ENVOY OF WESTOVER HILLS - RICHMOND, VA

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ENVOY OF WESTOVER HILLS
4403 FOREST HILL AVENUE
RICHMOND, VA, 23225

Phone (make sure to verify first before calling): (804) 231-0231

Number of Certified Beds: 198
Total Number of Residents: 190
Percent of Occupied Beds: 96%
Sprinkler Status: Fully sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 1 Star
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: 1 Star
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 1 Star

Provided Services

Activities Services Are Provided Onsite To Residents
Administration And Storage Of Blood Services Are Provided Offsite To Residents
Administration And Storage Of Blood Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Offsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Offsite To Residents
Dental Services Are Provided Onsite To Residents
Diagnostic Xray Services Are Provided Offsite To Residents
Diagnostic Xray Services Are Provided Onsite To Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Offsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Offsite To Residents
Mental Health Services Are Provided Onsite To Residents
Nursing Services Are Provided Onsite To Residents
Occupational Therapy Services Are Provided Onsite To Residents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Onsite To Residents
Physician Extender Services Are Provided Onsite To Residents
Physician Services Are Provided Offsite To Residents
Physician Services Are Provided Onsite To Residents
Podiatry Services Are Provided Offsite To Residents
Podiatry Services Are Provided Onsite To Residents
Social Work Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents
Vocational Services Are Provided Offsite To Residents

Employment Full-Time Equivalent

Administrative Staff - Full Time: 10.00
Administrative Staff - Part Time: 0.83
Certified Nurse Aides - Full Time: 66.63
Food Service Personnel - Full Time: 17.01
Food Service Personnel - Part Time: 3.60
Housekeeping Personnel - Full Time: 14.23
Licensed Practical/ Vocational Nurses - Full Time: 27.63
Medical Directors - Under Contract: 0.11
Nurses With Administrative Duties - Full Time: 8.00
Persons Not Included In Any Other Categories - Full Time: 6.71
Registered Nurses - Full Time: 2.91
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 2.06
Activities Professionals - Full Time: 1.14
Pharmacists - Under Contract: 0.11
Podiatrists - Under Contract: 0.06
Other Physicians - Under Contract: 0.11
Physician Extenders - Under Contract: 0.11
Housekeeping Personnel - Part Time: 1.73
Occupational Therapists - Full Time: 2.29
Physical Therapists - Full Time: 1.14
Occupational Therapy Assistants - Part Time: 0.14
Speech Pathologists - Part Time: 0.57

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.160
Virginia:	0.581

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	1.060
State:	1.014

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.220
Virginia:	1.595

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	2.010
Virginia:	2.211

Quality Measures

Percent of long-stay residents given influenza vaccination during the flu season

Here:	85.0%
State:	93.3%

Percent of long-stay residents who were assessed and given pneumococcal vaccination

Here:	95.0%
Virginia:	89.8%

Percent of long-stay residents whose need for help with daily activities has increased

This Nursing Home:	15.0%
State:	16.6%

Percent of high-risk long-stay residents who have pressure sores

This Nursing Home:	7.0%
State:	10.8%

Percent of long-stay residents who were physically restrained

Here:	2.0%
Virginia:	1.0%

Percent of long-stay residents who are more depressed or anxious

This Nursing Home:	8.0%
Virginia:	15.1%

Percent of low-risk long-stay residents who lose control of their bowels or bladder

Here:	49.0%
State:	59.3%

Percent of long-stay residents who have/had a catheter inserted and left in their bladder

This Nursing Home:	3.0%
State:	3.9%

Percent of long-stay residents who spend most of their time in bed or in a chair

This Nursing Home:	1.0%
Virginia:	5.6%

Percent of long-stay residents whose ability to move about in and around their room got worse

This Nursing Home:	9.0%
State:	12.7%

Percent of long-stay residents who had a urinary tract infection

This Nursing Home:	5.0%
Virginia:	10.5%

Percent of long-stay residents who lose too much weight

This Nursing Home:	9.0%
State:	8.5%

Percent of short-stay residents given influenza vaccination during the flu season

This Nursing Home:	79.0%
State:	84.3%

Percent of short-stay residents who were assessed and given pneumococcal vaccination

This Nursing Home:	72.0%
Virginia:	80.3%

Percent of short-stay residents who have delirium

Here:	4.0%
Virginia:	1.1%

Percent of short-stay residents who had moderate to severe pain

This Nursing Home:	4.0%
State:	15.9%

Complaint Deficiency

Give professional services that meet a professional standard of quality: Isolated (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free of dangers that cause accidents: Isolated (Actual harm)

1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan: Isolated (Minimal harm or potential for actual harm)

Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly: Isolated (Minimal harm or potential for actual harm)

Protect each resident from all abuse, physical punishment, and being separated from others: Isolated (Actual harm)

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