The Fountains At Washington House - Alexandria Nursing Home
General Information
UPDATEFederal Provider Number
495288
Provider Name
THE FOUNTAINS AT WASHINGTON HOUSE
Provider Address
5100 FILLMORE AVENUE
ALEXANDRIA, VA 22311
ALEXANDRIA, VA 22311
Provider Phone Number
(703) 845-5000
Provider SSA County
11
Provider County Name
Alexandria City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
68
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FOUNTAINS WASHINGTON HOUSE SL LLC
Date First Approved to Provide Medicare and Medicaid services
1994-01-12
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.07556
Reported LPN Staffing Hours per Resident per Day
1.65556
Reported RN Staffing Hours per Resident per Day
0.48778
Reported Licensed Staffing Hours per Resident per Day
2.14333
Reported Total Nurse Staffing Hours per Resident per Day
4.21890
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16556
Expected CNA Staffing Hours per Resident per Day
2.57729
Expected LPN Staffing Hours per Resident per Day
0.63860
Expected RN Staffing Hours per Resident per Day
1.26311
Expected Total Nurse Staffing Hours per Resident per Day
4.47900
Adjusted CNA Staffing Hours per Resident per Day
1.97603
Adjusted LPN Staffing Hours per Resident per Day
2.15175
Adjusted RN Staffing Hours per Resident per Day
0.28855
Adjusted Total Nurse Staffing Hours per Resident per Day
3.79683
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-04-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2014-04-24
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-04-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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