The Virginian - Fairfax Nursing Home
General Information
UPDATEFederal Provider Number
495319
Provider Name
THE VIRGINIAN
Provider Address
9229 ARLINGTON BLVD
FAIRFAX, VA 22031
FAIRFAX, VA 22031
Provider Phone Number
(703) 259-6351
Provider SSA County
288
Provider County Name
Fairfax City
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
43
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE TEMPLE FOUNDATION INC
Date First Approved to Provide Medicare and Medicaid services
1997-04-03
Continuing Care Retirement Community
Y
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
3
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
3.37073
Reported LPN Staffing Hours per Resident per Day
2.26463
Reported RN Staffing Hours per Resident per Day
1.36220
Reported Licensed Staffing Hours per Resident per Day
3.62683
Reported Total Nurse Staffing Hours per Resident per Day
6.99756
Reported Physical Therapist Staffing Hours per Resident Per Day
0.28049
Expected CNA Staffing Hours per Resident per Day
2.49907
Expected LPN Staffing Hours per Resident per Day
0.63082
Expected RN Staffing Hours per Resident per Day
1.18429
Expected Total Nurse Staffing Hours per Resident per Day
4.31418
Adjusted CNA Staffing Hours per Resident per Day
3.30953
Adjusted LPN Staffing Hours per Resident per Day
2.97967
Adjusted RN Staffing Hours per Resident per Day
0.85945
Adjusted Total Nurse Staffing Hours per Resident per Day
6.53808
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
36
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
18
Cycle 1 Total Health Score
54
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-05-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
42.33300
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
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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