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ENVOY OF WOODBRIDGE, LLC - WOODBRIDGE, VA

 



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Address
14906 JEFFERSON DAVIS HIGHWAY
WOODBRIDGE, VA, 22191
Phone (make sure to verify first before calling): (703) 491-6167

Number of Certified Beds: 120
Total Number of Residents: 107
Percent of Occupied Beds: 89%
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: 2 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 2 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 2 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 1.14
Certified Nurse Aides - Full Time: 40.11
Certified Nurse Aides - Part Time: 1.91
Food Service Personnel - Full Time: 9.04
Food Service Personnel - Part Time: 3.41
Housekeeping Personnel - Full Time: 10.73
Licensed Practical/ Vocational Nurses - Full Time: 19.81
Licensed Practical/ Vocational Nurses - Part Time: 6.01
Medical Directors - Under Contract: 0.14
Mental Health Services Personnel - Under Contract: 0.14
Nurses With Administrative Duties - Full Time: 6.86
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Activities Professionals - Full Time: 1.14
Dietitians - Part Time: 0.29
Pharmacists - Under Contract: 0.09
Podiatrists - Under Contract: 0.07
Other Physicians - Under Contract: 0.14
Registered Nurses - Part Time: 1.00
Housekeeping Personnel - Part Time: 4.77
Physical Therapists - Full Time: 1.14
Occupational Therapy Assistants - Full Time: 1.14
Speech Pathologists - Part Time: 0.14

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Diagnostic Xray Services Are Provided Onsite To Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite 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 Services Are Provided Onsite 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

Quality Measures

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

10.0%
State:

18.8%
Percent of long-stay residents who self-report moderate to severe pain
This Nursing Home:

4.3%
State:

10.6%
Percent of long-stay high-risk residents with pressure ulcers
This Nursing Home:

15.0%
State:

7.0%
Percent of long-stay residents who lose too much weight
Here:

9.9%
Virginia:

7.6%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
This Nursing Home:

2.8%
Virginia:

3.2%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

8.8%
Virginia:

7.9%
Percent of long-stay residents who have depressive symptoms
Here:

2.3%
Virginia:

4.7%
Percent of long-stay residents experiencing one or more falls with major injury
Here:

1.1%
State:

3.2%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

92.5%
State:

93.7%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

93.5%
State:

94.6%
Percent of short-stay residents who self-report moderate to severe pain
This Nursing Home:

24.2%
Virginia:

19.3%
Percent of short-stay residents with Pressure ulcers that are new or worsened
Here:

1.2%
State:

1.3%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
This Nursing Home:

69.9%
Virginia:

85.3%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

62.3%
Virginia:

83.6%
Percent of short-stay residents who newly received an antipsychotic medication
This Nursing Home:

3.1%
State:

3.0%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

21.2%
Virginia:

22.2%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.450
Virginia:

0.626
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
This Nursing Home:

0.940
Virginia:

1.051
Total Number of Licensed Staff Hours Per Resident Per Day
Here:

1.390
Virginia:

1.671
Number of ,Certified Nurse Assistant Hours Per Resident Per Day
This Nursing Home:

0.060
State:

0.094
Number Therapy Hours Per Resident Per Day
Here:

0.060
State:

0.096

Complaint Deficiency

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Many (Potential for minimal harm)

Reasonably accommodate the needs and preferences of each resident: Some (Minimal harm or potential for actual harm)

Restrictions on the use of portable space heaters: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Many (Potential for minimal harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Few (Minimal harm or potential for actual harm)

Did not have a written emergency evacuation plan: Few (Minimal harm or potential for actual harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Few (Minimal harm or potential for actual harm)

Provide access to a telephone for resident to use in private: Some (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Few (Minimal harm or potential for actual harm)

Provide necessary care and services to maintain the highest well being of each resident : Few (Minimal harm or potential for actual harm)

Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene: Few (Minimal harm or potential for actual harm)

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: Few (Minimal harm or potential for actual harm)

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses: Few (Minimal harm or potential for actual harm)

Post nurse staffing information/data on a daily basis: Many (Potential for minimal harm)

Store, cook, and serve food in a safe and clean way: Some (Minimal harm or potential for actual harm)

Operate and provide services according to Federal, State, and local laws and professional standards: Some (Minimal harm or potential for actual harm)

Give or get quality lab services/tests in a timely manner to meet the needs of residents: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

Corridors that are separated from common areas by walls constructed to limit the passage of smoke: Few (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Many (Potential for minimal harm)

Automatic sprinkler systems that have been maintained in working order: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

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: Some (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Many (Minimal harm or potential for actual harm)

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public: Many (Potential for minimal harm)

Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

Corridors or aisles that are unobstructed and are at least 8 feet in width: Few (Minimal harm or potential for actual harm)

Properly maintained smoke detectors: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Many (Minimal harm or potential for actual harm)

Portable fire extinguishers: Few (Minimal harm or potential for actual harm)

Restrictions on the use of portable space heaters: Few (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Few (Minimal harm or potential for actual harm)

Make sure each resident receives an accurate assessment by a qualified health professional: Some (Potential for minimal harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Some (Minimal harm or potential for actual harm)

Dispose of garbage and refuse properly: Many (Potential for minimal harm)

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor: Few (Minimal harm or potential for actual harm)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Few (Minimal harm or potential for actual harm)

Tell the attending physician the results of x-rays and other tests, in a timely manner: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm)

Proper stairway enclosures and vertical shafts: Few (Minimal harm or potential for actual harm)

Smoke barrier doors that can resist smoke for at least 20 minutes: Few (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

Properly working alarms on sprinkler valves: Many (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Few (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

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