Burke Health And Rehabilitation Center - Burke Nursing Home

General Information

UPDATE
Federal Provider Number
495248
Provider Name
BURKE HEALTH AND REHABILITATION CENTER
Provider Address
9640 BURKE LAKE ROAD
BURKE, VA 22015
Provider Phone Number
(703) 425-9765
Provider SSA County
290
Provider County Name
Fairfax
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
120
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEDICAL FACILITIES OF AMERICA XXIX
Date First Approved to Provide Medicare and Medicaid services
1991-08-05
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.25833
Reported LPN Staffing Hours per Resident per Day
1.11373
Reported RN Staffing Hours per Resident per Day
1.59461
Reported Licensed Staffing Hours per Resident per Day
2.70833
Reported Total Nurse Staffing Hours per Resident per Day
4.96667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.36078
Expected CNA Staffing Hours per Resident per Day
2.35036
Expected LPN Staffing Hours per Resident per Day
0.68504
Expected RN Staffing Hours per Resident per Day
1.45140
Expected Total Nurse Staffing Hours per Resident per Day
4.48680
Adjusted CNA Staffing Hours per Resident per Day
2.35763
Adjusted LPN Staffing Hours per Resident per Day
1.34940
Adjusted RN Staffing Hours per Resident per Day
0.82093
Adjusted Total Nurse Staffing Hours per Resident per Day
4.46201
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-03-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2014-02-26
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
32
Cycle 2 Total Health Score
96
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2013-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
69.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
18
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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