Belvoir Woods Health Care Center At The Fairfax - Fort Belvoir Nursing Home
General Information
UPDATEFederal Provider Number
495197
Provider Name
BELVOIR WOODS HEALTH CARE CENTER AT THE FAIRFAX
Provider Address
9160 BELVOIR WOODS PKWY
FORT BELVOIR, VA 22060
FORT BELVOIR, VA 22060
Provider Phone Number
(703) 799-1333
Provider SSA County
290
Provider County Name
Fairfax
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
56
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNRISE CONTINUING CARE LLC
Date First Approved to Provide Medicare and Medicaid services
1989-08-02
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
0.28173
Reported LPN Staffing Hours per Resident per Day
1.17019
Reported RN Staffing Hours per Resident per Day
0.71827
Reported Licensed Staffing Hours per Resident per Day
1.88846
Reported Total Nurse Staffing Hours per Resident per Day
2.17019
Reported Physical Therapist Staffing Hours per Resident Per Day
0.35288
Expected CNA Staffing Hours per Resident per Day
2.58166
Expected LPN Staffing Hours per Resident per Day
0.67294
Expected RN Staffing Hours per Resident per Day
1.09235
Expected Total Nurse Staffing Hours per Resident per Day
4.34696
Adjusted CNA Staffing Hours per Resident per Day
0.26777
Adjusted LPN Staffing Hours per Resident per Day
1.44330
Adjusted RN Staffing Hours per Resident per Day
0.49132
Adjusted Total Nurse Staffing Hours per Resident per Day
2.01240
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-01-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-12-18
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2013-01-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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