General |
City |
Alexandria |
Tappahannock |
State attribute explanation |
Va |
Va |
Street |
1510 Collingwood Road |
1150 Marsh Street |
Zip Code |
22,308 |
22,560 |
Phone |
7,037,656,107 |
8,044,434,308 |
Overall Star Rating |
4 |
3 |
Health Inspections Star Rating |
4 |
2 |
Nurse Staffing Star Rating |
3 |
4 |
Quality Measures Star Rating |
4 |
4 |
RN Only Star Rating |
3 |
3 |
Number of Certified Beds |
96 |
60 |
Total Number of Residents |
85 |
54 |
Percent of Occupied Beds |
89 % |
90 % |
Health Survey Date |
8/26/2011 |
8/11/2011 |
Fire Survey Date |
8/30/2011 |
8/11/2011 |
Sprinkler Status |
Fully Sprinklered |
Fully Sprinklered |
Program Participation |
Medicare And Medicaid |
Medicare And Medicaid |
Type of Ownership |
For Profit - Corporation |
For Profit - Corporation |
Located Within a Hospital? |
No |
No |
Multi Nursing Home Ownership? |
Yes |
Yes |
Resident and Family Councils |
Resident |
Resident |
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 |
12 |
|
Staff Information |
Number of Residents |
85 |
54 |
Number of RN Hours Per Resident Per Day |
0.63 |
0.58 |
Number of LPN/LVN Hours Per Resident Per Day |
1.09 |
0.84 |
Total Number of Licensed Staff Hours Per Resident Per Day |
1.73 |
1.41 |
Number of CNA Hours Per Resident Per Day |
0.15 |
0.11 |
Number Therapy Hours Per Resident Per Day |
0.15 |
0.11 |
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 |
Scope: Somelevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.survey Date: 08/11/2011date Of Correction: 09/12/2011 |
Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.survey Date: 08/13/2010date Of Correction: 08/31/2010 |
Deficiency #3 |
|
Scope: Fewlevel Of Harm: 4deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 07/10/2009date Of Correction: Not Available |
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 |
Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 07/10/2009date Of Correction: Not Available |
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: Somelevel Of Harm: 2deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week.survey Date: 07/10/2009date Of Correction: Not Available |
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: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 07/10/2009date Of Correction: Not Available |
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 |
|
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 |
Scope: Fewlevel Of Harm: 2deficiency: Coordinate Assessments With The Pre-admission Screening And Resident Review Program For Mentally-ill And Mentally-retarded Patients.survey Date: 07/10/2009date Of Correction: Not Available |
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 |
Scope: Somelevel Of Harm: 2deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.survey Date: 08/11/2011date Of Correction: 09/12/2011 |
Deficiency #2 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure Medically Necessary Lab Services/tests Are Ordered By The Attending Physician.survey Date: 07/10/2009date Of Correction: Not Available |
Deficiency #3 |
|
Scope: Fewlevel Of Harm: 2deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.survey Date: 07/10/2009date Of Correction: Not Available |
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 |
Scope: Manylevel Of Harm: 2deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.survey Date: 07/10/2009date Of Correction: Not Available |
Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.survey Date: 07/10/2009date Of Correction: Not Available |
Quality Measures Q1 |
Percent of long-stay residents who received an antipsychotic medication |
11.1 % |
12.5 % |
Percent of long-stay residents whose need for help with daily activities has increased |
0.9 % |
|
Percent of long-stay residents who self-report moderate to severe pain |
4.5 % |
17 % |
Percent of long-stay high-risk residents with pressure ulcers |
10.3:1 |
75.2 % |
Percent of long-stay residents who lose too much weight |
4.4 % |
8.9 / 9.9 |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
1.50 % |
75.2 % |
Percent of long-stay residents with a urinary tract infection |
1.8 % |
3.6 % |
Percent of long-stay residents who have depressive symptoms |
75.2 % |
75.2 % |
Percent of long-stay residents who were physically restrained |
75.2 % |
3.6 % |
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 % |
|
Percent of short-stay residents with Pressure ulcers that are new or worsened |
95.5 % |
|
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 % |
3.6 % |
Quality Measures Q3 |
Percent of long-stay residents who received an antipsychotic medication |
12.4-2413.6-24 |
13.4 % |
Percent of long-stay residents whose need for help with daily activities has increased |
1.1 % |
12.1:1 |
Percent of long-stay residents who self-report moderate to severe pain |
4.9 % |
11.5 % |
Percent of long-stay high-risk residents with pressure ulcers |
10.1:1 |
1.8 % |
Percent of long-stay residents who lose too much weight |
6.8 % |
4.3 % |
Percent of long-stay low-risk residents who lose control of their bowels or bladder |
56.1 % |
60 % |
Percent of long-stay residents who have had a catheter inserted and left in their bladder |
2.5 % |
75.2 % |
Percent of long-stay residents with a urinary tract infection |
4.4 % |
2.5 % |
Percent of long-stay residents who have depressive symptoms |
2.9 % |
75.2 % |
Percent of long-stay residents who were physically restrained |
75.2 % |
3.7 % |
Percent of long-stay residents experiencing one or more falls with major injury |
2.20 % |
24.8 % |
Percent of short-stay residents who self-report moderate to severe pain |
20.6 % |
9.7 % |
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
62.6 % |
94.7 % |
Percent of short-stay residents with Pressure ulcers that are new or worsened |
88.9 % |
83 % |
Percent of short-stay residents who newly received an antipsychotic medication |
29 % |
|