CCN 495097 · Henrico County, Virginia
Parham Health Care & Rehab Center
2400 E Parham Road, Richmond, VA 23228
Parham Health Care & Rehab Center is a 180-bed for-profit nursing home in Richmond, Virginia, first certified for Medicare or Medicaid in 1979. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 156.6 residents a day, about 87% of its certified beds. It has an active FHA-insured Section 232 loan: $39 million originally, at 6.09%, with $38.6 million outstanding as of September 30, 2026 and maturity in June 2060.
Facility facts
- Certified beds
- 180
- Average residents per day
- 156.6 (87.0% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Parham Care Center LLC
- Certified since
- Feb 1, 1979
- Chain or affiliated group
- Lifeworks Rehab (64 facilities, chain average 2.1 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Virginia median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 60 at 1, 60 at 2, 54 at 3, 55 at 4, 57 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 2.93 | 3.45 | 3.68 |
| RN hours per resident per day | 0.34 | 0.53 | 0.58 |
| Weekend nurse hours per resident per day | 2.51 | ||
| Nursing staff turnover | 62.2% | 48.3% | 44.9% |
| Occupancy (residents / beds) | 87.0% | 91.8% | 85.7% |
| Fines reported by CMS | 2 totaling $266,181 | ||
| Health deficiencies, latest standard survey | 89 (Apr 28, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Parham Health Care & Rehab Center does not meet it today: overall rating 1, health inspection rating 1, the abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Parharm Holdings I LLCOrganization | Direct Ownership Interest | 100% | 05/28/2021 |
| Ak 2003 Family TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Al 2003 Family TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Charles 1994 Family Grantor TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Edward 1998 Family Grantor TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Golden 2017 Family Grantor TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Golden 2017 LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Matt 2002 Family Grantor TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Matt 2002 LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Mrcz Central LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Nathan 5604 & Family LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Nathan 5604 Family Grantor TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Nathan 5604 LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Pivotal Central LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| May 28, 2021 | Parham Care Center LLC | Medical Facilities of America V & Xv |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| May 28, 2025 | 223(f) refinance or purchaseHUD project name: Parham Health Care & Rehabilitation Center, 180 beds. Lender at endorsement: Keybank National Association | $39,040,000 | Active: 6.09%, $38,622,799 balanceMatures Jun 1, 2060. Servicer: Keybank National Association | 05122233 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.