Hearth Record

Bma - West End

A dialysis facility in Richmond, Virginia 23229

1501 Santa Rosa Rd, Richmond, Virginia 23229. (804) 288-5053.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 1 deficiency in 1 month of the last 36. Last cited Nov 2024. Most serious: Standard-level. Every month

Each figure’s source sits beside it, in its section below.

What these words mean3
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.

What did inspectors find?

The last inspection on record was on Nov 7, 2024: a standard inspection.

1 deficiency cited in the last three years.

Source:

CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 28, 2026. Updated monthly.

When those deficiencies happened

1 deficiency in 1 month of the last 36. Last cited Nov 2024. Most serious: Standard-level. The last 3 years, to Oct 30, 2026.

1 deficiency by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, as cited

Rule titles as CMS’s inspectors cite them, set in sentence case.

Source:

CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 28, 2026. Updated monthly.

Nov 7, 2024: standard inspection1 deficiency
  • Achieve Adequate Clearance

    The inspectors’ words, 471 words

    “POC-ACHIEVE ADEQUATE CLEARANCE CFR(s): 494.90(a)(1) Achieve and sustain the prescribed dose of dialysis to meet a hemodialysis Kt/V of at least 1.2 and a peritoneal dialysis weekly Kt/V of at least 1.7 or meet an alternative equivalent professionally-accepted clinical practice standard for adequacy of dialysis. This Standard is not met as evidenced by: 19883 Based on medical record and facility document review, the facility staff failed to follow physician’s orders for the prescribed dose of dialysis BFR (blood flow rate) and or DFR (dialysis flow rate) for three (3) of five (5) patient records sampled. The findings included: Patient #3: Review of Patient #3’s clinical record revealed an order for a BFR (Blood Flow Rate) of 450 and DFR (Dialysis Flow Rate) of 800. Patient #3 had two (2) dialysis treatments since becoming an established patient at the facility. The surveyor reviewed Patient #3’s treatment records between November 1, 2024 and November 4, 2024. Patient #3’s treatment record for November 4, 2024 evidenced a documented BFR of 425. There was no documentation in the treatment record indicating the reason for the change in the BFR. Patient #7: Review of Patient #7’s clinical record revealed an order for a BFR of 450 and a DFR of 800. The surveyor reviewed Patient #7’s treatment records between October 25, 2024 and November 6, 2024. Patient #7’s treatment record for October 28, 2024 evidenced a documented BFR of 400. There was no documentation in the treatment record indicating the reason for the change in the BFR. Patient #7’s treatment record for November 4, 2024 evidenced a documented BFR of 350 and 425. There was no documentation in the treatment record indicating the reason for the changes in the BFR. Staff Member #1 explained during an interview on November 7, 2024 that anytime the BFR and/or DFR prescription is changed during a dialysis treatment, the staff is responsible for documenting the reason for the change. 46466 Patient #6: The surveyor reviewed two (2) dialysis treatment records from 11/1/24 to 11/4/24. Two (2) of two (2) treatment records for Patient #6 evidenced an order for BFR of 350 and DFR of 300 The treatment sheets evidenced the following: On 11/1/24, the DFR was documented as 800. On 11/4/24, the BFR was documented as 450 and the DFR was documented as 800. Patient #6’s clinical record failed to contain evidence of documentation explaining why the BFR and DFR were not being administered as prescribed. A review of the facility’s policy “Patient Assessment and Monitoring”, published 5/1/23, stated in part: “...3. Machine Parameters and Extracorporeal Circuit - Check machine settings and measurements: Check prescribed blood flow is being achieved or reason is documented in the medical record if unable to meet prescribed blood flow...”; and “Check dialysate flow rate setting is correct and the prescribed flow is being delivered.””

    Rule V0544. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Nov 7, 2024Standard inspection1 deficiency cited

Is it certified?

  • Medicare-certified dialysis facility, certified or last recertified on Sep 1, 1977.
  • Run for profit.
  • No deficiency on record in the last three years.
  • Chain: Fresenius Medical Care.
Source:

CMS, Dialysis Facility - Listing by Facility. Released Jul 15, 2026. Updated quarterly.

CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 28, 2026. Updated monthly.

Has it been penalized?

  • CMS doesn’t publish fines or other penalties for dialysis facilities.
  • None of the deficiencies cited in the last three years came from an inspection that included a complaint investigation.
Source:

CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 28, 2026. Updated monthly.

What does it offer?

  • Offers in-center hemodialysis, peritoneal dialysis, home hemodialysis training and a shift starting at 5 p.m. or later.
  • 35 dialysis stations.
  • CMS doesn’t publish staffing levels for dialysis facilities.
Source:

CMS, Dialysis Facility - Listing by Facility and Patient survey (ICH CAHPS) - Facility. Released Jul 15, 2026. Updated quarterly.

Who owns it?

  • Part of the Fresenius Medical Care chain, as CMS lists it.
  • CMS publishes no owners file for dialysis facilities, so no other owner is named.
Source:

CMS, Dialysis Facility - Listing by Facility. Released Jul 15, 2026. Updated quarterly.

How do patients fare?

  • CMS rates it 3 of 5 stars (Jan 1, 2021 to Dec 31, 2024).
  • Compared by CMS with what it expects for the facility’s patients: patient survival, as expected; hospital admissions, as expected; readmissions to hospital, as expected; blood transfusions, as expected; emergency department visits, as expected; emergency department visits within 30 days of a hospital stay, as expected; bloodstream infections, as expected; patients dialysing through a fistula, as expected; patients on a kidney transplant waitlist, as expected.
  • CMS gives no : “Too few completed survey responses to report.”
Source:

CMS, Dialysis Facility - Listing by Facility and Patient survey (ICH CAHPS) - Facility. Released Jul 15, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Star ratingCMS’s star rating for dialysis facilities, 1 to 53 of 5
Patient survey ratingCMS star rating from its survey of the facility’s in-center hemodialysis patients (ICH CAHPS), 1 to 5Not rated

How does it compare nearby?

  • Of the 10 dialysis facilities CMS lists in Henrico County, 9 have a star rating from CMS: 1 rated 4 of 5, 6 rated 3 of 5, 1 rated 2 of 5, 1 rated 1 of 5.
  • CMS rates this one 3 of 5.
Source:

CMS, Dialysis Facility - Listing by Facility. Released Jul 15, 2026. Updated quarterly.

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for dialysis facilities, so none are shown.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • QCOR says it has no dialysis inspection reports after February 19, 2026, while it moves to a new system: a later inspection is not shown yet.
  • CMS doesn’t publish staffing levels for dialysis facilities.
  • CMS publishes no owners file for dialysis facilities: the chain it lists is the only owner named.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Oct 30, 2026.

From the facility

The public record above comes first. Anything the facility adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the facility will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the facility”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 8, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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