900 Virginia Avenue, Alexandria, VA 22302 · Alexandria City County · (703) 684-9100
111 certified beds, about 106 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495203 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 3, 2024, inspectors cited 11 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 40 health citations since January 2020, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.47 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.
25.6% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Marquis Health Services, an affiliated group of 90 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 40 health citations on file.
Inspectors wroteBased on observation, staff interview, and facility document review it was determined facility staff failed to air dry steam table pans completely prior to storing them and store a measuring scoop in accordance with professional standards for food service safety in one of one kitchen.
Inspectors wroteBased on observation, resident interview, clinical record review, staff interview and facility document review, it was determined that the facility staff failed to provide reasonable accommodation of needs for one of 37 residents in the survey sample, Resident #56.
Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined that the facility staff failed to evidence what, if any, documentation was provided to the receiving facility upon hospital transfers for two of 37 residents in the survey sample; Residents #39 and #74.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to provide written notice of hospital transfer for one of 37 residents in the survey sample, Resident #100.
Inspectors wroteBased on observation, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to complete an accurate MDS assessment for three of 37 residents in the survey sample; Residents #22, #67, and #98.
Inspectors wroteBased on observation, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to develop and/or implement the comprehensive care plan for three of 37 residents in the survey sample; Residents #22, #102, and #91.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to review and revise the comprehensive care plan for two of 37 residents in the survey sample, Residents #44 and #72.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to follow professional standards of care for one of 37 residents in the survey sample, Resident #102.
Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to provide the ADL (activities of daily living) care for one of 37 residents in the survey sample, Resident #87.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to provide physician oversight for one of 37 residents in the survey sample, Resident #102.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, the facility staff failed to follow infection control procedures during meal delivery for three of 37 residents in the survey sample, Residents #78, #33, and #310.
Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review it was determined that the facility failed to protect one of 39 residents in the survey sample from resident-to-resident abuse, Resident #44. On 6/24/22, Resident #37 hit Resident #44, which required an emergency room visit where they were diagnosed with a closed fracture of the distal end of the left ulna (1), closed head injury, abrasion of the nose and a closed fracture of the nasal bone, resulting in harm.
Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to maintain the dumpsters in a sanitary manner for two of two dumpsters containing trash. On 6/28/22, the sliding side doors of two dumpsters were observed open and multiple flies were inside the dumpsters.
Inspectors wroteBased on staff interview and employee record review, it was determined that the facility staff failed to ensure that 5 of 10 CNAs (certified nursing assistants) received annual performance reviews.
Inspectors wroteBased on staff interview, resident interview, facility document review and clinical record review, it was determined the facility staff failed to evidence bed inspection for risk of entrapment for 4 of 39 residents in the survey sample, Resident #16, Resident #66, Resident #96 and Resident #45. 1. The facility staff failed to inspect Resident #16's bed for risk of entrapment. Resident #16 was admitted to the facility on [DATE] with diagnoses that included but were not limited to: psychotic disorder and anxiety disorder. Resident #16's most recent MDS (minimum data set) assessment, a quarterly assessment, with an assessment reference date of 3/20/22, coded the resident as scoring 15 out of 15 on the BIMS (brief interview for mental status) score, indicating the resident was cognitively intact. [...]
Inspectors wroteBased on observation, family interview, staff interview, facility document review, and clinical record review, it was determined the facility staff failed to accommodate a resident's need for a reclining chair for one of 39 residents in the survey sample, Resident #1 (R1). The facility staff failed to provide a reclining chair for R1 to enable the resident to get out of bed.
Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review it was determined that the facility staff failed to implement their abuse policy and procedures to ensure one of 39 residents in the survey sample was free from abuse, Resident #44. On 6/24/22, Resident #37 hit Resident #44, which required an emergency room visit where they were diagnosed with a closed fracture of the distal end of the left ulna (1), closed head injury, abrasion of the nose and a closed fracture of the nasal bone.
Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review it was determined that the facility staff failed to report to the State Survey Agency timely, an allegation of abuse, for one of 39 residents in the survey sample, Resident #44; which required an emergency room visit where they were diagnosed with a closed fracture of the distal end of the left ulna (1), closed head injury, abrasion of the nose and a closed fracture of the nasal bone.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to complete a significant change MDS for one of 39 residents in the survey sample, Resident #82. Resident #82 was admitted to hospice on 12/22/21. There was no significant change MDS completed for the provision of hospice services.
Inspectors wroteBased on staff interview, resident interview, facility document review and clinical record review, it was determined the facility staff failed to complete an accurate MDS (minimum data set) assessment for one of 39 residents in the survey sample, Resident #90. The facility staff failed to complete an accurate annual assessment MDS for Resident #90.
Inspectors wroteBased on resident interview, staff interview and clinical record review, it was determined that the facility staff failed to provide a written summary of the baseline care plan for 3 of 39 residents in the survey sample, Residents #301, #303 and #299.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to review and revise the comprehensive care plan for one of 39 residents in the survey sample; Resident #82. Resident #82 was admitted to hospice on 12/22/21. There was no revision to the comprehensive care plan to address the provision of and coordination with hospice services.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to respond to a pharmacist's monthly medication review recommendation for one of 39 residents in the survey sample, Resident #62 (R62). The facility staff failed to follow up on the pharmacist recommendation to obtain blood tests to determine R62's kidney function.
Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, the facility staff failed to serve food at a palatable temperature for 3 of 39 residents in the survey sample, Residents #50, #34 and #37.
Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to store food in a safe manner in 1 of 3 unit nourishment room refrigerators, the second floor nourishment room. The second floor nourishment room refrigerator contained multiple food items that were past the manufacturers' use by and best by dates.
Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to evidence a current dialysis contract between the facility and the outpatient dialysis center providing services for one of 39 residents in the survey sample, Resident #85.
Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review it was determined that the facility staff failed to maintain a complete and accurate medical record for one of 39 residents in the survey sample, Resident #37.
Inspectors wroteBased on staff interview and clinical record review, it was determined that the facility staff failed to offer, obtain consent and/or provide education regarding the pneumococcal vaccines for one of five residents in the immunization record review, Residents # 56 (R56).
Inspectors wroteBased on resident interview, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide care and services according to professional standards to maintain a resident's highest level of well-being, resulting in harm for one of 51 residents in the survey sample, Resident #16. The facility staff failed to implement the proper positioning technique while repositioning Resident #16 in bed on 2/14/19. CNA (Certified nursing assistant) #7 repositioned Resident #16 by grabbing both sides of the resident's torso and pulling on the resident. This improper technique resulted in a right shoulder dislocation and a transfer to the emergency room for a dislocation reduction (returning the shoulder to the normal position) under sedation.
Inspectors wroteBased on observation, staff interview, and facility document review it was determined that the facility staff failed to serve and store food in a sanitary manner.
Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide a dignified dining experience for four of 51 residents in the survey sample, Residents #33, #58, #42, #80. The facility staff failed to serve lunch to Resident #33, #58 and #42 in a dignified manner. Other residents seated at the same tables as Resident #33, 58 and #44 were served a meal, a meal for Resident #33 and #58 was not served and the residents assisted until 11 minutes later. Resident #42' was not served a meal until 22 minutes later. The facility staff failed to feed Resident #80 lunch in a dignified manner. CNA (certified nursing assistant) #5 stood up and left Resident #80 multiple times while feeding the resident.
Inspectors wroteBased on staff interview and clinical record review, it was determined that the facility staff failed to ensure the medication regimen was free from unnecessary medication for two of 51 sampled residents, Resident #37 and # 87. The facility staff failed attempt non-pharmacological interventions prior to the administration of the prn (as needed) pain medication, Ibuprofen to Resident # 37 and prior to the administration of the as needed pain medication, Oxycodone for to Resident # 87.
Inspectors wroteBased on observation and staff interview it was determined that the facility staff failed to failed to store medications with a visible manufacturer expiration date in one of three medication carts observed, second floor medication cart
Inspectors wroteBased on observation, staff interview, resident interview and clinical record review, it was determined that the facility staff failed to provide accommodation of resident needs by ensuring the call bell [a device with a button that can be pushed to alert staff when assistance is needed ] was within reach for one of 51 residents in the survey sample, Resident # 68.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to ensure one of 51 residents, (Resident #47), right to be free from abuse from abuse by another resident (Resident #98).
Inspectors wroteBased on resident interview, staff interview and clinical record review it was determined that the facility staff failed to implement the comprehensive care plan for two of 51 residents in the survey sample, Resident #37 and #53. The facility staff failed implement the comprehensive care plan for non-pharmacological interventions prior to the administration of prn (as needed) pain medication to Resident # 37. The facility staff failed develop a care plan to address Resident # 53 tube feeding.
Inspectors wroteBased on observation, resident interview, staff interview, facility document review, and in the course of a complaint investigation, it was determined that the facility staff failed to safely transfer on one 51 residents in the survey sample, Resident #10. During observation of a transfer of Resident #10 by Hoyer lift on 1/29/2020, the facility staff failed to prevent Resident #10's toes from bumping the wall multiple times, and failed to lock the wheelchair.
Inspectors wrote2. Resident #82 was admitted to the facility 01/04/2018 with a readmission on [DATE] with diagnoses, that included but were not limited to pneumonia (1) and sepsis (2). Resident #82's most recent MDS (minimum data set), an admission assessment with an ARD (assessment reference date) of 01/11/20, coded Resident #82 as scoring a 15 on the staff assessment for mental status (BIMS) of a score of 0 - 15, 15- being cognitively intact for making daily decisions. Resident #82 was coded as requiring extensive assistance of one staff member for bed mobility. An observation on 1/28/20 at 7:30 p.m. revealed Resident #82 in bed with bilateral upper quarter bed rails on the bed. When asked about the bed rails, Resident #82 stated that he used them to grab on to turn in bed and position himself. [...]
Inspectors wroteBased on staff interview and clinical record review, it was determined that the facility staff failed to maintain a complete and accurate clinical record for one of 51 residents in the survey sample, Resident #39. The facility staff failed to document a complete pain assessment and attempted non-pharmacological interventions when prn (as needed) pain medication was administered to Resident #39 on multiple dates in January 2020.
Inspectors wroteBased on observation, staff interview, facility document review, and in the course of a complaint investigation, it was determined that the facility staff failed to implement infection control practices for one of 51 residents in the survey sample, Residents #10. During observation of care for Resident #10 on 1/29/2020, the facility staff failed to cleanse hands between glove changes.
4 fire safety citations on file: 4 on June 29, 2022.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.47 | 3.76 | 3.86 |
| Registered nurses | 0.60 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.88 | 3.29 | 3.42 |
| Nurse aides | 1.87 | ||
| Licensed practical nurses | 1.00 | ||
| Nursing staff turnover (share who left in a year) | 25.6% | 48.1% | 45.8% |
| Registered nurse turnover | 21.4% | 48.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.90 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.71 on weekdays and 2.88 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.58 in April to June 2025 to 3.47 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.47 | 0.60 | 3.71 | 2.88 | 0.4% | 0 of 90 | 106 |
| Oct to Dec 2025 | 3.53 | 0.59 | 3.75 | 2.98 | 0.3% | 0 of 92 | 104 |
| Jul to Sep 2025 | 3.55 | 0.58 | 3.73 | 3.10 | 0.6% | 0 of 92 | 104 |
| Apr to Jun 2025 | 3.58 | 0.59 | 3.77 | 3.10 | 0.1% | 0 of 91 | 105 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Virginia, all employers | |||
| CNAs (nursing assistants) | $20.77 | $17.80 to $22.56 | 40,580 |
| LPNs and LVNs | $31.21 | $28.66 to $35.84 | 15,550 |
| Registered nurses | $45.00 | $38.51 to $49.53 | 77,490 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.5 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.7 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.4 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.1 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.6 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.1 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.9 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.5 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Alexandria Rehabilitation and Healthcare Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (56.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
56.3% this home
No different from the national rate
US median of homes 51.5% · Virginia: 101 better, 22 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 166 eligible stays.
11.7% this home
No different from the national rate
US median of homes 10.7% · Virginia: 1 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 167 eligible stays.
8.3% this home
No different from the national rate
US median of homes 7.1% · Virginia: 2 better, 8 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 131 eligible stays.
77.2% this home
Median of homes: Virginia60.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 114 residents counted.
0.0% this home
Median of homes: Virginia0.7% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 208 residents counted.
0.3% this home
Median of homes: Virginia2.1% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 208 residents counted.
98.8% this home
Median of homes: Virginia97.8% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 83 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: ALEXANDRIA OPERATOR LLC. CMS links this home to Marquis Health Services, a group of 90 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| M&t Bank Corporation | 5% or greater mortgage interest | Organization | 12/01/2022 | |
| M&t Bank Corporation | 5% or greater security interest | Organization | 12/01/2022 | |
| Harman, Dina | Managing control - governing body | Individual | 12/01/2022 | |
| Law, Joseph | Managing control - governing body | Individual | 12/01/2022 | |
| Patrick, Jennifer | Managing control - governing body | Individual | 01/29/2024 | |
| Viroja, Yogesh | Managing control - governing body | Individual | 12/01/2022 | |
| Patrick, Jennifer | Corporate director | Individual | 01/29/2024 | |
| Posen, Mindee | Corporate officer | Individual | 12/01/2022 | |
| Marquis Limited LLC | Operational/managerial control | Organization | 12/01/2022 | |
| Reliant Pro Rehab LLC | Operational/managerial control | Organization | 12/01/2022 | |
| Elebiary, Ahmed | Operational/managerial control | Individual | 12/01/2022 | |
| Patrick, Jennifer | Operational/managerial control | Individual | 01/29/2024 | |
| Flagler, Osher | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/11/2025 | |
| Kahanow, Aviva | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/12/2025 | |
| Levovitz, Tzvi | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/06/2025 | |
| Rokeach, Fraide | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/11/2025 | |
| Rokowsky, Yitzchok | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 03/11/2025 | |
| Alexandria Real Property LLC | Adp of the SNF | Organization | 12/01/2022 | |
| Marquis Limited LLC | Adp of the SNF | Organization | 03/11/2025 | |
| Nfr 2020 Irrv Tr | Adp of the SNF | Organization | 12/01/2022 | |
| Quinto Nexgen LLC | Adp of the SNF | Organization | 12/01/2022 | |
| Reliant Pro Rehab LLC | Adp of the SNF | Organization | 03/11/2025 | |
| Rsbrmk Holdings LLC | Adp of the SNF | Organization | 12/01/2022 | |
| Sk Nexgen Tr | Adp of the SNF | Organization | 12/01/2022 | |
| Tryko Nexgen Holdings LLC | Adp of the SNF | Organization | 12/01/2022 | |
| Uak 2020 Irrv Tr | Adp of the SNF | Organization | 12/01/2022 | |
| Ukr Nexgen LLC | Adp of the SNF | Organization | 12/01/2022 | |
| Yk Nexgen Tr | Adp of the SNF | Organization | 12/01/2022 | |
| Yr Nexgen Tr | Adp of the SNF | Organization | 12/01/2022 | |
| Elebiary, Ahmed | Adp of the SNF | Individual | 12/01/2022 | |
| Harman, Dina | Adp of the SNF | Individual | 12/01/2022 | |
| Law, Joseph | Adp of the SNF | Individual | 12/01/2022 | |
| Patrick, Jennifer | Adp of the SNF | Individual | 01/29/2024 | |
| Posen, Mindee | Adp of the SNF | Individual | 12/01/2022 | |
| Viroja, Yogesh | Adp of the SNF | Individual | 10/22/2020 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
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