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Envoy Of Alexandria, LLC

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About Envoy Of Alexandria, LLC

General Information

Legal Business NameEnvoy Of Alexandria, LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareNovember 8, 1989 (27 years)
Capacity111
Residents108
Percent Occupied97%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Envoy Of Alexandria, LLC

Envoy Of Alexandria, LLC
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Virginia Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

November 19, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
FManyPotential for HarmFire Safety InspectionRestrictions on the use of highly flammable decorations.
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
ESomePotential for HarmFire Safety InspectionOther fire safety features required by fire safety codes.
ESomePotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
DFewPotential for HarmFire Safety InspectionSmoke barrier doors that can resist smoke for at least 20 minutes.
DFewPotential for HarmFire Safety InspectionNo-smoking signs where oxygen is used.
DFewPotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
DFewPotential for HarmFire Safety InspectionProperly protected cooking facilities.
DFewPotential for HarmFire Safety InspectionPosted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionCorridors or aisles that are unobstructed and are at least 8 feet in width.
DFewPotential for HarmFire Safety InspectionProper backup exit lighting.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.

November 14, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionMake sure that doctors visit residents regularly, as required.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionProvide or obtain laboratory services only when ordered by the attending physician.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionMake sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.

January 23, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.

January 10, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
ESomePotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
ESomePotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaint+InspectionLet each resident or the resident's legal representative access or purchase copies of all the resident's records.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionMake sure that all required doctor visits are made personally.
DFewPotential for HarmHealth InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionMake sure that doctors visit residents regularly, as required.
DFewPotential for HarmHealth InspectionAssure that each residentís assessment is updated at least once every 3 months.
BSomePotential for Minimal HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Envoy Of Alexandria, LLC require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

1hr 50min
2hr 25min
ReportedExpected
CNA
55min
40min
ReportedExpected
LPN
30min
1hr 5min
ReportedExpected
RN
3hr 20min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 40min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.9%
98.0%
98.0%
93.8%
Q1 2015Q2 2015Q3 2015VA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
98.8%
100.0%
92.0%
Q1 2015Q2 2015Q3 2015VA
Assessed and Appropriately Given the Pneumococcal Vaccine
24.2%
13.2%
13.2%
52.4%
Q1 2015Q2 2015Q3 2015VA
Low Risk Residents Who Lose Control of Their Bowel or Bladder
9.6%
11.8%
12.5%
17.3%
Q1 2015Q2 2015Q3 2015VA
Received an Antipsychotic Medication
21.1%
24.7%
19.4%
17.6%
Q1 2015Q2 2015Q3 2015VA
Need for Help with ADLs has Increased
1.6%
7.3%
6.5%
9.2%
Q1 2015Q2 2015Q3 2015VA
Self Report Moderate to Severe Pain
5.5%
13.3%
11.4%
7.9%
Q1 2015Q2 2015Q3 2015VA
Lose Too Much Weight
4.4%
6.3%
12.3%
6.2%
Q1 2015Q2 2015Q3 2015VA
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
2.9%
Q1 2015Q2 2015Q3 2015VA
Have Depressive Symptoms
3.3%
8.4%
8.9%
6.1%
Q1 2015Q2 2015Q3 2015VA
With a Urinary Tract Infection
2.2%
2.4%
1.2%
3.5%
Q1 2015Q2 2015Q3 2015VA
Experiencing One or More Falls with Major Injury
2.7%
2.9%
4.7%
2.8%
Q1 2015Q2 2015Q3 2015VA
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.6%
Q1 2015Q2 2015Q3 2015VA
Were Physically Restrained

Quality Measures for Short Stay Residents

93.0%
94.2%
94.3%
81.6%
Q1 2015Q2 2015Q3 2015VA
Assessed and Appropriately Given the Pneumococcal Vaccine
91.9%
88.4%
88.4%
81.9%
Q1 2015Q2 2015Q3 2015VA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
1.3%
8.4%
11.7%
17.4%
Q1 2015Q2 2015Q3 2015VA
Self Report Moderate to Severe Pain
0.0%
3.1%
3.9%
2.1%
Q1 2015Q2 2015Q3 2015VA
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.0%
Q1 2015Q2 2015Q3 2015VA
With Pressure Ulcers That Are New or Worsened