Envoy Of Alexandria, Llc - Alexandria Nursing Home
General Information
UPDATEFederal Provider Number
495203
Provider Name
ENVOY OF ALEXANDRIA, LLC
Provider Address
900 VIRGINIA AVENUE
ALEXANDRIA, VA 22302
ALEXANDRIA, VA 22302
Provider Phone Number
(703) 684-9100
Provider SSA County
11
Provider County Name
Alexandria City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
111
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ENVOY OF ALEXANDRIA, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-11-08
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.83380
Reported LPN Staffing Hours per Resident per Day
0.93981
Reported RN Staffing Hours per Resident per Day
0.51852
Reported Licensed Staffing Hours per Resident per Day
1.45833
Reported Total Nurse Staffing Hours per Resident per Day
3.29213
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09444
Expected CNA Staffing Hours per Resident per Day
2.39189
Expected LPN Staffing Hours per Resident per Day
0.67451
Expected RN Staffing Hours per Resident per Day
1.07167
Expected Total Nurse Staffing Hours per Resident per Day
4.13807
Adjusted CNA Staffing Hours per Resident per Day
1.88119
Adjusted LPN Staffing Hours per Resident per Day
1.15646
Adjusted RN Staffing Hours per Resident per Day
0.36153
Adjusted Total Nurse Staffing Hours per Resident per Day
3.20687
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-11-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2014-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-12-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
69.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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