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Envoy Of Woodbridge, Llc

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? No
Certified Beds 11
Continuing Care? No
Resident Council? No
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 11/04/2011

Date of last standard health inspection: 11/04/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in VA: 3
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in VA: 0 - 11

Inspection, 00/02/2012

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/02/2012 01/01/2001 2 Few
Have a program that investigates, controls and keeps infection from spreading. 00/02/2012 01/01/2001 2 Many
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 00/02/2012 01/01/2001 1 Many
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/02/2012 01/01/2001 2 Many
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 00/02/2012 01/01/2001 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 00/02/2012 01/01/2001 2 Few

Inspection, 00/09/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/09/2011 01/09/2012 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 00/09/2011 01/09/2012 2 Few
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 00/09/2011 01/09/2012 2 Many
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure services provided by the nursing facility meet professional standards of quality. 00/09/2011 01/09/2012 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/09/2011 01/09/2012 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Allow residents the right to participate in the planning or revision of care and treatment. 00/09/2011 01/09/2012 2 Few
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. 00/09/2011 01/09/2012 2 Few
Make sure that doctors visit residents regularly, as required. 00/09/2011 01/09/2012 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. 00/09/2011 01/09/2012 2 Few
Give notice to the resident before a room or roommate change. 00/09/2011 01/09/2012 2 Few

Inspection, 00/04/2011

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Tell the attending physician the results of x-rays and other tests, in a timely manner. 00/04/2011 00/08/2012 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 00/04/2011 00/08/2012 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 00/04/2011 00/08/2012 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 00/04/2011 00/08/2012 2 Few
Dispose of garbage and refuse properly. 00/04/2011 00/08/2012 1 Many
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 00/04/2011 00/08/2012 2 Some
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. 00/04/2011 00/08/2012 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 00/04/2011 00/08/2012 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure each resident receives an accurate assessment by a qualified health professional. 00/04/2011 00/08/2012 1 Some

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in VA Golden Living Center, Asheville
RN Staff Only1 N/A N/A 1 out of 5 stars
Total Number of Residents 86 98 120
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 9 hours 34 minutes 1 hour 20 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 8 hours 32 minutes 25 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 8 hours 57 minutes 55 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 10 hours 8 minutes 1 hour 55 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Short-Term Residents

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 11/10/2011

Automatic Sprinkler Systems in all required areas 94
Date of last standard fire safety inspection: 11/10/2011
Dates of Complaint Investigations: 04/01/2011 - 03/31/2012
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in VA: 0
Average number of Fire Safety Deficiencies in US: 2
Range of Fire Safety Deficiencies in VA: 0 - 0

Inspection, 01/07/2012

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 01/07/2012 02/06/2001 2 Many
Portable fire extinguishers. 01/07/2012 02/06/2001 2 Few
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of portable space heaters. 01/07/2012 02/06/2001 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/07/2012 02/06/2001 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors or aisles that are unobstructed and are at least 8 feet in width. 01/07/2012 02/06/2001 2 Few
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly maintained smoke detectors. 01/07/2012 02/06/2001 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/07/2012 02/06/2001 2 Few

Inspection, 01/04/2011

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. 01/04/2011 00/00/0000 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/04/2011 00/00/0000 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/04/2011 00/00/0000 2 Few

Inspection, 01/00/2011

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly working alarms on sprinkler valves. 01/00/2011 00/00/0000 2 Many
Building Service Equipment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. 01/00/2011 02/08/2012 2 Few
Properly protected cooking facilities. 01/00/2011 02/08/2012 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/00/2011 02/08/2012 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/00/2011 02/08/2012 2 Few
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. 01/00/2011 02/08/2012 2 Few
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 01/00/2011 02/08/2012 2 Few
Vertical Openings Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Proper stairway enclosures and vertical shafts. 01/00/2011 02/08/2012 2 Few
 

14906 Jefferson Davis Highway
Woodbridge, VA 22191

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