Woodbine Rehabilitation & Healthcare Center - Alexandria Nursing Home
General Information
UPDATEFederal Provider Number
495019
Provider Name
WOODBINE REHABILITATION & HEALTHCARE CENTER
Provider Address
2729 KING ST
ALEXANDRIA, VA 22302
ALEXANDRIA, VA 22302
Provider Phone Number
(703) 836-8838
Provider SSA County
11
Provider County Name
Alexandria City
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
307
Number of Residents in Certified Beds
274
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOODBINE CONVALESCENT & NURSING CARE 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
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.36077
Reported LPN Staffing Hours per Resident per Day
1.52153
Reported RN Staffing Hours per Resident per Day
0.70529
Reported Licensed Staffing Hours per Resident per Day
2.22682
Reported Total Nurse Staffing Hours per Resident per Day
4.58759
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13029
Expected CNA Staffing Hours per Resident per Day
2.69923
Expected LPN Staffing Hours per Resident per Day
0.80392
Expected RN Staffing Hours per Resident per Day
1.19154
Expected Total Nurse Staffing Hours per Resident per Day
4.69470
Adjusted CNA Staffing Hours per Resident per Day
2.14602
Adjusted LPN Staffing Hours per Resident per Day
1.57088
Adjusted RN Staffing Hours per Resident per Day
0.44228
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93893
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-07-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
12.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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