Annandale Healthcare Center
6700 Columbia Pike, Annandale, VA 22003 · Fairfax County · (703) 256-7000
222 certified beds, about 209 residents a day · For profit - Corporation · Medicare and Medicaid since 1985
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495155 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on October 9, 2024, inspectors cited 35 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 61 health citations since August 2018, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $90,896 in the last three years; the largest was $90,896, and the latest is dated October 9, 2024.
Nurses and nurse aides worked 3.31 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.58 of those hours.
24.1% of nursing staff left within the year CMS measured (Virginia average 48.1%).
CMS links it to Communicare Health, an affiliated group of 110 nursing homes.
Health inspections
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.
1108/18
1503/21
3510/24
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
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 61 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
44D
13E
2F
Potential for minimal harm
0A
0B
0C
October 9, 2024Standard inspection, Complaint inspection · 35 citations
- K Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to assess all residents so they could safely and independently leave the facility property specifically for the identified five of 63 residents in the survey sample, Residents #421, #164, #155, #52 and #125. Resident #421 left the facility and was involved in a hit-and-run accident with life-threatening injuries on [NAME] Pike, the four-lane divided highway in front of the facility, which placed this resident in the presence of immediate jeopardy at the time of the accident. The extent of this issue could result in serious injury, harm, impairment, or death, which constituted the determination of Immediate Jeopardy (IJ), as cited at level K. After Immediate Jeopardy was removed, the scope and severity were lowered to a level 3 isolated (G).
- E Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on clinical record review, staff interview and facility document review, it was determined that the facility staff failed to notify the physician of medications that were not administered for 2 of 63 residents in the survey sample, Residents #421 and #4.
- E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, resident interview, staff interview, and facility document review, the facility staff failed to provide a clean, comfortable and homelike environment for three of 63 residents in the survey sample, Residents # 73 and #170 and on two of six units (East and [NAME] 1) and in , three of six shower rooms (South, [NAME] 1 and [NAME] 2).
- E Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on staff interview and facility document review, the facility staff failed to maintain evidence of grievances for one of three years, the year 2022.
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to develop and/or implement a comprehensive care plan for eight of 63 residents in the survey sample, Residents #228, #170, #74, #421, #219, #4, #62, and #82.
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 five of 63 residents in the survey sample, Residents #48, #110, #123, #162, #190.
- E Provide activities to meet all resident's needs.
Inspectors wroteBased on clinical record review, staff interview and facility document review, it was determined that the facility staff failed to provide activities based on resident preferences for two of 63 residents in the survey sample, Residents #219 and #228.
- E Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to implement bed rail requirements for four of 63 residents in the survey sample, Residents #48, #166, #187, and #221.
- E Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to make required physician visits for four of 63 residents in the survey sample, Residents #52, #164, #48, and #155.
- E Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to perform laboratory tests as ordered by the physician/provider for two of 63 residents in the survey sample, Residents #130 and #74.
- E Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Inspectors wroteBased on observation, staff interview, facility staff interview, and clinical record review, the facility staff failed to conduct required bed inspections for four of 63 residents in the survey sample, Residents #48, #166, #187, and #221.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to promote dignity for two of 63 residents in the survey sample, Residents #142 and #162.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, resident interview, staff interview and facility document review it was determined the facility staff failed to assess a resident for self-administration of over-the-counter eye drops that were on the over the bed table, for one of 63 residents in the survey sample, Resident #65.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to report an injury of unknown origin within the required time frame for one of 63 residents in the survey sample, Resident #68.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to provide written notification to the resident and/or responsible party and failed to notify the ombudsman upon transfer for two of 63 residents in the survey sample, Residents #1 and #4.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to provide a bed hold notice at the time of transfer for two of 63 residents in the survey sample, Residents #1 and #4.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to maintain a complete MDS (minimum data set) assessment for one of 63 residents in the survey sample, Resident #125.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to provide the resident/RR (resident representative) with a written summary of the baseline care plan for two of 63 residents in the survey sample, Residents #468 and #469.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, staff interview and facility document review, it was determined the facility staff failed to follow professional standards of practice for one of 63 residents in the survey sample, Resident #164.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to develop a complete post-discharge plan of care for one of 63 residents in the survey sample, Resident #227.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on clinical record review, staff interview, and facility document review, it was determined that the facility staff failed to provide ADL (activities of daily living) care to a dependent resident for one of 63 residents in the survey sample, Resident #219.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to administer medications as order by the physician for two of 63 residents in the survey sample, Resident #82 and #221.
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observation, resident interview, staff interview, facility document review, and clinical record review, the facility staff failed to implement interventions to treat a contracture for one of 63 residents in the survey sample, Resident #62.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined the facility staff failed to provide care and services for an external catheter for one of 63 residents in the survey sample, Resident #82.
- D Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on staff interview, employee record review, and facility document review, it was determined the facility staff failed to meet the CNA (certified nursing assistant) requirements for two of five employee records reviewed, CNA #7 and #8.
- D Provide medically-related social services to help each resident achieve the highest possible quality of life.
Inspectors wroteBased on observation, staff interview, clinical record review and facility document review, it was determined that the facility staff failed to provide medically related social services for 1 of 63 residents in the survey sample, Resident #132.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility pharmacy failed to provide medications for one of 63 residents in the survey sample, Resident #4.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to act on the pharmacist's recommendation for one of 63 residents in the survey sample, Resident #130.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to implement interventions to prevent unnecessary medication administration for one of 63 residents in the survey sample, Resident #130.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility pharmacy failed to for one of prevent a significant medication error for one of 63 residents in the survey sample, Resident #4.
- D Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observation, resident interview, staff interview, and clinical record review, the facility staff failed to provide food in a form to meet a resident's needs for one of 63 residents in the survey sample, Resident #170.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on clinical record review, staff interview, and facility document review, it was determined that the facility staff failed to maintain a complete and accurate clinical record for one of 63 residents in the survey sample, Resident #224.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to implement infection prevention interventions for one of 63 residents in the survey sample, Resident #4.
- D Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Inspectors wroteBased on staff interview, employee record review and facility document review, it was determined that one of five employee record reviews, failed to meet the training requirements for QAPI (quality assurance performance improvement), OSM (other staff member) #13.
- D Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Inspectors wroteBased on staff interview, employee record review and facility document review, it was determined that one of five employee record reviews, failed to meet the training requirements for behavioral health training, OSM (other staff member) #13.
March 5, 2021Standard inspection · 15 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, record review, complaint investigation and staff interviews the facility staff failed to ensure one resident (Resident #259) was provided with supervision and a safe environment to prevent a fall with serious injury in the survey sample of 51 residents.
- F Dispose of garbage and refuse properly.
Inspectors wroteBased on staff interview and facility document review, it was determined that facility staff failed to maintain three of three facility dumpsters in a sanitary manner.
- F Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspectors wroteBased on observations, staff interviews and review of facility documentation, the facility failed to ensure emergency medical equipment was in place and operational, and that staff were able to demonstrate they were able to provide the required emergency care to residents on 6 of the facility's 6 units.
- D Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteBased on resident interview, staff interviews, and clinical record review the facility's staff failed to afford 1 of 14 residents (Resident #203) the opportunity to participate in their care plan meeting.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on resident interview, staff interviews, and clinical record review the facility's staff failed to make reasonable accommodation according to resident's needs and preferences for 1 of 14 residents (Resident #203), in the survey sample.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on clinical record review, staff interview and facility documentation, the facility failed to execute the opportunity to provide an advance directive for two Residents. Resident #69 and Resident #149 out 51 Residents in a survey sample. 1. The facility staff failed to execute the opportunity to provide an advance directive for Resident #69.
- D Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Inspectors wroteBased on staff interviews, clinical record review and facility documentation review the facility staff failed to send a copy of the Resident's Care Plan to include their goals for 2 of 51 residents (Resident 159 and 509) after being transferred and admitted to the hospital.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on resident record review, staff interviews and facility document review, the facility failed to notify the Office of the State Long-Term Care Ombudsman in writing discharge for 1 of 51 residents (Resident #160) in the survey sample.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on staff interviews, facility documentation review and clinical record review the facility staff failed send a copy of the Bed-Hold Policy upon discharge/transfer for 2 of 51 resident's (Resident #159 and 509) after being transferred to the local hospital.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on resident interview, staff interviews, and clinical record review the facility's staff failed to accurately code the Minimum Data Set (MDS) assessment to include behavioral symptoms not directed toward others (resident placing herself on the floor) for 1 of 14 residents (Resident #203), in the survey sample.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that facility staff failed to revise the care plan with a change in coded status from Full Code to DNR on [DATE] for one of 51 residents in the survey sample; Resident #93.
- D Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on resident interview, staff interviews, and clinical record review the facility's staff failed to develop, monitor and implement a behavioral plan to support a resident to attain the highest practicable well-being for 1 of 14 residents (Resident #203), in the survey sample.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on the observation of 4 medication carts and 3 medication rooms; the facility staff failed to dispose of expired medications for two units. The East Unit and the Emerald/Quarantine Unit. The facility staff failed to dispose of an expired medications on the East and the Emerald/Quarantine units.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that facility staff failed to discontinue a code status order for Full Code, when code status had changed to a DNR (Do Not Resuscitate) on [DATE] for one of 51 residents in the survey sample; Resident # 93.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interviews and facility document review, the facility staff failed to ensure 1 resident (Resident #47) wore his face mask correctly to prevent the spread of possible COVID-19 infection and failed to ensure the facility's Infection Prevention and Control Program (IPCP) was reviewed at least annually.
August 23, 2018Standard inspection · 11 citations
- E Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on clinical record review, staff interviews, and facility document review the facility staff failed to notify the office of the State Long-Term Care Ombudsman in writing of applicable discharges for 3 of 42 residents in the survey sample (Resident #45, #142 and #91). 1. The facility staff failed to notify the office of the State Long-Term Care Ombudsman of Resident #45's discharge to the hospital on 4/6/18. 2. The facility staff failed to notify the office of the State Long-Term Care Ombudsman of Resident #142's discharge to the hospital on 6/20/18. 3. The facility staff failed to notify the office of the State Long-Term Care Ombudsman of Resident #91's discharged to the hospital on 6/13/18.
- E Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on clinical record review, staff interviews, and facility document review the facility staff failed to issue bed-hold notices and policy for 7 of 42 residents in the survey sample (Resident #45, #142, #91, 68, #99, #175 and #162). 1. The facility staff failed to issue a bed-hold notice and policy to Resident #45 prior to discharge to the hospital on 4/6/18. 2. The facility staff failed to issue a bed-hold notice and policy to Resident #142 prior to discharge to the hospital on 6/20/18. 3. The facility staff failed to issue a bed-hold notice and policy to Resident #91 prior to discharge to the hospital on 6/13/18. 4. The facility staff failed to issue a bed-hold notice for Resident #68 prior to a Leave of Absence (LOA), 8/20/18 through 8/23/18. 5. The facility staff failed to issue a bed-hold notice for Resident #99 prior to LOA on 8/16/18. 6. [...]
- E Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observations, record review group interview and staff interview, the facility staff failed to maintain an effective Pest Control Program.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, clinical record review, staff and resident interview, and facility documentation, the facility staff failed to respect the dignity and privacy for 1 of 42 (Resident #49) residents in the survey sample. 1. The facility staff routinely sat on Resident #49's couch in her room to complete Activities of Daily Living (ADL) documentation which infringed upon her privacy. Resident #49 was admitted to the nursing facility on 4/8/14 with diagnoses that included stroke and Parkinson's disease. The most recent Minimum Data Set (MDS) assessment was a quarterly dated 6/1/18 and coded Resident #49 on the Brief Interview for Mental Status (BIMS) with a score of 15 out of a possible score of 15 which indicated the resident was cognitively intact in the skills needed for daily decision making. [...]
- D Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Inspectors wroteBased on an Employee Record Review, staff interviews, and facility document review, the facility staff failed to obtain a Criminal Background Check for 1 staff member, Dietary Aide #1. The facility staff failed to obtain a Criminal Background Check for Dietary Aide #1, with a hire date of 9/15/17.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on the Employee Record Review, staff interviews, and facility document review, the facility staff failed to implement their abuse policy and procedure to obtain a Criminal Background Check for all newly hired employees. The facility staff failed to obtain a criminal background check for 1 current staff member (Dietary Aide #1) with a hire date of 9/15/17.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observations, clinical record review, staff interviews, and facility document review the facility staff failed to develop and implement a comprehensive person-centered care plan to include the risk of unsafe wandering for 1 of 42 resident in the survey sample, Resident #162. The facility staff failed to develop and implement a comprehensive person-centered care plan to include the risk of unsafe wandering after the resident was identified as a significant risk of getting to a potentially dangerous place on the admission Minimum Data Set (MDS) for Resident #162 who eloped from the facility on 8/19/17.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, clinical record review, staff interviews, and facility document review the facility staff failed to maintain an environment as free as possible of accident hazards for 3 of 42 Residents in the survey sample (Residents #241, #47, and #28). 1. For Resident #241, who required supervision with smoking, the facility staff failed to ensure that his smoking materials were secured outside of the designated smoking activity. 2. For Resident #47, the facility staff failed to ensure that his smoking materials were secured outside of the designated smoking activity. 3. For Resident #28 the facility staff failed to ensure that his smoking materials were secured outside of the designated smoking activity.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on observations, medical record review, a Resident Interview, staff interviews, and facility document review the facility staff failed to ensure a dialysis Resident received the necessary care and services to include assessment of an Arteriovenous (AV) fistula hemodialysis access site for bruit and thrill for 1 of 42 Residents in the survey sample, Resident #67. The Facility staff failed to ensure that Resident #67's Arteriovenous fistula hemodialysis access site was adequately assessed for bruit and thrill. Description from https://www.davita.com/treatment-services/dialysis/vascular-access-your-lifeline-to-hemodialysis: Learn the feel of the thrill or vibration of blood going through your access and check it several times a day. Call your dialysis care team immediately if the flow stops or changes. This could mean a blood clot. [...]
- D Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on observations, medical record review, a Resident Interview, staff interviews, and facility document review, the facility staff failed to ensure competency in assessing an Arteriovenous Fistula hemodialysis access for bruit and thrill for 1 (Resident #67) of 42 residents in the survey sample. The facility staff failed to ensure that Resident #67's Arteriovenous Fistula hemodialysis access was adequately assessed for *bruit and **thrill.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on staff interviews, observation, clinical record review and facility documentation review the facility staff failed to ensure complete and accurate clinical records for 2 of 42 residents (Resident #440 and #240) in the survey sample. 1. The facility staff failed to ensure the clinical record was accurate for Resident #440; a progress note indicated resident was a status post right hip fracture with staples when in fact was not. 2. The facility staff failed to retain Resident #240's clinical record after new management took over the facility.
Fire safety inspections
27 fire safety citations on file: 3 on October 9, 2024, 3 on March 5, 2021, 21 on August 23, 2018.
Every fire safety citation27 citations
- D Establish staff and initial training requirements.
- D Install corridor and hallway doors that block smoke.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Install an approved automatic sprinkler system.
- D Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F Have properly installed hallway dispensers for alcohol-based hand rub.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
- F Ensure proper usage of power strips and extension cords.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Install corridor and hallway doors that block smoke.
- D Have properly installed electrical wiring and gas equipment.
- D Have simulated fire drills held at unexpected times.
- D Have proper medical gas storage and administration areas.
- C Develop and maintain an Emergency Preparedness Program (EP).
- C Conduct risk assessment and an All-Hazards approach.
- C Address patient/client population and determine types of services needed.
- C Address subsistence needs for staff and patients.
- C Establish roles under a Waiver declared by secretary.
- C Establish methods for sharing information.
- C Provide a means of sharing information on occupancy/needs.
- C Establish emergency prep training and testing.
- C Establish staff and initial training requirements.
- C Conduct testing and exercise requirements.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 9, 2024 | Fine | $90,896 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
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) | 3.31 | 3.76 | 3.86 |
| Registered nurses | 0.58 | 0.69 | 0.69 |
| All nursing staff on weekends | 2.96 | 3.29 | 3.42 |
| Nurse aides | 1.99 | ||
| Licensed practical nurses | 0.74 | ||
| Nursing staff turnover (share who left in a year) | 24.1% | 48.1% | 45.8% |
| Registered nurse turnover | 38.5% | 48.2% | 42.9% |
| Administrators who left | 3 |
CMS expects 3.70 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
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 3.45 on weekdays and 2.96 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.34 in April to June 2025 to 3.31 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 | 3.31 | 0.58 | 3.45 | 2.96 | 0.0% | 0 of 90 | 209 |
| Oct to Dec 2025 | 3.36 | 0.53 | 3.50 | 3.00 | 0.0% | 0 of 92 | 210 |
| Jul to Sep 2025 | 3.35 | 0.56 | 3.48 | 3.00 | 0.0% | 0 of 92 | 214 |
| Apr to Jun 2025 | 3.34 | 0.54 | 3.51 | 2.90 | 0.0% | 0 of 91 | 216 |
| 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.
Quality measures
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 | 22.4 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.5 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.1 | 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 | 18.3 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.6 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.4 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.2 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.5 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.5 | 1.8 |
Owners and operators
Legal business name: COLUMBIA LEASING CO LLC. CMS links this home to Communicare Health, a group of 110 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| PC Mstr Lsco, LLC | 5% or greater direct ownership interest | Organization | 100% | 05/01/2017 |
| Stoltz, Charles | Managing control - governing body | Individual | 05/01/2017 | |
| Romeo, Dominic | Corporate officer | Individual | 04/01/2023 | |
| Wilheim, Ronald | Corporate officer | Individual | 05/01/2017 | |
| Columbia Mgt Co., LLC | Operational/managerial control | Organization | 12/01/2020 | |
| Elebiary, Ahmed | Operational/managerial control | Individual | 04/01/2023 | |
| Groves, Donna | Operational/managerial control | Individual | 04/14/2023 | |
| Romeo, Dominic | Operational/managerial control | Individual | 04/01/2023 | |
| Stoltz, Charles | Operational/managerial control | Individual | 05/01/2017 | |
| Walton, Deaulo | Operational/managerial control | Individual | 03/31/2025 | |
| Odenthal, Richard | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/23/2025 | |
| Columbia Mgt Co., LLC | Adp of the SNF | Organization | 06/26/2025 | |
| Elebiary, Ahmed | Adp of the SNF | Individual | 04/01/2023 | |
| Walton, Deaulo | Adp of the SNF | Individual | 03/31/2025 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 16 problems in this area, most recently on October 9, 2024: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 12 problems in this area, most recently on October 9, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- When is the care plan meeting, and can family attend it?Inspectors cited 12 problems in this area, most recently on October 9, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on October 9, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.96 hours per resident per day, below the Virginia average of 3.29.
- How long has the current administrator been here?CMS counts 3 administrators who left in the period it measured.
Other nursing homes nearby
- August Healthcare at Leewood Annandale, 1.8 mi · 2 of 5 stars · 36 citations
- Carlin Springs Health & Rehabilitation Arlington, 3.1 mi · 1 of 5 stars · 47 citations
- Goodwin House Bailey's Crossroads Falls Church, 3.3 mi · 5 of 5 stars · 16 citations
- Goodwin House Alexandria Alexandria, 3.4 mi · 5 of 5 stars · 14 citations
- August Healthcare at Iliff Dunn Loring, 4.4 mi · 3 of 5 stars · 23 citations
- The Jefferson Arlington, 4.6 mi · 2 of 5 stars · 63 citations
- Vierra Falls Church Falls Church, 4.9 mi · 2 of 5 stars · 56 citations
- Greenspring Village Springfield, 5 mi · 1 of 5 stars · 35 citations
Virginia contacts for a concern about a nursing home
These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Virginia Department of Health, Office of Licensure and Certification, Division of Long-Term Care Services, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Virginia Office of the State Long-Term Care Ombudsman, 800-552-5019. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: VDH Nursing Home and ICF/IID Inspections and Surveys, where Virginia publishes its own records on licensed homes.
Common questions
- What is Annandale Healthcare Center's Medicare star rating?
- CMS rates Annandale Healthcare Center 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Annandale Healthcare Center get at its last inspection?
- 35 health deficiencies at the standard inspection on October 9, 2024. The Virginia average is 14.3.
- Has Annandale Healthcare Center been fined?
- Yes. CMS lists 1 fine totaling $90,896 in the last three years.
- Does Annandale Healthcare Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Annandale Healthcare Center?
- CMS lists 14 owners and managers, and links the home to Communicare Health. Legal business name: COLUMBIA LEASING CO LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.