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Home / Virginia / Alexandria

George Washington Health & Rehabilitation

1510 Collingwood Road, Alexandria, VA 22308 · Fairfax County · (703) 765-6107

96 certified beds, about 91 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1967

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 495011 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 14, 2023, inspectors cited 11 health deficiencies (the Virginia average is 14.3, the national average 9.2).

None of its 45 health citations since October 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.32 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.26 of those hours.

35.9% of nursing staff left within the year CMS measured (Virginia average 48.1%).

CMS links it to Hill Valley Healthcare, an affiliated group of 43 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.

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 45 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
34D
11E
0F
Potential for minimal harm
0A
0B
0C
August 15, 2024Complaint inspection · 5 citations
  1. E
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined the facility staff failed provide care and services for the treatment of pressure injuries for two of seven residents in the survey sample, Residents #3 and #6.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wrote3. For Resident #6(R6), the facility staff failed to implement infection control practices during a wound treatment. Observation was made of LPN (licensed practical nurse) #1, on 8/14/24 at 10:55 a.m. performing wound care for R6. The resident had three wounds accessible for wound care treatments, left ischium, right buttock, sacrum and an old scar on right hip. LPN #1 removed all the dressings in place. Changed her gloves. She proceeded to use the same gloves to clean each wound, starting with the right hip, went to buttock wound, ischium wound and then sacral wound, all with the same gloves on. LPN #1 didn't have gloves on and dried the right hip and buttock wound with dry gauze. She then put gloves on and wiped the sacral wound with a dry gauze. She proceeded to use dry gauze to dry the ischium and buttock wounds, using the same gloves. [...]
  3. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined the facility staff failed to maintain dignity during a dressing change for one of seven residents in the survey sample, Resident #6.
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wrote2. For Resident #3 (R3) the facility staff failed to implement the comprehensive care plan for the treatment of pressure injuries. The comprehensive care plan dated 6/11/24, documented in part, Focus: (R3) has actual impairment to skin integrity r/t (related to) admitted with sacrum wound, left ankle, right hip and right shoulder. The Interventions dated 6/11/24, documented in part, Administer medications, supplements and treatments as ordered. The admission Assessment, dated 6/11/24, documented the following skin concerns: 1. Right trochanter (hip) - Pressure - 4 cm (centimeters) in length - 2.5 cm in width - no depth documented; no stage documented. 2. Left ankle (outer) - Pressure - 4 cm in length - 2.5 cm in width - no depth documented; no stage documented. 3. Sacrum - Pressure - 11.5 cm in length - 9 cm in width - 0.5 cm in depth - no stage documented. 4. [...]
  5. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 6, 2024
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to review and revise the comprehensive care plan for one of seven residents in the survey sample, Resident #1.
November 1, 2023Complaint inspection · 6 citations
  1. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to implement their policy to report an injury of unknown origin to the State Agency in a timely manner for one of five residents in the survey sample, Resident #1.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to report an injury of unknown origin to the State Agency in a timely manner for one of five residents in the survey sample, Resident #1.
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 4, 2023
    Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, the facility staff failed to develop a comprehensive care plan for one of five residents in the survey sample, Resident #4.
  4. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 4, 2023
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to coordinate care with the resident's hospice provider for one of five residents in the survey sample, Resident #1.
  5. D
    Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
    F777 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 4, 2023
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to obtain timely results of an X-ray for one of five residents in the survey sample, Resident #1.
  6. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 4, 2023
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, the facility staff failed to maintain a complete and accurate clinical record for one of five residents in the survey sample, Resident #2.
June 14, 2023Standard inspection · 11 citations
  1. E
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 18, 2023
    Inspectors wroteBased on observation, staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to provide treatment to promote healing of a pressure injury for one of 29 residents in the survey sample, Resident #36.
  2. E
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 18, 2023
    Inspectors wroteBased on clinical record review, staff interview and facility document review, it was determined that the facility staff failed to provide monitoring of a resident receiving TPN (total parenteral nutrition) consistent with professional standards of practice for one of 29 residents in the survey sample, Resident #84.
  3. E
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 18, 2023
    Inspectors wroteBased on staff interview, clinical record review and facility document review, it was determined that the facility staff failed to implement a pain management program per physician orders, for one of 29 residents in the survey sample; Resident #72.
  4. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 18, 2023
    Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to respond to pharmacy recommendations for two of 29 residents in the survey sample, Residents #60 and #44
  5. E
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 18, 2023
    Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to ensure a resident was free from an unnecessary medication for two of 29 residents in the survey sample, Residents #60 and #285.
  6. 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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2023
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to review an advance directive and/or have copies of the advance directive documents in the clinical record for two of 29 residents in the survey sample, Resident #48 and #60.
  7. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2023
    Inspectors wroteBased on staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to develop a baseline care plan for the use of an anticoagulant for one of 29 residents in the survey sample, Resident #285.
  8. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2023
    Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, the facility staff failed to review and revise the comprehensive care plan for one of 29 residents in the survey sample, Resident #60.
  9. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2023
    Inspectors wroteBased on observations, resident interview, staff interview, clinical record review, and facility document review, it was determined that the facility staff failed to provide respiratory care and services for two of 29 residents in the survey sample, Resident #285 and Resident #60.
  10. D
    Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
    F840 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2023
    Inspectors wroteBased on staff interview 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 29 residents in the survey sample, Resident #27.
  11. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 18, 2023
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined the facility staff failed to maintain an accurate clinical record for one of 29 residents in the survey sample, Resident #48.
January 20, 2022Standard inspection · 11 citations
  1. E
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 24, 2022
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to provide care and service for a complete dialysis [1] program for one of 34 residents in the survey sample, Residents # 45. The facility staff failed to have ongoing communication with Resident #45's dialysis treatment center and failed to ensure ongoing monitoring for potential complications as evidenced by the staff failure to assess Resident #45's AV [arterial/venous] dialysis fistula in the resident right upper arm for a thrill/bruit per the physician orders on 1/12/21, 12/27/21, 12/30/21 and 1/07/22.
  2. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 24, 2022
    Inspectors wroteBased on observation, resident interview, staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to ensure call bell placement within resident reach for one of 34 residents in the survey sample, Resident #60. During observation on 1/19/22, Resident #60's call bell was out of reach.
  3. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 24, 2022
    Inspectors wroteBased on observation, staff interview and clinical record review, it was determined that facility staff failed to provide curtains, shades or blinds on Resident # 21's room window to promote personal privacy for one of 34 residents in the survey sample.
  4. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 24, 2022
    Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to maintain a clean, home like environment for two of 34 residents in the survey sample, Resident #73 and Resident #216. The facility staff failed to change the resident's bloody draw sheet on 1/19/22 and 1/20/22, and failed to ensure Resident # 21's room window had curtains or a shade to provide privacy and a home like environment.
  5. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 24, 2022
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined the facility staff failed to develop and/or implement the comprehensive care plan for five of 34 residents in the survey sample, Residents #69, #16, #45, #60 and #73. The facility staff failed to implement Resident #69's comprehensive care plan intervention to for non-pharmacological intervention for pain management prior to administering pain medication on 1/12 and 1/16/2022; failed to develop a comprehensive care plan for Resident #16's behavior of wandering as assessed and triggered for care planning on the MDS (minimum data set) with and ARD (assessment reference date) of 11/2/2021 resident assessment; [...]
  6. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 24, 2022
    Inspectors wroteBased on observation, resident interview, clinical record review, facility document review and staff interview, it was determined facility staff failed to review and/or revise the comprehensive care plan for one of 34 residents in the survey sample, Resident #65 and Resident #5. The facility staff failed to revise the comprehensive care plan of Resident #65 to include the use of bed rails.
  7. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 24, 2022
    Inspectors wroteBased on observation, staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to provide care and services for a Foley catheter for one of 34 residents in the survey sample, Resident #73. The facility staff failed to evidence regular care of Resident #73's Foley catheter, and failed to position the catheter in a manner to prevent infection. On 1/19/22 and 1/20/22 observation revealed Resident #73's Foley catheter collection bag was lying in direct contact with the floor.
  8. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 24, 2022
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to maintain a complete pain management program for one of 34 residents in the survey sample, Resident #69. The facility staff failed to document the location of Resident #69's pain and failed to attempt/offer non-pharmacological interventions prior to administering pain medication to Resident #69.
  9. D
    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.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 24, 2022
    Inspectors wroteBased on observation, resident interview, staff interview, clinical record review and facility document review it was determined that the facility staff failed to assess and obtain consent for the use of bed rails for one of 34 residents in the survey sample, Resident #65. The facility staff failed to evidence an assessment or consent for the use of a bed rail for Resident #65.
  10. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 24, 2022
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to ensure the drug regime for one of 34 residents in the survey sample was free of unnecessary pain medication, Resident #69. Resident #69's physician ordered pain medication as needed every twelve hours for mild pain. On 1/17/22 the facility staff administered the as needed pain medication to Resident #69's when the residents documented pain level rating was zero indicating no pain.
  11. 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 24, 2022
    Inspectors wroteBased on staff interview, facility document review and clinical record review it was determined that the facility staff failed to ensure one of 34 residents in the survey sample was free from unnecessary psychotropic medications, Resident #16. The facility staff failed to ensure specified targeted behaviors for qualitative quantitative monitoring for the administration and use of the antipsychotic medication Seroquel for Resident #16.
October 10, 2019Standard inspection · 12 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 24, 2019
    Inspectors wroteBased on observation, staff interview, and facility document review it was determined facility staff failed to serve and store food in a sanitary manner. The Facility staff failed to document an opened date on dry goods in the kitchen, failed to store thickening agents covered when not in use, failed to store staff food separately from resident food in the stand-up refrigerator and failed to discard food past its use by date in the walk in refrigerator.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 24, 2019
    Inspectors wroteBased on observation, staff interview and facility document review, it was determined that the facility staff failed to serve food in a sanitary manner in the main dining room during the lunch meal on 10/8/19. When removing the plates from the tray, CNA (certified nursing assistant) #2, was observed with his thumb on the food, contact surface area of the residents' plates for the resident he served.
  3. E
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 24, 2019
    Inspectors wroteBased on observation, resident interview, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to ensure a functioning to call light system for three of 39 residents in the survey, Resident #54, Resident #66 and Resident #290.
  4. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 24, 2019
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to implement their policies for reporting an elopement to the state agency for one of 39 residents in the survey sample, Residents # 20. The facility staff failed to implement their policies to report an alleged incident of neglect to the state agency when Resident #20 eloped on 5/29/19, and was found two blocks away from the facility.
  5. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 24, 2019
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined the facility staff failed to report an elopement to the State Agency for one of 39 residents in the survey sample, Resident #20. The facility staff failed to report a potential incident of neglect to the state agency when Resident #20 eloped on 5/29/19, and was found two blocks away from the facility.
  6. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 24, 2019
    Inspectors wrote3. The facility staff failed to code Resident #91's Discharge Status accurately on the MDS (minimum data set) assessment, with an assessment reference date of 8/19/19. Resident #91 was admitted to the facility on [DATE] with diagnoses that included but were not limited to: facial injuries from a robbery attack. The most recent MDS (minimum data set) assessment, a Medicare five day assessment combined with a discharge assessment - return not anticipated, with an assessment reference date of 8/19/19, coded the resident as scoring a 15 on the BIMS (brief interview for mental status) score, indicating he was capable for making daily cognitive decisions. The resident was coded as being independent to requiring extensive assistance of one staff member for his activities of daily living. [...]
  7. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 24, 2019
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined that the facility staff failed implement the comprehensive care plan for the use of non-pharmacological interventions prior to the administration of a prn (as needed) pain medication [Ultracet] for one of 39 residents in the survey sample, Resident # 19. The facility staff failed to attempt non-pharmacological interventions per the comprehensive care plan prior to administering pain medication to Resident #19, on multiple dates in August and September 2019.
  8. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 24, 2019
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to provide treatment and care in accordance with professional standards of practice, and the comprehensive care plan, for one of 39 residents in the survey sample, Resident # 19. The facility staff failed to follow physician's orders to obtain vital signs for seven days. The staff only obtained Resident #19's vital signs for 6 days.
  9. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 24, 2019
    Inspectors wroteBased on observation, resident interview, staff interview and facility document review it was determined that facility staff failed to ensure hazardous chemicals were stored in a safe manner for one of 39 residents in the survey sample. Two cans of pesticides were stored on the floor in front of the wardrobe in Resident #35's room.
  10. D
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 24, 2019
    Inspectors wroteBased on staff interview and employee record review it was determined that the facility staff failed to ensure that two of ten CNA (certified nursing assistant) records reviewed received the required 12 hours of annual training, (CNA (certified nursing assistant) #9 and #10). Review of CNA #9 and #10's training transcripts revealed the required 12-hours of annual training was not completed.
  11. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 24, 2019
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to ensure the drug regimen must be free from unnecessary drugs for one of 39 residents in the survey sample, Resident # 19. The facility staff failed to attempt non-pharmacological interventions prior to the administration of a prn (as needed) pain medication [Ultracet] on multiple dates in August and September 2019.
  12. D
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 24, 2019
    Inspectors wroteBased on staff interview and employee record review it was determined that the facility staff failed to ensure that three of ten CNA (certified nursing assistant) records reviewed, received required in-service training for dementia, (CNA [certified nursing assistant] #9, #10, and #11).

Fire safety inspections

12 fire safety citations on file: 1 on June 14, 2023, 3 on January 20, 2022, 8 on October 10, 2019.

Every fire safety citation12 citations
  1. C
    Conduct testing and exercise requirements.
    E 39 · June 14, 2023 · Corrected (the home has a date of correction)
  2. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 20, 2022 · Corrected (the home has a date of correction)
  3. D
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · January 20, 2022 · Corrected (the home has a date of correction)
  4. D
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · January 20, 2022 · Corrected (the home has a date of correction)
  5. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · October 10, 2019 · Corrected (the home has a date of correction)
  6. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · October 10, 2019 · Corrected (the home has a date of correction)
  7. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 10, 2019 · Corrected (the home has a date of correction)
  8. D
    Provide a written emergency evacuation plan.
    K 711 · October 10, 2019 · Corrected (the home has a date of correction)
  9. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 10, 2019 · Corrected (the home has a date of correction)
  10. D
    Ensure proper usage of power strips and extension cords.
    K 920 · October 10, 2019 · Corrected (the home has a date of correction)
  11. C
    Develop a communication plan.
    E 29 · October 10, 2019 · Corrected (the home has a date of correction)
  12. C
    Conduct testing and exercise requirements.
    E 39 · October 10, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeVirginiaUnited States
All nursing staff (RN, LPN and aides)3.323.763.86
Registered nurses0.260.690.69
All nursing staff on weekends3.013.293.42
Nurse aides1.93
Licensed practical nurses1.13
Nursing staff turnover (share who left in a year)35.9%48.1%45.8%
Registered nurse turnover66.7%48.2%42.9%
Administrators who left1

CMS expects 4.05 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 3.44 on weekdays and 3.01 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.28 in April to June 2025 to 3.32 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.320.263.443.01 2.6%2 of 9091
Oct to Dec 20253.360.363.493.05 0.0%0 of 9285
Jul to Sep 20253.360.403.503.00 0.0%1 of 9284
Apr to Jun 20253.280.443.393.00 0.0%0 of 9187
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Virginia, Jan to Mar 20263.580.563.763.125.7%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

Staff pay at this home

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.

Official wage estimates for Virginia

JobMedianMiddle halfEmployed
Virginia, all employers
CNAs (nursing assistants)$20.77$17.80 to $22.5640,580
LPNs and LVNs$31.21$28.66 to $35.8415,550
Registered nurses$45.00$38.51 to $49.5377,490
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeVirginiaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
6.414.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.11.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.03.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.31.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
15.015.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.94.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.514.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.522.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
4.911.512.0

Owners and operators

Legal business name: ALEXANDRIA SNF OPERATIONS LLC. CMS links this home to Hill Valley Healthcare, a group of 43 nursing homes averaging 1.7 stars overall.

NameRoleTypeShareSince
VA Pro 7 SNF Operations Holdings LLC5% or greater direct ownership interestOrganization100%02/01/2023
Crg VA Pro 7 SNF Holdings LLC5% or greater indirect ownership interestOrganization13%02/01/2023
Hvh VA Pro 7 SNF Operations Holdings LLC5% or greater indirect ownership interestOrganization53%02/01/2023
Ph VA LLC5% or greater indirect ownership interestOrganization11%02/01/2023
Nevins, DelphisW-2 managing employeeIndividual02/01/2023
Idels, ShimonCorporate officerIndividual02/01/2023

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.

  1. 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 August 15, 2024: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 11 problems in this area, most recently on August 15, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on August 15, 2024: "Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on June 14, 2023: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.01 hours per resident per day, below the Virginia average of 3.29.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Virginia contacts for a concern about a nursing home

These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.

Common questions

What is George Washington Health & Rehabilitation's Medicare star rating?
CMS rates George Washington Health & Rehabilitation 3 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did George Washington Health & Rehabilitation get at its last inspection?
11 health deficiencies at the standard inspection on June 14, 2023. The Virginia average is 14.3.
Has George Washington Health & Rehabilitation been fined?
CMS lists no fines in the last three years.
Does George Washington Health & Rehabilitation 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 George Washington Health & Rehabilitation?
CMS lists 6 owners and managers, and links the home to Hill Valley Healthcare. Legal business name: ALEXANDRIA SNF OPERATIONS LLC.

Sources

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