8111 Tiswell Drive, Alexandria, VA 22306 · Fairfax County · (703) 360-4000
130 certified beds, about 126 residents a day · For profit - Corporation · Medicare and Medicaid since 1990
CMS Care Compare ratings, data as of September 1, 2026 · CCN 495211 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 23, 2026, inspectors cited 7 health deficiencies (the Virginia average is 14.3, the national average 9.2).
Of 82 health citations since November 2019, 9 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.51 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.41 of those hours.
16.5% 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.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 82 health citations on file.
Inspectors wroteBased on observation, interview and clinical record review, the facility staff failed to ensure a safe clean, comfortable and homelike environment for all residents of the facility.
Inspectors wroteBased on observation, interview and clinical record review the facility failed to ensure a resident's right to be free from physical restraint for one resident (R1) in a survey sample of ten residents. For R1 the facility staff did not ensure proper the resident had the proper assessment and re-evaluations for continued use of restraints. R1 was admitted to the facility on [DATE] with diagnoses that include but were not limited to dysphagia post stroke, chronic obstructive pulmonary disease, tracheostomy status, gastrostomy tube, dementia, neuromuscular dysfunction of bladder, chronic respiratory failure, generalized anxiety disorder, major depressive disorder, gastro esophageal reflux disease. [...]
Inspectors wroteBased on observation, interview, clinical record review and facility documentation, the facility staff failed to ensure residents receive the necessary services to maintain good grooming, and personal hygiene, for one resident (R1) in a survey sample of ten residents. For R1 the facility staff failed to ensure the resident had adequate grooming to include nail care. R1 was admitted to the facility on [DATE] with diagnoses that include but were not limited to dysphagia post stroke, chronic obstructive pulmonary disease, tracheostomy status, gastrostomy tube, dementia, neuromuscular dysfunction of bladder, chronic respiratory failure, generalized anxiety disorder, major depressive disorder, gastro esophageal reflux disease. [...]
Inspectors wroteBased on observation, interview, clinical record review and facility documentation, the facility staff failed to ensure receive asppropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion for one resident (R1) in a survey sample of ten residents.
Inspectors wroteBased on observation, interview, clinical record review and facility documentation, the facility staff failed to ensure that tracheostomy care was provided in accordance with standards of practice for one resident (Resident 1 (R1)) in a survey sample of ten residents.
Inspectors wroteBased on observation, interview, and facility documentation the facility staff failed to prepare, food in accordance with professional standards for food service safety for all residents who recieve food from the kitchen. For all residents receiving food from the kitchen, other employee one did not wear a beard guard while preparing salads in the kitchen to reduce the risk of food contamination. On 6/3/26 at 9:00 a.m. a dietary aide (other employee 1) was observed packaging/dating the salads without a hair net or beard guard on. At 9:05 a.m., an interview was conducted with other employee 1 who stated that he forgot to put on the beard guard. At 9:15 a.m., an interview was conducted with the Dietary Manager who stated that it is the expectation of the facility that all staff use appropriate head and beard covering at all times in the kitchen. [...]
Inspectors wroteBased on observation, interview, and facility policy review, the facility to ensure food was labeled, dated, and discarded when beyond the use by date per the facility's policy. This failure had the potential to create an environment for food-borne illnesses which could affect 123 of 123 residents who consumed food prepared from the facility's kitchen.
Inspectors wroteBased on record review, interview, and document review, the facility failed to provide an opportunity for residents who were registered to vote to exercise their right to vote for three of 66 residents identified by the facility as being registered voters (Resident (R) 3, R21, and R79). On 04/21/26 a special state election was held; however, the residents were not informed of the election nor aided to vote. This failure caused the residents not to be able to exercise their right to vote.
Inspectors wroteBased on observations, record review, interviews, and review of facility policy, the facility failed to provide a program of activities to support two of three sampled residents reviewed for activities (Resident (R) 67 and R79) out of 31 sampled residents. This failure has the potential to negatively impact quality of life for the affected residents.
Inspectors wroteBased on observation, interview, record review, and review of facility policy, the facility failed to ensure a medication was given as ordered by the physician for one of six residents observed during medication administration out of 31 sampled residents (Resident (R) 31). Specifically, R31 was ordered by his physician to be administered a chewable aspirin tablet; however, the resident was administered an extended-release aspirin. Additionally, the aspirin was crushed prior to being administered to the resident even though the manufacturer's recommendations indicated the aspirin should not be crushed. These failures had the potential to cause the resident adverse side effects.
Inspectors wroteBased on observations, interviews, record review, and policy review, the facility failed to ensure the urinary catheter tubing and collection bag were not in contact with the floor for one (Resident (R)67) of three residents reviewed for catheters and urinary tract infection. This failure placed the residents at risk for transmission of infection to the urinary tract.
Inspectors wroteBased on observation interview, facility policy review, the facility failed to ensure medications were maintained in accordance with expiration date requirements for one of two medication storage rooms. A total of five medication units were identified as expired and remained in active storage within the medication room refrigerator, and one Tuberculin vial that had been open and used out of and not dated, creating the potential for administration beyond pharmacy's expiration dates. This indicates a failure to ensure proper monitoring, removal, and disposal of expired medications in accordance with facility policy and regulatory standards.
Inspectors wroteBased on record review, observations, interview and review of facility policy, the facility failed to ensure that staff members were donning the appropriate personal protective equipment (PPE) for two of four residents (Resident (R)2 and R67) reviewed for enhanced barrier precautions (EBP) and contact isolation from a sample of 31 residents. The facility also failed to ensure the correct signage was posted for one resident (R2) with Methicillin Resistant Staphylococcus Aureus (MRSA). These failures had the potential to promote the spread of infectious diseases.
Inspectors wroteBased on clinical record review, staff interview, and facility documentation review, the facility staff failed to provide care and services in accordance with professional standards for 1 resident, Resident #1, in a sample size of 3 residents.
Inspectors wroteBased on observation, Resident interview, staff interview, clinical record review, facility documentation review, and in the course of a complaint investigation, the facility staff failed to protect 5 Residents from abuse (Resident #63, #322, Resident #70, #52, #21 ) and failed to protect 2 residents from neglect (Resident #35, Resident #217) in a sample size of 60 Residents. Immediate Jeopardy was called on 09/16/2022 at 4:34 P.M. On 9/21/22 at 12:15 P.M., the survey team verified the implementation of the removal Plan submitted by the facility and the scope and severity was lowered to E at that time.
Inspectors wroteBased on Resident interview, facility staff interview, clinical record review, facility documentation review, and in the course of a complaint investigation, the facility staff failed to ensure Residents' were free from misappropriation and exploitation for three Residents (Resident #35, 368 and 70) in a survey sample of 60 Residents.
Inspectors wroteBased on Resident interview, staff interview, clinical record review, facility documentation review, and in the course of a complaint investigation, the facility staff failed to investigate allegations of abuse, exploitation and mistreatment, and failed to take measures to protect residents, and failed to make corrections affecting 4 Residents (Resident #35, 368, 52, and 317) in a survey sample of 60 Residents. The failure to make corrections resulted in harm for Residents #35 and #368.
Inspectors wroteBased on observation, interview, clinical record review and facility documentation the facility staff failed to ensure services were provided that meet professional standards of care for 3 Residents (#'s 217, 88, and 417) in a survey sample of 60 Residents, resulting in harm for Resident #217.
Inspectors wroteBased on staff interview, family interview, and clinical record review, the facility staff failed to ensure the highest practicable well being. for two residents ( Residents # 217 and #23) in a survey sample of 60 residents.
Inspectors wroteBased on observation, interview, clinical record review and facility documentation, the facility staff failed to ensure that Residents receive care, consistent with professional standards of practice to prevent pressure ulcers from worsening or new ulcers developing for 2 Residents (Resident #111 and 86) in a survey sample of 60 Residents, resulting in harm for Resident #111.
Inspectors wroteBased on observation, Resident family interview, staff interview, clinical record review and facility documentation review, the facility staff failed to prevent the development of a contracture resulting in limited range of motion, which constituted harm, for one Resident (Resident #14) in a survey sample of 60 Residents.
Inspectors wroteBased on observations, Resident/family interview, staff interview, clinical record review, facility documentation review and in the course of a complaint investigation, the facility staff failed to provide specialized rehabilitative services to prevent the functional decline for two Residents (Resident #14 and #68), resulting in harm for Resident #14, in a survey sample of 60 Residents.
Inspectors wroteBased on observation, Resident interview, and staff interview, the facility failed to post survey results in a place readily accessible to Residents and families, which had the potential to affect all 119 Residents residing in the facility.
Inspectors wroteBased on observation, staff interview, and facility documentation review, the facility staff failed to post the required correct daily nursing staffing information which was visible to Residents, staff, and visitors, on four of four nursing units.
Inspectors wroteBased on Resident interview, staff interview, and facility documentation review, the facility staff failed to provide Residents with quarterly statements of their trust account/bank accounts effecting 4 Residents (Resident #2, 20, 91, and 70) in a survey sample of 60 Residents.
Inspectors wroteBased on observation, and staff interview, the facility staff failed to provide required postings, including a list of names, addresses, and telephone numbers for State Agencies, and advocacy groups, which are mandated by regulation to be accessible and understandable for the resident population.
Inspectors wroteBased on observation, Resident interview, staff interview, clinical record review, facility documentation review, and in the course of a complaint investigation, the facility staff failed to maintain a Resident's personal privacy and failed to protect personal health information for 3 Residents (Resident #35, 268, and 78) in a survey sample of 60 Residents.
Inspectors wroteBased on observation, Resident interview, staff interview, facility documentation review, and in the course of a complaint investigation, the facility staff failed to maintain a clean, comfortable and home like environment for one Resident (Resident #46) and on two of two nursing units.
Inspectors wrote4. For Resident # 217, the facility staff failed to implement the policies on abuse/neglect Resident # 217 was admitted to the facility on [DATE] for skilled services in nursing and therapy with the diagnoses of, but not limited to, Asthma, Congestive Heart Failure (CHF), Chronic Kidney Disease Stage 3, Hypertension, Atrial Fibrillation, Obstructive Sleep Apnea (OSA), Infection due to Multi-resistant organism and Morbid Obesity with BMI (Body Mass Index) 60-69. Review of the Resident # 217's closed clinical record revealed the most recent MDS (Minimum Data Set) was a Quarterly Assessment with an ARD (Assessment Reference Date) of 9/16/2021. The MDS coded Resident #217 as requiring extensive to total assistance of one to two staff persons with activities of daily living and frequently incontinent of bowel and bladder. [...]
Inspectors wroteBased on Resident interviews, staff interviews, clinical record reviews, facility documentation review, and in the course of a complaint investigation, the facility staff failed to report allegations of abuse timely for 7 Residents (Resident #52, Resident #117, Resident #31, Resident #84, Resident #367, Resident #369, Resident #19) in a sample size of 60 Residents.
Inspectors wroteBased on observation, family interview, staff interview, clinical record review, facility documentation review, and in the course of a complaint investigation, the facility staff failed to revise the care plan for 7 Resident (Resident #318, Resident #78, Resident #68, Resident #318, Resident #86, Resident #35, Resident #14) in a sample size of 60 Residents.
Inspectors wroteBased on staff interview and facility documentation review, the facility staff failed to ensure that required competencies were completed for 6 of 6 nursing staff members including, Registered Nurses (RN), Certified Nursing Aides (CNA), and Licensed Practical Nurses (LPN). The survey sample of 6 consisted of; (RN/DON), (CNA B), (CNA C), (CNA F), (LPN F), and (LPN G). The Facility failed to complete required initial, and annual, competency training, and evaluations.
Inspectors wroteBased on staff interview and facility documentation review, the facility staff failed to ensure that required annual performance reviews, with in-service training based on those reviews, were completed for 3 of 3 Certified Nursing Aides (CNA) in the survey sample, (CNA B), (CNA C), and (CNA F).
Inspectors wroteBased on staff interview and facility documentation review, the facility staff failed to ensure that required knowledge of, appropriate training for, and competencies were completed to care for residents with mental, psychological, and psycosocial disorders for 6 of 6 nursing staff members including, Registered Nurses (RN), Certified Nursing Aides (CNA), and Licensed Practical Nurses (LPN). The survey sample of 6 consisted of: (RN/DON), (CNA B), (CNA C), (CNA F), (LPN F), and (LPN G).
Inspectors wroteBased on interview, clinical record review and facility documentation the facility staff failed to ensure Residents were free of significant medication errors for 2 Residents (#'s 88, & 86) in a survey sample of 60 Residents.
Inspectors wroteBased on observation, interview, clinical record review and facility documentation the facility staff failed to properly store Drugs and Biological's for 2 of the facility's 4 medication carts. The Findings Included: On 9/21/22 while completing the medication administration facility tasks Surveyor D made the following observations: At 2:50 PM on the Colonial Hall cart 1, observed artificial tears eye drops labeled with the Resident name and room number as well as the opened date on the box only, LPN L was asked was asked what the process was for labeling medications and she stated that the name, and date opened should be on the box on the bottle as well. When asked why she stated that if it's not labeled correctly the medication could get mixed up with someone else's. [...]
Inspectors wroteBased on observation, interview, clinical record review and facility documentation the facility staff failed to establish and maintain an effective infection prevention control program to prevent the development and spread of diseases and infections for 1 Resident (#88), and the facility as a whole. In addition, 8 facility staff on 4 of 4 units failed to maintain an effective infection prevention and control program.
Inspectors wroteBased on clinical record review, staff interview, and facility documentation review, the facility staff failed to conduct COVID-19 testing in accordance with the Centers for Disease Control and Prevention (CDC) guidance for 4 Residents, Residents #6, #35, #111, and #88, in a sample of 5 Residents reviewed for resident COVID-19 testing.
Inspectors wroteBased on staff interview, and facility documentation review, the facility staff failed to ensure that required training for Abuse/neglect, misappropriation, exploitation, dementia management, and abuse prevention were conducted for all 6 of the employees in the employee sample, (RN/DON), (CNA B), (CNA C), (CNA F), (LPN F), and (LPN G).
Inspectors wroteBased on staff interview and facility documentation review, the facility staff failed to ensure that the required 12 hours per year of in-service training was completed for Certified Nursing Aides (CNA's). The survey sample of of 3 CNA's consisted of; (CNA B), (CNA C), and (CNA F).
Inspectors wroteOn 09/13/2022 at 9:30 A.M., Resident #90 was observed asleep in her bed with the head of the bed elevated approximately 60 degrees. Resident #90 had a plaid clothing protector on with food particles on it. The tray table with the breakfast tray was positioned over the bed and in front of Resident #90. All the food had been eaten off the plate. There was no staff in the room. At 9:36 A.M., Certified Nursing Assistant N (CNA N) entered Resident #90's room, took the tray off the tray table, exited the room, and placed the tray on the cart in the hall. CNA N then re-entered Resident #90's room, walked past Resident #90, and took the roommate's tray to the cart in the hall. CNA N then proceeded to the adjacent room and removed those breakfast trays. [...]
Inspectors wroteBased on observation, resident interview, staff interviews, facility documentation review and clinical record review, the facility staff failed to assess and determine if a Resident was safe to self-administer medications, for one Resident (Resident #35) in a survey sample of 60 Residents.
Inspectors wroteBased on observation, interview, facility record review and clinical record review the facility staff failed to ensure the right of self-determination for 1 Resident (#31) in a survey sample of 60 Residents.
Inspectors wroteBased on Resident interview, staff interviews and facility documentation review, the facility staff failed to permit Residents to access their personal funds/trust accounts on weekends and evenings, for Residents with trust accounts.
Inspectors wroteBased on staff interview, family interview, clinical record review and during the course of a complaint investigation, the facility staff failed to provide one resident ( Resident # 217) with a conveyance of funds within 30 days.
Inspectors wroteBased on Resident interview, staff interviews and facility documentation review, the facility staff failed to only withdraw funds authorized for the cost of care for one Resident (Resident #70) in a sample of 3 Residents reviewed for trust fund transactions.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to offer and/or provide Advance Directive planning for 2 residents, Resident #35 and Resident #111, out of a sample of 10 residents reviewed for Advance Directives.
Inspectors wroteBased on staff interview, facility documentation review and clinical record review, the facility staff failed to complete a SNF (skilled nursing facility) NOMNC (notice of Medicare non-coverage) and ABN (advance beneficiary notice) timely and accurately for 2 Residents (Resident #417 and #35) in a survey sample of 3 Residents reviewed for Beneficiary Notifications.
Inspectors wroteBased on observations, Resident interviews, staff interviews, clinical record reviews, facility documentation review, and in the course of a complaint investigation, the facility staff failed to promptly respond to grievances for 2 Residents (Resident #46, Resident #68) in a sample size of 60 Residents.
Inspectors wroteBased on Resident interview, staff interview, clinical record review, facility documentation review and in the course of a complaint investigation, the facility staff failed implement their policy with regards to reporting crimes affecting 3 Residents (Resident #35, #368, and 217) in a survey sample of 60 Residents.
Inspectors wroteBased on staff interview, clinical record review, and facility record review, the facility staff failed for 1 resident (Resident #119) to provide the resident with a necessary and safe discharge, in a survey sample of 60 Residents.
Inspectors wroteBased on staff interview, clinical record review and in the course of a complaint investigation, the facility staff failed to notify the Long Term Care ombudsman of the discharge of one Resident (Resident # 217) in a survey sample of 60 residents and the facility staff failed to notify the Ombudsman of any discharges during a 4 month period of time (October 2021-January 2022).
Inspectors wroteBased on staff interview, clinical record review and in the course of a complaint investigation, the facility failed to issue an accurate written bed hold notice for 1 resident (Resident #217) of 60 residents in the survey sample.
Inspectors wroteBased on staff interview, facility documentation review, clinical record review,and in the course of a complaint investigation, the facility staff failed to ensure an accurate MDS/RAI assessment was completed for one resident (Resident #217) in a survey sample of 60 residents.
Inspectors wroteBased on Observations, Staff interview, and clinical record review, facility staff failed to refer 1 Resident (Resident #77) with a serious mental illness for a level 2 PASARR, in a survey sample of 60 Residents.
Inspectors wroteBased on interview, clinical record review and facility documentation, facility staff failed to ensure PASRR (Pre-admission Screening and Resident Review) prior to admission, for 1 Resident (#34) in a survey sample of 60 Residents.
Inspectors wroteBased on observation, interview, clinical record review and facility documentation the facility staff failed to develop and implement a baseline care plan that includes instructions needed to provide and effective person-centered care for 1 Resident (#34) in a survey sample of 60 Residents.
Inspectors wroteBased on observations, staff interview, clinical record review, and facility documentation review, the facility staff failed to develop and/or implement a comprehensive care plan for 3 Residents (Resident #90, Resident #23, Resident #34) in a sample size of 60 Residents.
Inspectors wroteBased on staff interview, clinical record review, and facility record review, the facility staff failed for 1 resident (Resident #119) to provide the resident with a discharge plan that met the needs of the Resident, in a survey sample of 60 Residents. The facility failed to involve, evaluate, and provide Resident #119 with an interdisciplinary discharge plan. No community services were planned, no written discharge instructions were planned, nor given to the Resident, and no medical equipment was obtained for discharge home.
Inspectors wroteBased on staff interview, clinical record review, and facility record review, the facility staff failed for 1 resident (Resident #119) to provide a recapitulation of the Resident's stay upon discharge, in a survey sample of 60 Residents. The facility failed to document a recapitulation of the Resident's stay in the clinical record after his discharge.
Inspectors wroteBased on observations, staff interviews, clinical record review, and facility documentation review, the facility staff failed to provide necessary care and services to ensure Residents have the means to communicate with others for 3 Residents (Resident #78, Resident #318, Resident #34) in a sample size of 60 Residents.
Inspectors wroteBased on observations, Resident interviews, staff interviews, clinical record reviews, facility documentation review, and in the course of a complaint investigation, the facility staff failed to provide necessary services to maintain grooming and personal hygiene for 3 Residents (Resident #38, Resident #34 and Resident #35) in a sample size of 60 Residents.
Inspectors wroteBased on observation, staff interview, clinical record review, and facility documentation review, the facility staff failed to ensure an environment free from accident hazards for one Resident (Resident #27) of 60 residents in the survey sample.
Inspectors wroteBased on observation, interview, clinical record review and facility documentation the facility staff failed to ensure services for care of a suprapubic catheter consistent with professional standards of care, the comprehensive care plan and Resident preferences for 1 Resident (#88) in a survey sample of 60 Residents.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to provide comprehensive behavioral health services for one Resident (Resident #68) in a sample of 60 Residents.
Inspectors wroteBased on observation, staff interview, clinical record review and facility documentation review, the facility staff failed to provide routine and emergency drugs to meet the needs of residents and failed to provide safekeeping of hard scripts for controlled drugs, for 2 Residents (Resident #86 and 68) in a survey sample of 60 Residents.
Inspectors wroteBased on staff interview, facility record review, clinical record review, and in the course of a complaint investigation, the facility staff failed to ensure 1 Resident was free from unnecessary medications (Resident #101) in a survey sample of 33 Residents.
Inspectors wroteBased on observation, interview, clinical record review and facility documentation the facility staff failed ensure the nutritional needs and special diet orders 1 Resident (#86) in a survey sample of 60 Residents.
Inspectors wroteBased on staff interview and facility documentation review, the facility staff failed to have an accurate system to track the immunization status, provide COVID-19 immunizations, and provide COVID-19 booster immunizations for two employees (Employee GG and CNA-X) in a survey sample of 6 employees reviewed.
Inspectors wroteBased on observation, Resident interview, staff interview and facility documentation review, the facility staff failed to provide a functional bedside table for one Resident (Resident #35) in a survey sample of 60 Residents.
Inspectors wroteBased on observation, interviews, facility documentation and clinical record review the facility staff failed to provide care to promote healing prevent infection and prevent new pressure ulcers from forming for 2 Resident (#161 and #79) in a survey sample of 43 Residents.
Inspectors wroteBased on observation, staff interview, facility documentation review and clinical record review, the facility staff failed to follow professional standards for three Residents (Resident #86, #107, #2) in a survey sample of 43 Residents.
Inspectors wroteBased on observation, staff interview, and clinical record review, the facility staff failed to maintain respect and dignity for one resident (Resident #261) in a sample size of 43 residents.
Inspectors wroteBased on observation, staff interview, facility documentation review and clinical record review, the facility staff failed to assess a Resident to determine if they were safe to administer medications, before leaving medications at the bedside for one Resident (Resident #86) in a survey of 43 Residents.
Inspectors wroteBased on observation, resident interview, staff interview, and facility documentation review, the facility staff failed to provide accommodations to call for assistance for 1 resident (Resident #41) in a survey sample of 43 residents.
Inspectors wroteBased on staff interview, clinical record review, and facility documentation review, the facility staff failed to: 1) provide notification of non-coverage in a timely fashion for one of three sampled residents (Resident #315 ) and 2) complete an Advanced Beneficiary Notice (ABN) for one of three sampled residents (Resident #12 )
Inspectors wroteBased on observation, Resident and staff interview facility documentation and clinical record review the facility staff failed to develop and implement a comprehensive care plan for 3 Residents (#73, 75, #66) in a survey sample of 43 Residents.
Inspectors wroteBased on observation, resident interview, staff interview, clinical record review, and facility documentation review, the facility staff failed, for one resident (Resident # 79) in the survey sample of 43 residents, to review and revise the plan of care.
Inspectors wroteBased on facility documentation review and clinical record review the facility staff failed to ensure residents are free of significant medication errors for one Resident (Resident #107) in a survey sample of 43 Residents.
Inspectors wroteBased on observation, staff interview, facility documentation review and clinical record review, the facility staff failed to maintain an accurate clinical record for one Resident (Resident #86) in a survey sample of 43 Residents.
Inspectors wroteBased on observation, resident interview, and staff interview, the facility staff failed to maintain shower equipment and the shower room in a sanitary manner to prevent the spread of infection in 1 of 4 shower rooms.
Inspectors wroteBased on observation, staff interview, the facility staff failed to post and have readily accessible the results of the survey reports for the three preceding years, to include any plan of corrections. The facility only had two of the last three years available. In addition the facility did not have plans of corrections that were finalized for two of the three surveys that were available.
19 fire safety citations on file: 11 on April 23, 2026, 4 on September 29, 2022, 4 on November 8, 2019.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Virginia | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.51 | 3.76 | 3.86 |
| Registered nurses | 0.41 | 0.69 | 0.69 |
| All nursing staff on weekends | 3.09 | 3.29 | 3.42 |
| Nurse aides | 1.97 | ||
| Licensed practical nurses | 1.13 | ||
| Nursing staff turnover (share who left in a year) | 16.5% | 48.1% | 45.8% |
| Registered nurse turnover | 50.0% | 48.2% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.82 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.68 on weekdays and 3.09 on weekends, 16% 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 3.69 in April to June 2025 to 3.51 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 | 3.51 | 0.41 | 3.68 | 3.09 | 0.0% | 0 of 90 | 126 |
| Oct to Dec 2025 | 3.48 | 0.39 | 3.64 | 3.09 | 0.0% | 2 of 92 | 125 |
| Jul to Sep 2025 | 3.55 | 0.42 | 3.71 | 3.14 | 0.0% | 0 of 92 | 125 |
| Apr to Jun 2025 | 3.69 | 0.43 | 3.87 | 3.24 | 0.0% | 1 of 91 | 128 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Virginia, Jan to Mar 2026 | 3.58 | 0.56 | 3.76 | 3.12 | 5.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Virginia, all employers | |||
| CNAs (nursing assistants) | $20.77 | $17.80 to $22.56 | 40,580 |
| LPNs and LVNs | $31.21 | $28.66 to $35.84 | 15,550 |
| Registered nurses | $45.00 | $38.51 to $49.53 | 77,490 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Virginia | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 15.7 | 14.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.6 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.6 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.9 | 15.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.1 | 4.7 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.6 | 14.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.1 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.1 | 11.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.5 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Mount Vernon Healthcare Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (61.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
61.5% 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. 187 eligible stays.
9.0% 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. 217 eligible stays.
8.8% 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. 110 eligible stays.
50.7% 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. 73 residents counted.
0.9% 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. 112 residents counted.
1.2% 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. 112 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 13 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: TISWELL 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 |
|---|---|---|---|---|
| Omg Ls Leasing Co., LLC | 5% or greater direct ownership interest | Organization | 100% | 03/01/2018 |
| Groves, Donna | Corporate officer | Individual | 04/14/2023 | |
| Romeo, Dominic | Corporate officer | Individual | 04/01/2023 | |
| Stoltz, Charles | Corporate officer | Individual | 03/01/2018 | |
| Wilheim, Ronald | Corporate officer | Individual | 03/01/2018 | |
| Tiswell Mgt Co., LLC | Operational/managerial control | Organization | 03/01/2018 | |
| Elebiary, Ahmed | Operational/managerial control | Individual | 04/01/2023 | |
| Groves, Donna | Operational/managerial control | Individual | 04/14/2023 | |
| Mauritz, Joni | Operational/managerial control | Individual | 08/21/2023 | |
| Romeo, Dominic | Operational/managerial control | Individual | 04/01/2023 | |
| Odenthal, Richard | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/25/2025 | |
| Tiswell Mgt Co., LLC | Adp of the SNF | Organization | 05/08/2025 | |
| Elebiary, Ahmed | Adp of the SNF | Individual | 04/01/2023 | |
| Mauritz, Joni | Adp of the SNF | Individual | 08/21/2023 |
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.
Chosen from this home's own inspection record.
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