| General |
| City |
| Alexandria |
Tappahannock |
| State attribute explanation |
| Va |
Va |
| Street |
| 2,729 |
1150 Marsh Street |
| Zip Code |
| 22,302 |
22,560 |
| Phone |
| 7,038,368,838 |
8,044,434,308 |
|
Overall Star Rating |
| 3 |
3 |
|
Health Inspections Star Rating |
| 2 |
2 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 4 |
4 |
|
RN Only Star Rating |
| 3 |
3 |
|
Number of Certified Beds |
| 307 |
60 |
|
Total Number of Residents |
| 276 |
54 |
|
Percent of Occupied Beds |
| 90 % |
90 % |
| Health Survey Date |
| 8/11/2011 |
8/11/2011 |
| Fire Survey Date |
| 8/16/2011 |
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? |
| No |
Yes |
| Resident and Family Councils |
| Both |
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 |
| 5 |
12 |
|
| Staff Information |
| Number of Residents |
| 276 |
54 |
| Number of RN Hours Per Resident Per Day |
| 0.65 |
0.58 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.44 |
0.84 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 2.09 |
1.41 |
| Number of CNA Hours Per Resident Per Day |
| 0.12 |
0.11 |
| Number Therapy Hours Per Resident Per Day |
| 0.12 |
0.11 |
| Environmental Deficiencies |
| Deficiency #1 |
|
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: 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: Somelevel 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: 02/15/2012date Of Correction: 03/30/2012 |
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: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 02/15/2012date Of Correction: 03/30/2012 |
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 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
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: 02/15/2012date Of Correction: 03/30/2012 |
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: Fewlevel Of Harm: 2deficiency: Give Or Get Quality Lab Services/tests In A Timely Manner To Meet The Needs Of Residents.survey Date: 02/15/2012date Of Correction: 03/30/2012 |
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: Fewlevel 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: 09/16/2010date Of Correction: 10/25/2010 |
|
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
|
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 |
| 13.3 % |
12.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 1.1 % |
|
| Percent of long-stay residents who self-report moderate to severe pain |
| 5.4 % |
17 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 11.4 % |
75.2 % |
| Percent of long-stay residents who lose too much weight |
| 4.2 % |
8.9 / 9.9 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 63 % |
|
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.3 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.1 % |
3.6 % |
| Percent of long-stay residents who have depressive symptoms |
| 10.3:1 |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 0.4 % |
3.6 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 15.7 % |
|
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 89.9 % |
|
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 91.9 % |
|
| 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 |
| 2.20 % |
3.6 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 14 % |
13.4 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.9 % |
12.1:1 |
| Percent of long-stay residents who self-report moderate to severe pain |
| 6.5 % |
11.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 11.2-20 |
1.8 % |
| Percent of long-stay residents who lose too much weight |
| 6.5 % |
4.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 68.7 % |
60 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6.2 % |
75.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.4 % |
2.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 11.2-20 |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 0.9 % |
3.7 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.6 / 3 |
24.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 16.9-24 |
9.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 88.1 % |
94.7 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 89 % |
83 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 14.3 % |
|