Iliff Nursing Home And Rehab C - Dunn Loring Nursing Home
General Information
UPDATEFederal Provider Number
495205
Provider Name
ILIFF NURSING HOME AND REHAB C
Provider Address
8000 ILIFF DRIVE
DUNN LORING, VA 22027
DUNN LORING, VA 22027
Provider Phone Number
(703) 560-1000
Provider SSA County
290
Provider County Name
Fairfax
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CPL ILIFF, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-11-29
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.40826
Reported LPN Staffing Hours per Resident per Day
1.64587
Reported RN Staffing Hours per Resident per Day
1.29771
Reported Licensed Staffing Hours per Resident per Day
2.94358
Reported Total Nurse Staffing Hours per Resident per Day
5.35184
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15734
Expected CNA Staffing Hours per Resident per Day
2.63248
Expected LPN Staffing Hours per Resident per Day
0.79960
Expected RN Staffing Hours per Resident per Day
1.35924
Expected Total Nurse Staffing Hours per Resident per Day
4.79131
Adjusted CNA Staffing Hours per Resident per Day
2.24471
Adjusted LPN Staffing Hours per Resident per Day
1.70845
Adjusted RN Staffing Hours per Resident per Day
0.71338
Adjusted Total Nurse Staffing Hours per Resident per Day
4.50247
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-05-08
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-04-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
53.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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