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Goodwin House Alexandria

4800 Fillmore Ave, Alexandria, VA 22311 · Alexandria City County · (703) 824-1192

80 certified beds, about 76 residents a day · Non profit - Church related · Medicare and Medicaid since 1968

Last standard inspection more than 2 years ago Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 495057 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 5, 2023, inspectors cited 4 health deficiencies (the Virginia average is 14.3, the national average 9.2).

None of its 14 health citations since January 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 5.34 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 1.16 of those hours.

17.8% of nursing staff left within the year CMS measured (Virginia average 48.1%).

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 14 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
4E
1F
Potential for minimal harm
0A
0B
0C
April 5, 2023Standard inspection · 4 citations
  1. F
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 10, 2023
    Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to maintain the dumpster area in a clean and sanitary manner for one of one dumpster.
  2. E
    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, pattern · Corrected (the home has a date of correction) May 10, 2023
    Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to implement the comprehensive care plan for two of 26 residents in the survey sample, Residents #56 and #28.
  3. E
    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, pattern · Corrected (the home has a date of correction) May 10, 2023
    Inspectors wroteBased on staff interview, facility document review and clinical record review, the facility staff failed to ensure residents were free from unnecessary psychotropic medications for two of 26 residents in the survey sample, Residents #56 and #28.
  4. D
    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, isolated · Corrected (the home has a date of correction) May 10, 2023
    Inspectors wroteBased on observation, staff interview and facility document review, the facility staff failed to ensure food items available for use were used or discarded prior to the best when used by date, in one of eight small house kitchens, the occoquan kitchen.
October 14, 2021Standard inspection · 1 citation
  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 18, 2021
    Inspectors wroteBased on observation, staff interview, and facility document review it was determined facility staff failed Store, food in accordance with professional standards for food service safety in one of eight kitchens observed, [NAME] small house kitchen. The facility failed to dispose of plain Greek yogurt with a best by date of 9/19/21 and honey mustard dressing with a use by date of 1/13/21 located on the [NAME] small house kitchen.
January 31, 2019Standard inspection · 9 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) March 15, 2019
    Inspectors wroteBased on observation, staff interview and facility document review, it was determined that the facility staff failed to store, prepare and serve food in a safe and sanitary manner, in two of eight facility household kitchens, the Maherrin household kitchen and the Rappahannock household kitchen. 1. a. The facility staff failed to label and store food in a safe and sanitary manner in the Maherrin household kitchen. 1. b. The facility staff failed to hold cold food at a safe temperature in the Maherrin and Rappahannock household kitchens. 2. The facility staff failed to store dishware in a safe and sanitary manner in the Maherrin and Rappahannock household kitchens.
  2. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 15, 2019
    Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, it was determined that the facility staff failed to serve food in a manner to promote dignity for one of 31 residents in the survey sample, Resident # 37. During a dining observation, in the [NAME] household unit dining room, Resident # 37 was observed sitting at the dining room table and waiting 23 minutes to be served and assisted with eating his meal by staff, while watching seven residents seated at the table with him, eat their dinner.
  3. 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.
    F622 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 15, 2019
    Inspectors wroteBased on staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to meet the appropriate transfer requirements for three of 31 residents in the survey sample; Resident # 46, # 21, and # 69. 1. The facility staff failed to evidence that Resident #46's comprehensive care plan goals were sent with the resident to the hospital for the facility initiated transfer dated 01/06/2019. 2. The facility staff failed to evidence that Resident # 21's comprehensive care plan goals were sent with the resident to the hospital for facility initiated transfer dated 01/07/2019. 3. The facility staff failed to provide the receiving facility with the Resident #69's comprehensive care plan goals for a facility initiated transfer to hospital that occurred on 12/11/18.
  4. 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) March 15, 2019
    Inspectors wroteBased on staff interview and clinical record review, it was determined that the facility staff failed to complete a discharge minimum data set (MDS) assessment for one of 31 residents in the survey sample; Resident #2. Resident #2 expired in the facility on [DATE]. The most recent MDS in the facility's system was a quarterly MDS with an ARD (assessment reference date) of [DATE]. As of [DATE], the date of the survey, there had been no discharge MDS assessment completed.
  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) March 15, 2019
    Inspectors wroteBased on observation, staff interview and clinical record review it was determined that the facility staff failed to ensure the comprehensive care plan was implemented for two of 31 residents in the survey sample, Resident # 72 and Resident #70. 1. During multiple observations, Resident #72 was receiving oxygen at 2 (two) and a half, liters instead of the 2 L (two liters) ordered by the physician and per the residents comprehensive care plan. 2. The facility staff failed to implement Resident #70's comprehensive care plan to offer non-pharmacological pain relief methods as needed and prior to the administering as needed pain medication to Resident #70.
  6. 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) March 15, 2019
    Inspectors wroteBased on observation, staff interview and clinical record review it was determined that the facility staff failed to ensure respiratory care and services were provided in accordance with professional standard of practice and the comprehensive person-centered care plan for one of 31 residents in the survey sample, Resident # 72. The facility staff failed to administer Resident # 72's oxygen according to the physician's orders.
  7. 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) March 15, 2019
    Inspectors wroteBased on observation, staff interview and clinical record review, it was determined that facility staff failed to provide pain management for two of 31 residents in the survey sample, Residents # 46 and # 70. 1. The facility staff failed to implement non-pharmacological interventions prior to the administering as needed pain medication to Resident #46. 2. The facility staff failed to implement non-pharmacological interventions prior to the administering as needed pain medication to Resident #70.
  8. 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) March 15, 2019
    Inspectors wroteBased on staff interview, facility document review and clinical record review, it was determined that the facility staff failed to maintain a complete and accurate clinical record for three of 31 residents in the survey sample, Residents #223, #127 and #68. 1. The facility staff failed to document non-pharmacological interventions that were offered to Resident #223 prior to administering as needed pain medication to the resident on multiple dates in January 2019. 2. The facility staff failed to document the use of non-pharmacological interventions before administering pain medication to Resident #127, on 8 occasions in January 2019. 3. The facility staff failed to document the use of non-pharmacological interventions before administering pain medication to Resident #68, on 10 occasions in January 2019.
  9. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 15, 2019
    Inspectors wroteBased on observation and staff interview, it was determined that the facility staff failed to serve food in a sanitary manner in two of eight resident dining rooms. 1. CNA (Certified nursing assistant) # 3 failed to change gloves in between touching cabinet and drawer handles, oven door handle and the food contact areas of serving platters, casserole dish and dinner plates that was used to serve food in the [NAME] household unit. 2. CNA (Certified nursing assistant) #1 failed to change gloves in between touching cabinet handles and the food contact areas of a bowl and a plate that was used to serve food in the Maherrin household unit.

Fire safety inspections

14 fire safety citations on file: 3 on October 14, 2021, 11 on January 31, 2019.

Every fire safety citation14 citations
  1. 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 14, 2021 · Corrected (the home has a date of correction)
  2. D
    Meet other general requirements that are deficient.
    K 300 · October 14, 2021 · Corrected (the home has a date of correction)
  3. D
    Meet requirements for the use of electrical equipment.
    K 919 · October 14, 2021 · Corrected (the home has a date of correction)
  4. F
    Have properly installed hallway dispensers for alcohol-based hand rub.
    K 325 · January 31, 2019 · Corrected (the home has a date of correction)
  5. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 31, 2019 · Corrected (the home has a date of correction)
  6. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · January 31, 2019 · Corrected (the home has a date of correction)
  7. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · January 31, 2019 · Corrected (the home has a date of correction)
  8. F
    Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
    K 901 · January 31, 2019 · Corrected (the home has a date of correction)
  9. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · January 31, 2019 · Corrected (the home has a date of correction)
  10. D
    Use approved construction type or materials.
    K 161 · January 31, 2019 · Corrected (the home has a date of correction)
  11. 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 · January 31, 2019 · Corrected (the home has a date of correction)
  12. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · January 31, 2019 · Corrected (the home has a date of correction)
  13. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · January 31, 2019 · Corrected (the home has a date of correction)
  14. D
    Ensure proper usage of power strips and extension cords.
    K 920 · January 31, 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)5.343.763.86
Registered nurses1.160.690.69
All nursing staff on weekends5.083.293.42
Nurse aides3.25
Licensed practical nurses0.93
Nursing staff turnover (share who left in a year)17.8%48.1%45.8%
Registered nurse turnover16.7%48.2%42.9%
Administrators who left0

CMS expects 3.32 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 5.44 on weekdays and 5.08 on weekends, 7% 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 5.35 in April to June 2025 to 5.34 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.341.165.445.08 0.0%0 of 9076
Oct to Dec 20255.261.075.374.99 0.0%0 of 9277
Jul to Sep 20255.371.165.485.09 0.0%0 of 9275
Apr to Jun 20255.351.165.524.92 0.0%0 of 9176
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
5.814.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.30.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.41.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.53.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.115.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.64.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.314.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
13.922.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.611.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.71.51.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Goodwin House Alexandria's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (57.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

57.7% this home

Better than 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. 106 eligible stays.

Potentially preventable readmissions

11.9% 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. 132 eligible stays.

Infections that led to a hospital stay

5.8% 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. 77 eligible stays.

Self-care and mobility at discharge

62.0% 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. 50 residents counted.

Falls with major injury

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. 59 residents counted.

New or worsened pressure ulcers

0.0% 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. 59 residents counted.

Medication list given at discharge

100.0% 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. 21 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.

Owners and operators

Legal business name: GOODWIN HOUSE INCORPORATED.

NameRoleTypeShareSince
Liebreich, Robert5% or greater indirect ownership interestIndividual07/01/2019
Bernateau, SherrettaW-2 managing employeeIndividual09/25/2019
Choi, PhoebeW-2 managing employeeIndividual12/21/2020
Carwile, JustinCorporate officerIndividual11/01/2016
D'agostino, BarbaraCorporate officerIndividual11/06/2017
Kumar, ChandraCorporate officerIndividual02/14/2023
Siegel, AndrewCorporate officerIndividual05/23/2017
Smith, TimothyCorporate officerIndividual08/30/2021

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. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on April 5, 2023: "Dispose of garbage and refuse properly."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on April 5, 2023: "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 2 problems in this area, most recently on January 31, 2019: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on January 31, 2019: "Provide safe and appropriate respiratory care for a resident when needed."

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 Goodwin House Alexandria's Medicare star rating?
CMS rates Goodwin House Alexandria 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Goodwin House Alexandria get at its last inspection?
4 health deficiencies at the standard inspection on April 5, 2023. The Virginia average is 14.3.
Has Goodwin House Alexandria been fined?
CMS lists no fines in the last three years.
Does Goodwin House Alexandria 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 Goodwin House Alexandria?
CMS lists 8 owners and managers. Legal business name: GOODWIN HOUSE INCORPORATED.

Sources

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