WESTMINSTER AT LAKE RIDGE

The information listed below provides an in-depth look into the type and quality of care offered at Westminster at Lake Ridge. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

WESTMINSTER AT LAKE RIDGE
12185 CLIPPER DRIVE
LAKE RIDGE, VA 22192
(703) 643-9017

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

93%

Number of Residents and Certified Beds

  • Residents: 56
  • Certified Beds: 60

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • Part of a Continuing Care Retirement Community (CCRC)
  • This Facility is Not Part of a Chain or Franchise

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Rating Details For Westminster at Lake Ridge

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours39 Minutes53 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 41 Minutes36 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 39 Minutes2 Hours and 39 Minutes
Total Licensed Nurse Hours2 Hours and 20 Minutes1 Hour and 29 Minutes
Total Nurse Hours4 Hours and 59 Minutes4 Hours and 8 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Virginia are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityVirginia Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse11%13%
Percent of Long-Stay Residents Who Lose Too Much Weight3%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious11%15%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection1%10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%3%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-6%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased17%17%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder73%59%
Percent of Long-Stay Residents Who Were Physically Restrained-2%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder2%4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores3%11%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%83%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination85%82%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain22%16%
Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Have Pressure Sores10%12%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 09/10/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 08/21/2009
  • Correction Date: 09/30/2009
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 09/10/2010
  • Correction Date: 10/15/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 06/06/2008
  • Correction Date: 06/22/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 08/21/2009
  • Correction Date: 01/01/1900
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 08/21/2009
  • Correction Date: 01/01/1900
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 09/10/2010
  • Correction Date: 10/05/2010

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 08/21/2009
  • Correction Date: 09/25/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 08/21/2009
  • Correction Date: 09/25/2009

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 06/06/2008
  • Correction Date: 06/24/2008

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 08/21/2009
  • Correction Date: 01/01/1900
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 09/10/2010
  • Correction Date: 10/15/2010

Quality Care

Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 08/21/2009
  • Correction Date: 01/01/1900
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 09/10/2010
  • Correction Date: 10/15/2010

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 08/21/2009
  • Correction Date: 09/15/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 08/21/2009
  • Correction Date: 09/04/2009
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 09/10/2010
  • Correction Date: 10/15/2010

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 08/21/2009
  • Correction Date: 01/01/1900
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 08/21/2009
  • Correction Date: 01/01/1900

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Denial of Payment for New Admission (DPNA)08/21/2009-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Westminster at Lake Ridge, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 08/21/2009
  • Correction Date: 01/01/1900
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 03/03/2011
  • Correction Date: 10/09/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 08/21/2009
  • Correction Date: 01/01/1900

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 06/06/2008
  • Correction Date: 06/24/2008

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able.
  • Complaint Filed: 06/06/2008
  • Correction Date: 06/24/2008

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Westminster at Lake Ridge had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 09/15/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/13/2008
  • Correction Date: 01/01/1900
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 09/15/2010
  • Correction Date: 09/16/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/15/2010
  • Correction Date: 09/16/2010
Signs That State That Exit Doors Are to Be Kept Closed.
  • Inspection Date: 09/15/2010
  • Correction Date: 09/16/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 06/13/2008
  • Correction Date: 01/01/1900

Exits and Egress

Exit Stairways and Towers That Are Smoke Proof.
  • Inspection Date: 09/15/2010
  • Correction Date: 10/15/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 06/13/2008
  • Correction Date: 01/01/1900

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 09/15/2010
  • Correction Date: 10/15/2010

Vertical Openings

Protected Exits That Allow the Resident to Escape the Building.
  • Inspection Date: 09/15/2010
  • Correction Date: 10/15/2010
Source: Medicare Nursing Home Compare; Department of Health of Virginia - Center for Quality Health Care Services and Consumer Protection - Retrieved 2011