| General |
| City |
| Richmond |
Yorktown |
| State attribute explanation |
| Va |
Va |
| Street |
| 2125 Hilliard Road |
113 Battle Road |
| Zip Code |
| 23,228 |
23,692 |
| Phone |
| 8,042,669,666 |
7,578,981,491 |
|
Overall Star Rating |
| 1 |
3 |
|
Health Inspections Star Rating |
| 1 |
3 |
|
Nurse Staffing Star Rating |
| 2 |
3 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
| 3 |
3 |
|
Number of Certified Beds |
| 194 |
60 |
|
Total Number of Residents |
| 167 |
56 |
|
Percent of Occupied Beds |
| 86 % |
93 % |
| Health Survey Date |
| 5/18/2012 |
8/19/2011 |
| Fire Survey Date |
| 5/30/2012 |
8/22/2011 |
| 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 |
| 11 |
5 |
|
| Staff Information |
| Number of Residents |
| 167 |
56 |
| Number of RN Hours Per Resident Per Day |
| 0.58 |
0.68 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.74 |
0.91 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.31 |
1.58 |
| Number of CNA Hours Per Resident Per Day |
| 0.14 |
0.03 |
| Number Therapy Hours Per Resident Per Day |
| 0.14 |
0.03 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.survey Date: 07/22/2010date Of Correction: 08/25/2010 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 3deficiency: 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: 07/10/2009date Of Correction: Not Available |
Scope: Fewlevel Of Harm: 2deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.survey Date: 07/02/2009date Of Correction: Not Available |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Each Resident In A Way That Keeps Or Builds The Resident's Quality Of Life.survey Date: 07/02/2009date Of Correction: Not Available |
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 07/10/2009date Of Correction: Not Available |
Scope: Fewlevel Of Harm: 2deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.survey Date: 07/02/2009date Of Correction: Not Available |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.survey Date: 07/02/2009date Of Correction: Not Available |
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure That Doctors Visit Residents Regularly, As Required.survey Date: 06/23/2011date Of Correction: Not Available |
Scope: Somelevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 07/02/2009date Of Correction: Not Available |
| Deficiency #2 |
| Scope: Somelevel Of Harm: 1deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.survey Date: 06/23/2011date Of Correction: Not Available |
|
| Deficiency #3 |
| Scope: Somelevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 07/10/2009date Of Correction: Not Available |
|
| Deficiency #4 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure Each Resident Receives An Accurate Assessment By A Qualified Health Professional.survey Date: 07/10/2009date Of Correction: Not Available |
|
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Somelevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 07/10/2009date Of Correction: Not Available |
|
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure That Residents Are Safe From Serious Medication Errors.survey Date: 07/10/2009date Of Correction: Not Available |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 07/10/2009date Of Correction: Not Available |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 23.3 % |
13.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.5 - 2.0 |
1.8 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 7.1 % |
17.8:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 10 % |
6.7 % |
| Percent of long-stay residents who lose too much weight |
| 5.8 % |
18.2:1 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 73.2 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.1 % |
1.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 0.7 % |
10.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 0.7 % |
40 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 28.9 % |
29.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 79.6 % |
90.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 75.3 % |
93.9 % |
| 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 |
| 2.9 % |
1.8 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 19.7 % |
13 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.6 % |
1.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 6.9 % |
12.7 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 11.2-20 |
8.4 % |
| Percent of long-stay residents who lose too much weight |
| 6.7 % |
15.6 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 65.8 % |
63.2 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3.2 % |
1.6 % |
| Percent of long-stay residents with a urinary tract infection |
| 1.2 % |
9.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 1.6 % |
21.9 % |
| Percent of long-stay residents who were physically restrained |
| 75.2 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3 % |
2.6 / 3 |
| Percent of short-stay residents who self-report moderate to severe pain |
| 31.1 % |
12 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 64.9 % |
81.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 56.1 % |
95.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 23.1 % |
23.4 % |