The reviews for Medilodge of Richmond present a highly mixed and polarized picture: many reviewers praise individual caregivers, therapy outcomes, and the physical facility, while an equally large set of reviews describe serious operational, safety, and caregiving problems. The strongest, most consistent positive theme is the facility’s rehabilitation program — numerous reviewers singled out PT/OT and specific therapy staff for helping patients recover and return home. Several families named discharge planners, nurses, and therapists who advocated for patients (obtained equipment, coordinated wound care funding, and ensured smooth transitions). The building itself frequently receives high marks: clean, new or recently renovated, well-furnished rooms, attractive common areas, and amenities such as on-site salon and events. Many reviewers said the environment felt safe, welcoming, and dignified, and described staff who were cheerful, kind, and professional.
Contrasting sharply with those positives are chronic operational issues reported by a substantial number of reviewers. The most recurring negative pattern is understaffing — especially in the afternoon and weekend shifts — which reviewers link to long call-light response times (reports of waits measured in hours), missed showers, delayed toileting assistance, and general neglect. Supply shortages (adult briefs, wipes, bed pads) were reported repeatedly and sometimes tied to hygiene failures. Several reviews described medication mishaps or delays, forgotten prescriptions at discharge, and sketchy medication delivery processes. There are multiple, serious safety-related complaints: falls that were not prevented or promptly addressed, delayed ambulance response, sepsis and infection concerns (UTI and COVID exposure), and at least one reviewer asserting a COVID-related death. These incidents raise concerns about both staffing levels and clinical oversight.
Dining and daily living services are another consistent area of dissatisfaction. Many reviewers labeled the food as cold, inedible, or improperly substituted; others noted a deterioration in meal quality tied to cost-cutting or management decisions. Conversely, some residents praised the dining experience and special events, indicating inconsistency across meals or over time. Personal property issues — missing clothing and alleged theft — appear in multiple reviews and compound family concerns about resident dignity and security. Communication problems also recur: inconsistent nurse communication, social worker missed faxes to insurers, unclear diets, and reports of no phones or call buttons in rooms for some residents.
Staff performance is reported at two extremes. A large set of comments praise individual nurses, CNAs, therapists, and administrators by name for compassion, advocacy, and competence; these employees provided meaningful recovery assistance and emotional support to families. At the same time, many reviews describe rude, lazy, or neglectful staff behavior, including yelling at or belittling residents, staff congregating in lounges during shifts, and promises to help that were not kept. These polarized reports suggest uneven staffing, variable training or supervision, and management challenges in maintaining consistent standards across shifts and teams.
Management and systems issues are frequently called out. Several reviewers blamed management for understaffing, cost-cutting on meals and supplies, and inconsistent policy enforcement. Positive reports about administrators and admission staff exist as well, with a few reviewers praising smooth admission and highly effective administrators. Billing and insurance coordination problems — overbilling for days not served, delayed paperwork, and failure to provide prescriptions for home — were also cited and contributed to family frustration. Holiday and weekend disruptions were specifically mentioned as moments when care and supply problems became acute.
In summary, Medilodge of Richmond appears to deliver excellent rehabilitation and has a high-quality physical environment with many compassionate, skilled employees whose efforts lead to strong outcomes for many residents. However, those positives are repeatedly undermined by systemic problems: understaffing, inconsistent care, supply shortages, food quality issues, medication and communication lapses, and occasional severe safety incidents. Families considering this facility should weigh the facility’s strong therapy reputation and clean, welcoming environment against documented variability in nursing and aide care, and should ask pointed questions about staffing ratios, call-button availability, supply management, medication administration protocols, weekend/holiday coverage, and how management responds to incidents. If possible, identify and connect with the specific therapy and nursing staff praised in reviews, and confirm in writing how discharge coordination, billing, and personal property safeguards will be handled.
