Cherrydale Health And Rehabilitation Center - Arlington Nursing Home
General Information
UPDATEFederal Provider Number
495121
Provider Name
CHERRYDALE HEALTH AND REHABILITATION CENTER
Provider Address
3710 LEE HIGHWAY
ARLINGTON, VA 22207
ARLINGTON, VA 22207
Provider Phone Number
(703) 243-7640
Provider SSA County
60
Provider County Name
Arlington
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
240
Number of Residents in Certified Beds
206
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MFA XI - CHERRYDALE
Date First Approved to Provide Medicare and Medicaid services
1980-04-29
Continuing Care Retirement Community
N
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.04709
Reported LPN Staffing Hours per Resident per Day
0.95728
Reported RN Staffing Hours per Resident per Day
0.79636
Reported Licensed Staffing Hours per Resident per Day
1.75364
Reported Total Nurse Staffing Hours per Resident per Day
3.80073
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06723
Expected CNA Staffing Hours per Resident per Day
2.55156
Expected LPN Staffing Hours per Resident per Day
0.66143
Expected RN Staffing Hours per Resident per Day
0.99859
Expected Total Nurse Staffing Hours per Resident per Day
4.21158
Adjusted CNA Staffing Hours per Resident per Day
1.96858
Adjusted LPN Staffing Hours per Resident per Day
1.20125
Adjusted RN Staffing Hours per Resident per Day
0.59588
Adjusted Total Nurse Staffing Hours per Resident per Day
3.63768
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
27
Cycle 2 Number of Standard Health Deficiencies
27
Cycle 2 Number of Complaint Health Deficiencies
17
Cycle 2 Health Deficiency Score
180
Cycle 2 Standard Health Survey Date
2013-05-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
180
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
86.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
17
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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