Manorcare Health Services-alexandria - Alexandria Nursing Home
General Information
UPDATEFederal Provider Number
495011
Provider Name
MANORCARE HEALTH SERVICES-ALEXANDRIA
Provider Address
1510 COLLINGWOOD ROAD
ALEXANDRIA, VA 22308
ALEXANDRIA, VA 22308
Provider Phone Number
(703) 765-6107
Provider SSA County
290
Provider County Name
Fairfax
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF ALEXANDRIA VA LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
1.96429
Reported LPN Staffing Hours per Resident per Day
0.77917
Reported RN Staffing Hours per Resident per Day
0.80238
Reported Licensed Staffing Hours per Resident per Day
1.58155
Reported Total Nurse Staffing Hours per Resident per Day
3.54584
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20417
Expected CNA Staffing Hours per Resident per Day
2.64382
Expected LPN Staffing Hours per Resident per Day
0.66999
Expected RN Staffing Hours per Resident per Day
1.03202
Expected Total Nurse Staffing Hours per Resident per Day
4.34583
Adjusted CNA Staffing Hours per Resident per Day
1.82303
Adjusted LPN Staffing Hours per Resident per Day
0.96526
Adjusted RN Staffing Hours per Resident per Day
0.58094
Adjusted Total Nurse Staffing Hours per Resident per Day
3.28888
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-08-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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