Ruxton Health and Rehabilitation Center of Westover Hills

    4403 Forest Hill Ave, Richmond, VA, 23225
    2.8 · 11 reviews
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Dark Neglectful Overcrowded Nursing Home

    I had a traumatic experience here: dark, gloomy halls and a persistent foul smell, overcrowded shared rooms, residents left in soiled garments, meds and basic care (showers, assistance) tied to payment, and unsafe handling that landed someone in the hospital. A few nurses, aides and the administrator were caring, activities like bingo and therapy existed, and parts of the building felt homey and clean-but that didn't offset chronic neglect, poor management, and what I view as abuse. I would not recommend this facility.

    Pricing

    Schedule a Tour

    Amenities

    2.82 · 11 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.0
    • Staff

      3.2
    • Meals

      1.5
    • Amenities

      2.2
    • Value

      1.0

    Pros

    • Friendly, warm and caring staff reported by multiple reviewers
    • Attentive caregivers and individualized hands-on care in positive accounts
    • Staff with good rapport, humor, and positive interactions with residents
    • Activities program that includes bingo, prizes, and occasional outings
    • Accessible and personable administrator mentioned by some families
    • Clean, home-like environment reported in several reviews
    • Rooms described as roomy with ample storage in positive reports
    • Transportation provided for off-site activities in some cases
    • Designated Alzheimer’s/Dementia unit with staff experienced in memory care
    • Rehab/therapy services and a rehab room noted as available
    • Salon and other on-site conveniences mentioned positively
    • Attentive physician and nursing care reported by some families, giving peace of mind

    Cons

    • Highly variable care quality — reviews range from excellent to abusive
    • Allegations of staff incompetence, neglect, and cruelty
    • Serious clinical concerns: feeding neglect creating aspiration risk
    • Reports of unsafe or unnecessary physical therapy
    • Delayed or denied palliative and pain management care
    • Medication denial and inappropriate handling of prescriptions
    • Poor management and inconsistent leadership cited by multiple reviewers
    • No weekend on-site doctors reported by at least one review
    • Reports of dirty rooms, holes in drywall, and persistent urine odor
    • Residents left in soiled garments or in their own waste for long periods
    • Falls and bed exits allegedly underreported; fall safety concerns
    • Infection control concerns and hospital transfers after infections
    • Facility described as old, exterior not upscale, dark or gloomy halls
    • Overcrowding and shared cramped rooms reported by some families
    • Heating/temperature control problems and cold/dark rooms
    • Food often served cold or not warmed; meal service inconsistencies
    • Activities limited by residents’ cognitive capacity and desire for more
    • Reports of residents unlocatable or poor monitoring of whereabouts
    • DHHS rating reportedly 1/5 and calls from reviewers for shutdown
    • Payment tied to level of care or withholding care tied to payment in complaints

    Summary review

    Overall sentiment is sharply polarized: reviews of Ruxton Health and Rehabilitation Center of Westover Hills contain both strong praise and serious allegations. Multiple families describe warm, attentive staff, a home-like atmosphere, available therapy and activities (notably bingo and outings), and an accessible administrator — all elements that produce peace of mind for some residents and their families. At the same time, a number of reviewers report severe lapses in care including neglect, alleged abuse, clinical mismanagement, and environmental problems. The coexistence of glowing and alarming accounts creates a pattern of inconsistent performance across different shifts, units, or possibly over time.

    Care quality and staff behavior are a central theme with conflicting impressions. Positive reviews emphasize friendly, well-mannered nurses and caregivers who engage residents with humor and one-on-one attention; some explicitly praise the Alzheimer’s/Dementia unit and the therapy teams for meaningful engagement. Conversely, several reviews make grave accusations of incompetence and cruelty — including medication denial, withholding of showers or basic assistance, unsafe handling by a nurse, and feeding neglect that increased aspiration risk. These negative reports include claims of long-term trauma, hospital transfers after infection, and calls for the facility to be shut down. The result is a facility where family experiences depend heavily on which staff members and units are involved.

    Clinical and safety concerns are prominent in the negative reports. Specific issues mentioned include lack of weekend on-site physicians, delayed palliative or pain management, alleged unnecessary or unsafe physical therapy, and feeding practices that may heighten aspiration risk. Several reviewers describe poor monitoring: residents found in soiled garments or in their own waste, missing patient whereabouts, underreported falls, and instances of bedsore/bed-exit problems. Infection control and hospital transfers were also raised. One review referenced an external rating (DHHS 1/5), underscoring serious regulatory or quality concerns according to that reviewer.

    Facility condition and environment are described inconsistently. Positive reviews call the environment clean, homey, and comfortable — with roomy rooms, good storage, a nice dining room, and functioning salon/rehab amenities. Other reviewers report an old building with a non-upscale exterior, dark and gloomy hallways, cramped shared rooms, holes in drywall, persistent urine odor, and heating problems (cold rooms). These divergent impressions suggest variability in maintenance and cleanliness, possibly varying by unit or time of inspection.

    Daily life, activities, and dining present mixed experiences. Several families appreciate activities such as bingo (with prizes) and off-site outings with provided transportation; therapy engagement and daycare opportunities are also noted. However, multiple reviewers wish for more activities or report that programming is limited by residents’ cognitive abilities. Dining is sometimes praised for the dining-room space, but complaints include meals served cold or not warmed when delivered to rooms.

    Management and communication receive both positive and negative mentions. Some reviewers specifically praise an accessible, kind administrator and responsive contact. Others cite poor management, agitation from leadership, and complaints that care is tied to payment status. The presence of both supportive administration reports and allegations of systemic mismanagement implies uneven oversight.

    Patterns and practical implications: the reviews collectively describe a facility capable of providing very good, compassionate care in some instances (notably memory-care and therapy services) but also a facility where serious safety and quality lapses have been reported. This inconsistency is the most important pattern — prospective residents and families should treat reviews as highly variable and investigate specific units, shifts, and staff. Given the gravity of some allegations (neglect, abuse, clinical errors, DHHS rating cited), it would be prudent for families to review inspection reports, ask about staffing levels and weekend physician coverage, request incident and fall logs, tour multiple units at different times of day, and speak directly with families of current residents in the particular unit under consideration.

    In summary, Ruxton Health and Rehabilitation Center of Westover Hills receives both strong endorsements for caring staff, home-like aspects, and therapy/activities, and severe complaints about neglect, incompetence, safety, and facility conditions. The variability across reviews suggests localized strengths and weaknesses rather than uniformly consistent performance. Families should perform targeted due diligence to determine whether the particular unit, shift, and care team meet their expectations and safety requirements before making placement decisions.

    Location

    Map showing location of Ruxton Health and Rehabilitation Center of Westover Hills

    About Ruxton Health and Rehabilitation Center of Westover Hills

    Ruxton Health and Rehabilitation Center of Westover Hills sits at 4403 Forest Hill Ave in Richmond, VA, with a large facility that's home to 192 residents out of 198 beds, so it's usually close to full. The center has skilled nursing, assisted living, independent living, and memory care options, and some folks pick it for the CCRC choices that let people stay as their needs change. Residents can choose between semi-private and private rooms, both offered at a monthly price of $3,900, which is above the city average but still comes in lower than the state average for private spaces. The center offers long-term care for seniors needing 24-hour nursing and personal support and takes both Medicare and Medicaid.

    Staff at Ruxton have earned recognition for being cheerful and kind, and the place has received several awards such as Most Friendly, Best Activities, Best of Senior Living All Star, and Best Meals and Dining thanks to their focus on helpfulness, good food, and engaging activities. The community works to provide nutritious, chef-made meals and has spaces like salons, spas, gyms, therapy rooms, and yoga facilities for comfort and rehab. Ruxton Health offers layers of care, including physical, speech, and occupational therapy, as well as tailored services for those needing memory support, with secure wings, specialized programs, and 24-hour attention, plus activities aimed to help with memory.

    The rehab program here tries to help folks recover from injury and avoid setbacks, with dedicated units for different levels of therapy and lots of equipment and therapy spaces. The medical and therapeutic care is built around individual needs, from wound care to medication help, so people get the support that fits their situation. Resident counselors are available, and the facility puts an emphasis on respect and dignity, trying to keep residents as independent and active as possible. There's a busy calendar with social events, activities, and mental-stimulation programs meant to keep life interesting.

    The center has transportation services to help residents get to appointments or outings, and people living there find it handy that the area has quick access to eight hospitals, twelve pharmacies, ten parks, and plenty of places to eat, with thirty-five restaurants and twelve cafes in the neighborhood, plus four places of worship nearby. Staff are around at all hours to help, whether it's with daily routines, meals, medication, or personal needs. The rooms and spaces are set up for comfort, safety, and recovery, and the facility's for-profit, large size allows it to offer plenty of services for a range of health and rehabilitative needs in a single spot.

    People often ask...

    Nearby Communities

    • Aerial view of a three-story senior living facility with a front entrance, parking lot, and surrounding trees.
      $4,000+3.9 (15)
      1 Bedroom
      independent, assisted living, memory care

      The Barclay at Midlothian

      11210 Robious Road, Richmond, VA, 23235
    • Exterior view of a large, multi-story senior living facility building at dusk with lights on inside. In the foreground, there is a landscaped area with a sign that reads 'Legend Personal Care Memory Care' and the number 425. The building has multiple windows and a sloped roof.
      $5,725 – $7,442+4.3 (30)
      Semi-private • 1 Bedroom • Studio
      assisted living, memory care

      Legend at Silver Creek

      425 Lambs Gap Rd, Mechanicsburg, PA, 17050
    • Exterior view of a senior living facility named Legend of Lititz showing the main entrance with a covered drop-off area, landscaped greenery, and a clear blue sky.
      $3,575 – $5,270+4.1 (130)
      1 Bedroom • 2 Bedroom
      independent, assisted living, memory care

      Legend of Lititz

      80 W Millport Rd, Lititz, PA, 17543
    • Exterior view of a single-story building with beige siding, white trim, and a red roof. The building features multiple windows and a small tower-like structure with a conical roof. The foreground includes a stone retaining wall, green shrubs, and trees partially framing the view.
      $3,925+4.0 (146)
      suite
      independent, assisted living, memory care

      Truewood by Merrill, Glen Riddle

      263 Glen Riddle Rd, Glen Riddle, PA, 19063
    • Exterior front view of a large three-story senior living facility building with beige siding and stone accents, a red roof, multiple windows, balconies, a driveway with a stop sign, landscaped greenery, and parked cars under a clear blue sky.
      $2,730 – $4,895+4.4 (139)
      Studio • 1 Bedroom • 2 Bedroom
      continuing care retirement community

      Merrill Gardens at West Chester

      1201 Ward Ave, West Chester, PA, 19380
    • Covered entrance to a brick building with glass double doors, two chairs on either side, potted plants, and greenery around the entrance.
      $2,214 – $3,800+4.4 (137)
      Semi-private • Studio • 1 Bedroom
      independent, assisted living, memory care

      Exton Senior Living

      600 N Pottstown Pike, Exton, PA, 19341

    Assisted Living in Nearby Cities

    1. 65 facilities$5,076/mo
    2. 114 facilities$5,435/mo
    3. 76 facilities$5,522/mo
    4. 28 facilities$4,968/mo
    5. 71 facilities$5,427/mo
    6. 30 facilities$4,472/mo
    7. 116 facilities$5,754/mo
    8. 71 facilities$5,076/mo
    9. 110 facilities$5,286/mo
    10. 104 facilities$5,758/mo
    11. 69 facilities$5,150/mo
    12. 65 facilities$5,072/mo
    © 2025 Mirador Living