ENVOY OF ALEXANDRIA, LLC

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 of Alexandria, LLC. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation Plus Extensive Services

Very High Rehabilitation Plus Extensive Services

Medium Rehabilitation Plus Extensive Services

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Extensive Services

Special Care Low

Clinically Complex

Behavioral Symptoms and Cognitive Performance

Reduced Physical Function

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 01/27/2011.

Administration

Follow All Laws and Professional Standards. Inspection Date: 12/11/2009 Correction Date: 01/26/2010
Give or Get Lab Tests to Meet the Needs of Residents. Inspection Date: 12/11/2009 Correction Date: 01/26/2010
Follow All Laws and Professional Standards. Inspection Date: 01/27/2011 Correction Date: 03/01/2011
Keep Accurate and Appropriate Medical Records. Inspection Date: 01/27/2011 Correction Date: 03/01/2011

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 10/31/2008 Correction Date: 12/12/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 10/31/2008 Correction Date: 12/12/2008
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 10/31/2008 Correction Date: 12/12/2008
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests. Inspection Date: 10/31/2008 Correction Date: 12/12/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 12/11/2009 Correction Date: 01/26/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 12/11/2009 Correction Date: 08/30/2009
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 12/11/2009 Correction Date: 01/26/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 01/27/2011 Correction Date: 03/01/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 01/27/2011 Correction Date: 03/01/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 01/27/2011 Correction Date: 03/01/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 10/31/2008 Correction Date: 12/12/2008
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 12/11/2009 Correction Date: 01/26/2010
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 01/27/2011 Correction Date: 03/01/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly. Inspection Date: 01/27/2011 Correction Date: 03/01/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 01/27/2011 Correction Date: 03/01/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 01/27/2011 Correction Date: 03/01/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses. Inspection Date: 01/27/2011 Correction Date: 03/01/2011
Develop/Implement Required Procedures for the Administration of Immunizations. Inspection Date: 01/27/2011 Correction Date: 03/01/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 10/31/2008 Correction Date: 12/12/2008
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: 12/11/2009 Correction Date: 01/26/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 12/11/2009 Correction Date: 01/26/2010
Check and Update (If Needed) Each Resident's Assessment Every 3 Months. Inspection Date: 01/27/2011 Correction Date: 03/01/2011
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: 01/27/2011 Correction Date: 03/01/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 01/27/2011 Correction Date: 03/01/2011
Keep Assessments Completed in the Preceding 15 Months in the Resident's Active Record. Inspection Date: 01/27/2011 Correction Date: 03/01/2011
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: 01/27/2011 Correction Date: 03/01/2011
Make Sure That Doctors Visit Residents Regularly, As Required. Inspection Date: 01/27/2011 Correction Date: 03/01/2011

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: 10/31/2008 Correction Date: 12/12/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 01/27/2011 Correction Date: 03/01/2011

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 of Alexandria, LLC 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 01/28/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 01/28/2011 Correction Date: 02/18/2011
Portable Fire Extinguishers. Inspection Date: 01/28/2011 Correction Date: 02/18/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 12/09/2009 Correction Date: 01/31/2010
Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 01/28/2011 Correction Date: 02/18/2011

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 11/10/2008 Correction Date: 01/01/1900
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 12/09/2009 Correction Date: 01/31/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 12/09/2009 Correction Date: 01/31/2010
Properly Installed Electrical Wiring and Equipment. Inspection Date: 01/28/2011 Correction Date: 02/18/2011

Exits and Egress

Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width. Inspection Date: 12/09/2009 Correction Date: 01/31/2010

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 01/28/2011 Correction Date: 02/18/2011

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 12/09/2009 Correction Date: 01/31/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 11/10/2008 Correction Date: 01/01/1900
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 12/09/2009 Correction Date: 01/31/2010

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: 12/09/2009 Correction Date: 01/31/2010
Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors. Inspection Date: 01/28/2011 Correction Date: 02/18/2011
Protected Exits That Allow the Resident to Escape the Building. Inspection Date: 01/28/2011 Correction Date: 02/18/2011