ENVOY AT THE MEADOWS

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 Envoy at the Meadows. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Very High Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

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.

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.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

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 02/17/2011.

Administration

Keep Accurate and Appropriate Medical Records. Inspection Date: 03/12/2010 Correction Date: 04/30/2010
Keep Complete, Dated Lab Records in the Resident's File. Inspection Date: 02/17/2011 Correction Date: 03/22/2011
Keep Accurate and Appropriate Medical Records. Inspection Date: 02/17/2011 Correction Date: 03/22/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 03/12/2010 Correction Date: 04/30/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 02/20/2009 Correction Date: 03/18/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 03/12/2010 Correction Date: 04/30/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 02/20/2009 Correction Date: 03/18/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products. Inspection Date: 02/20/2009 Correction Date: 03/18/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 02/17/2011 Correction Date: 03/22/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 02/17/2011 Correction Date: 03/22/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/20/2009 Correction Date: 03/18/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/12/2010 Correction Date: 04/30/2010
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 03/12/2010 Correction Date: 04/30/2010

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: 02/20/2009 Correction Date: 03/18/2009
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing. Inspection Date: 02/20/2009 Correction Date: 03/18/2009
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: 03/12/2010 Correction Date: 04/30/2010
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 03/12/2010 Correction Date: 04/30/2010

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: 03/12/2010 Correction Date: 04/30/2010
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care. Inspection Date: 03/12/2010 Correction Date: 04/30/2010

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

Administration

Keep Accurate and Appropriate Medical Records. Complaint Filed: 02/20/2009 Correction Date: 03/18/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 02/20/2009 Correction Date: 03/18/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 03/12/2010 Correction Date: 04/30/2010

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property. Complaint Filed: 02/20/2009 Correction Date: 03/18/2009

Quality Care

Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Complaint Filed: 02/20/2009 Correction Date: 03/18/2009

Resident Assessment

Make Sure That Doctors Visit Residents Regularly, As Required. Complaint Filed: 02/20/2009 Correction Date: 03/18/2009

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 Envoy at the Meadows 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 02/16/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 03/10/2009 Correction Date: 04/17/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 04/27/2010 Correction Date: 07/15/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/16/2011 Correction Date: 04/12/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 04/27/2010 Correction Date: 06/22/2010

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions. Inspection Date: 04/27/2010 Correction Date: 07/15/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/10/2009 Correction Date: 04/17/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 04/27/2010 Correction Date: 07/15/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/10/2009 Correction Date: 04/17/2009
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 04/27/2010 Correction Date: 06/22/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 04/27/2010 Correction Date: 06/22/2010

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan. Inspection Date: 04/27/2010 Correction Date: 06/22/2010

Exits and Egress

Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width. Inspection Date: 03/10/2009 Correction Date: 04/17/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 02/16/2011 Correction Date: 04/12/2011

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 04/27/2010 Correction Date: 07/15/2010
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 04/27/2010 Correction Date: 07/15/2010

Medical Gases and Anesthetizing Areas

No-Smoking Signs Where Oxygen is Used. Inspection Date: 03/10/2009 Correction Date: 04/17/2009
No-Smoking Signs Where Oxygen is Used. Inspection Date: 04/27/2010 Correction Date: 06/22/2010

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 03/10/2009 Correction Date: 04/17/2009
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 04/27/2010 Correction Date: 06/22/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 03/10/2009 Correction Date: 04/17/2009