THE WASHINGTON HOUSE

The information listed below provides an in-depth look into the type and quality of care offered at The Washington House. 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

THE WASHINGTON HOUSE
5100 FILLMORE AVENUE
ALEXANDRIA, VA 22311
(703) 845-5000

Nursing Home Ratings

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

Percent of Beds Occupied

60%

Number of Residents and Certified Beds

  • Residents: 41
  • Certified Beds: 68

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • Part of a Continuing Care Retirement Community (CCRC)
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Falls Church | Arlington | Annandale

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by The Washington House. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-160.9%
Total Percent:0.9%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1613.8%
ADL Index Range: 6-1025.3%
ADL Index Range: 0-516.4%
Total Percent:55.5%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-167.4%
ADL Index Range: 6-1012.8%
ADL Index Range: 0-515.0%
Total Percent:35.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-50.5%
Total Percent:0.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.9%
ADL Index Range: 6-100.6%
ADL Index Range: 0-52.9%
Total Percent:4.4%
 

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum
  • Three days any combination of three rehabilitation disciplines
  • Two services of restorative nursing six days per week
ADL Index Range: 0-100.2%
Total Percent:0.2%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Isolation for active infectious disease
2.7%
Total Percent:2.7%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- Signs of depression
0.5%
Total Percent:0.5%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 6-10
- No Signs of depression
0.1%
Total Percent:0.1%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 0-1
- Less restorative nursing
0.07%
Total Percent:0.07%
 

Rating Details For The Washington House

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) Hours43 Minutes1 Hour and 27 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 13 Minutes46 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 26 Minutes2 Hours and 26 Minutes
Total Licensed Nurse Hours1 Hour and 56 Minutes2 Hours and 13 Minutes
Total Nurse Hours4 Hours and 22 Minutes4 Hours and 39 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 Who Were Assessed and Given Pneumococcal Vaccination89%90%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%92%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased26%17%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%6%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores23%11%
Percent of Long-Stay Residents Who Are More Depressed or Anxious11%15%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder84%59%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%4%
Percent of Long-Stay Residents Who Were Physically Restrained-2%
Percent of Long-Stay Residents Who Lose Too Much Weight13%9%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%10%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse21%13%

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 Vaccination79%82%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores8%12%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain8%16%
Percent of Short-Stay Residents Who Have Delirium-2%

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 03/03/2011.

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

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 12/18/2008
  • Correction Date: 02/01/2009
Put Firmly Secured Handrails on Each Side of Hallways.
  • Inspection Date: 03/03/2011
  • Correction Date: 03/31/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 12/18/2008
  • Correction Date: 02/01/2009

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 03/03/2011
  • Correction Date: 03/31/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 12/18/2008
  • Correction Date: 02/01/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 12/18/2008
  • Correction Date: 02/01/2009
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 03/03/2011
  • Correction Date: 03/31/2011

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: 12/18/2008
  • Correction Date: 02/01/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 12/18/2008
  • Correction Date: 02/01/2009
Make Sure That Doctors Visit Residents Regularly, As Required.
  • Inspection Date: 12/18/2008
  • Correction Date: 02/01/2009
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: 03/03/2011
  • Correction Date: 03/31/2011

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 12/18/2008
  • Correction Date: 02/01/2009
Provide Written Records when a Resident is Transferred or Discharged.
  • Inspection Date: 12/18/2008
  • Correction Date: 02/01/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 12/18/2008
  • Correction Date: 02/01/2009

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for The Washington House, 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

Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 02/26/2010
  • Correction Date: 04/12/2010

Quality Care

Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 12/18/2008
  • Correction Date: 02/01/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 02/26/2010
  • Correction Date: 04/12/2010

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.
  • Complaint Filed: 02/26/2010
  • Correction Date: 04/12/2010

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 The Washington House 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 03/07/2011.

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

Automatic Sprinkler Systems

Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 12/29/2008
  • Correction Date: 02/13/2009

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 12/29/2008
  • Correction Date: 02/13/2009
Properly Constructed Windows in Hallway Walls or Doors.
  • Inspection Date: 12/29/2008
  • Correction Date: 02/13/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/07/2011
  • Correction Date: 04/30/2011

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 03/07/2011
  • Correction Date: 04/30/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 12/29/2008
  • Correction Date: 02/13/2009

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors.
  • Inspection Date: 12/29/2008
  • Correction Date: 02/13/2009
Source: Medicare Nursing Home Compare; Department of Health of Virginia - Center for Quality Health Care Services and Consumer Protection - Retrieved 2011