ENVOY OF ALEXANDRIA, LLC

The information listed below provides an in-depth look into the type and quality of care offered at Envoy of Alexandria, LLC. 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

ENVOY OF ALEXANDRIA, LLC
900 VIRGINIA AVENUE
ALEXANDRIA, VA 22302
(703) 684-9100

Nursing Home Ratings

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

Percent of Beds Occupied

90%

Number of Residents and Certified Beds

  • Residents: 100
  • Certified Beds: 111

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Arlington | Falls Church | 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 Envoy of Alexandria, LLC. 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

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • 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%
ADL Index Range: 2-101.1%
Total Percent:2.0%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • 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: 11-161.0%
ADL Index Range: 2-104.5%
Total Percent:5.4%
 

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: 2-100.2%
Total Percent:0.2%
 

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: 11-1610.0%
ADL Index Range: 6-1016.2%
ADL Index Range: 0-55.6%
Total Percent:31.9%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-167.2%
ADL Index Range: 6-1012.9%
ADL Index Range: 0-53.5%
Total Percent:23.6%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.7%
ADL Index Range: 6-105.1%
ADL Index Range: 0-52.7%
Total Percent:8.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-161.5%
ADL Index Range: 6-104.6%
ADL Index Range: 0-53.0%
Total Percent:9.2%
 

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
3.4%
Total Percent:3.4%
 

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
- No Signs of depression
1.9%
ADL Index Range: 11-14
- No Signs of depression
1.1%
ADL Index Range: 6-10
- No Signs of depression
5.0%
ADL Index Range: 2-5
- Signs of depression
0.6%
Total Percent:8.5%
 

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: 11-14
- No Signs of depression
0.2%
ADL Index Range: 6-10
- No Signs of depression
2.3%
ADL Index Range: 2-5
- No Signs of depression
2.5%
ADL Index Range: 0-1
- No Signs of depression
1.4%
Total Percent:6.4%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5
- Less restorative nursing
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: 6-10
- Less restorative nursing
0.5%
ADL Index Range: 2-5
- Less restorative nursing
0.1%
Total Percent:0.6%
 

Rating Details For Envoy of Alexandria, LLC

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) Hours21 Minutes1 Hour and 7 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 6 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 12 Minutes2 Hours and 20 Minutes
Total Licensed Nurse Hours1 Hour and 27 Minutes1 Hour and 46 Minutes
Total Nurse Hours3 Hours and 39 Minutes4 Hours and 6 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 Vaccination-90%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season85%92%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%10%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%11%
Percent of Long-Stay Residents Who Are More Depressed or Anxious13%15%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%4%
Percent of Long-Stay Residents Who Lose Too Much Weight4%9%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair6%6%
Percent of Long-Stay Residents Who Were Physically Restrained-2%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder44%59%
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 Increased12%17%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse16%13%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination1%82%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season38%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain11%16%
Percent of Short-Stay Residents Who Have Pressure Sores9%12%
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 01/27/2011.

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

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

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 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.

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

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
Source: Medicare Nursing Home Compare; Department of Health of Virginia - Center for Quality Health Care Services and Consumer Protection - Retrieved 2011