| General |
| City |
| Alexandria |
Fincastle |
| State attribute explanation |
| Va |
Va |
| Street |
| 1510 Collingwood Road |
188 Old Fincastle Road |
| Zip Code |
| 22,308 |
24,090 |
| Phone |
| 7,037,656,107 |
5,404,732,288 |
|
Overall Star Rating |
| 4 |
2 |
|
Health Inspections Star Rating |
| 4 |
2 |
|
Nurse Staffing Star Rating |
| 3 |
4 |
|
Quality Measures Star Rating |
| 4 |
1 |
|
RN Only Star Rating |
| 3 |
4 |
|
Number of Certified Beds |
| 96 |
60 |
|
Total Number of Residents |
| 85 |
48 |
|
Percent of Occupied Beds |
| 89 % |
80 % |
| Health Survey Date |
| 8/26/2011 |
11/17/2011 |
| Fire Survey Date |
| 8/30/2011 |
11/18/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
Non Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
Yes |
| Resident and Family Councils |
| Resident |
Both |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 9 |
3 |
|
| Staff Information |
| Number of Residents |
| 85 |
48 |
| Number of RN Hours Per Resident Per Day |
| 0.63 |
1.26 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.09 |
1.28 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.73 |
2.54 |
| Number of CNA Hours Per Resident Per Day |
| 0.15 |
0.05 |
| Number Therapy Hours Per Resident Per Day |
| 0.15 |
0.05 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.survey Date: 08/07/2009date Of Correction: 09/09/2009 |
|
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 08/07/2009date Of Correction: 09/09/2009 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 08/07/2009date Of Correction: 09/09/2009 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 05/05/2011date Of Correction: 06/07/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.survey Date: 08/07/2009date Of Correction: 09/09/2009 |
Scope: Somelevel Of Harm: 2deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.survey Date: 05/05/2011date Of Correction: 06/07/2011 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 08/07/2009date Of Correction: 09/09/2009 |
Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/05/2011date Of Correction: 06/07/2011 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 1deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 08/07/2009date Of Correction: 09/09/2009 |
|
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 02/25/2011date Of Correction: 03/18/2011 |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 08/07/2009date Of Correction: 09/09/2009 |
|
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
| Scope: Manylevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 08/07/2009date Of Correction: 09/09/2009 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 11.1 % |
9.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.9 % |
10.1:1 |
| Percent of long-stay residents who self-report moderate to severe pain |
| 4.5 % |
|
| Percent of long-stay high-risk residents with pressure ulcers |
| 10.3:1 |
12.5 % |
| Percent of long-stay residents who lose too much weight |
| 4.4 % |
4.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.50 % |
3 % |
| Percent of long-stay residents with a urinary tract infection |
| 1.8 % |
6.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
2.3 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
2.20 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 22.1 (71.8) |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 89.7 % |
91.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 95.5 % |
77.8 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 1.8 % |
75.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 12.4-2413.6-24 |
12.6:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.1 % |
8.9 / 9.9 |
| Percent of long-stay residents who self-report moderate to severe pain |
| 4.9 % |
34.9 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 10.1:1 |
12.8:1 |
| Percent of long-stay residents who lose too much weight |
| 6.8 % |
2.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 56.1 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 2.5 % |
1.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.4 % |
9.6 % |
| Percent of long-stay residents who have depressive symptoms |
| 2.9 % |
1.6 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
2.20 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.20 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 20.6 % |
42.9 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 62.6 % |
90.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 88.9 % |
85.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 29 % |
6.2 % |