABLE | 02/01/2018 |
| Carlton, Daniel | Individual | Corporate Officer | NOT APPLICABLE | 12/31/2021 |
| Carter, Valerie | Individual | Corporate Director | NOT APPLICABLE | 02/01/2018 |
| Cave, R | Individual | Corporate Director | NOT APPLICABLE | 12/31/2021 |
| Cook, Jonathan | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2016 |
| Franks, Tiffany | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Harris, Charles | Individual | Corporate Director | NOT APPLICABLE | 02/01/2018 |
| Hawthorne, Lisa | Individual | Corporate Officer | NOT APPLICABLE | 06/14/2021 |
| Jung, John | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Keck, Michael | Individual | Corporate Director | NOT APPLICABLE | 04/01/2009 |
| Marchello, Sallie | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Markwith, Christopher | Individual | Corporate Officer | NOT APPLICABLE | 01/31/2018 |
| Moran, Christine | Individual | Corporate Officer | NOT APPLICABLE | 03/31/2021 |
| Oakey, Samuel | Individual | Corporate Director | NOT APPLICABLE | 02/01/2018 |
| Owens, Arne | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Poats, Jim | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Poma, John | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Where do you post your latest state inspection results and the ombudsman's contact information?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Canterbury Rehabilitation and Healthcare Center | 0.6 mi | Richmond, VA | ★☆☆☆☆ | 1/5 | abuse |
| Shalom Gardens Health & Rehabilitation | 1.0 mi | Richmond, VA | ★☆☆☆☆ | 2/5 | |
| Cedarfield Pinnacle Living | 3.1 mi | Richmond, VA | —/5 | ||
| Our Lady of Hope Health Center | 3.2 mi | Richmond, VA | ★★★★☆ | 4/5 | |
| The Laurels of University Park | 3.6 mi | Richmond, VA | ★★☆☆☆ | 2/5 | |
| August Healthcare at Richmond | 4.5 mi | Richmond, VA | ★★★☆☆ | 3/5 | |
| Westport Rehabilitation and Nursing Center | 5.3 mi | Richmond, VA | ★☆☆☆☆ | 1/5 | |
| The Laurels of Willow Creek | 5.9 mi | Midlothian, VA | ★★☆☆☆ | 2/5 | |
| Glenburnie Rehab & Nursing Center | 7.0 mi | Richmond, VA | ★★☆☆☆ | 1/5 | |
| Southampton Rehabilitation and Healthcare Center | 7.4 mi | Richmond, VA | ★★☆☆☆ | 2/5 | |
| Elizabeth Adam Crump Health and Rehab | 7.5 mi | Glen Allen, VA | ★☆☆☆☆ | 1/5 | |
| Parham Health Care & Rehab Center | 7.9 mi | Richmond, VA | ★☆☆☆☆ | 1/5 | abuseSFF |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 495403.