8 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Dunn Loring, VA
3-star overall rating with 3-star inspections with $16,673 in total fines with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
8000 Iliff Drive, Dunn Loring, VA
(703) 560-1000
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
130
Certified beds
Average residents
111
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1989-11-29
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.12
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.74
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
2.30
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
5.16
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
2.86
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
4.54
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.98
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.73
CMS adjusted RN staffing hours
Adjusted total hours
3.37
CMS adjusted total nurse staffing hours
Case-mix index
2.09
Higher values indicate more complex resident acuity
RN turnover
27%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
22%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
2,752
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
47.97
Composite VBP score used to determine payment impact.
Payment multiplier
1.0016
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.30
Baseline 20.42% · Performance 19.44% · Measure score 4.30 · Achievement 4.30 · Improvement 2.40
Healthcare-associated infections
2.98
Baseline 9.73% · Performance 8.08% · Measure score 2.98 · Achievement 0 · Improvement 2.98
Total nurse turnover
10
Performance 21.78% · Measure score 10 · Achievement 10 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
1.91
Baseline 3.23 hours · Performance 3.62 hours · Measure score 1.91 · Achievement 1.91 · Improvement 1.02
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 18.31% |
10.72%
7.6 pts worse
|
Worse than the National Rate · Eligible stays 197 · Observed rate 23.86% · Lower 95% interval 14.59% |
| Discharge to community | 21.39% |
50.57%
29.2 pts worse
|
Worse than the National Rate · Eligible stays 142 · Observed rate 14.79% · Lower 95% interval 15.52% |
| Medicare spending per beneficiary | 1.12 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 107 · Denominator 107 |
| Falls with major injury | 0.93% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 107 |
| Discharge self-care score | 73.47% |
53.69%
19.8 pts better
|
Numerator 36 · Denominator 49 |
| Discharge mobility score | 71.43% |
50.94%
20.5 pts better
|
Numerator 35 · Denominator 49 |
| Pressure ulcers or injuries, new or worsened | 1.87% |
2.29%
0.4 pts better
|
Numerator 2 · Denominator 107 · Adjusted rate 0.98% |
| Healthcare-associated infections requiring hospitalization | 8.08% |
7.12%
1 pts worse
|
No Different than the National Rate · Eligible stays 93 · Observed rate 9.68% · Lower 95% interval 4.52% |
| Staff COVID-19 vaccination coverage | 3.38% |
8.2%
4.8 pts worse
|
Numerator 8 · Denominator 237 |
| Staff flu vaccination coverage | 41.87% |
42%
0.1 pts worse
|
Numerator 121 · Denominator 289 |
| Discharge function score | 71.43% |
56.45%
15 pts better
|
Numerator 35 · Denominator 49 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 64 · Denominator 64 |
| Transfer of health information to patient | 75.86% |
96.28%
20.4 pts worse
|
Numerator 22 · Denominator 29 |
| Resident COVID-19 vaccinations up to date | 26.67% |
25.2%
1.5 pts better
|
Numerator 16 · Denominator 60 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
1.5
0.6 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.8 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.4
0.1 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.0 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 71.8% |
91.2%
19.4 pts worse
|
93.4%
21.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 66.7% · Q2 68.8% · Q3 72.6% · Q4 78.8% · 4Q avg 71.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.9% |
94.0%
3.1 pts worse
|
95.5%
4.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.4% |
3.6%
0.2 pts better
|
3.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.1% · Q3 3.2% · Q4 4.0% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 57.4% |
15.7%
41.7 pts worse
|
11.4%
46 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 64.9% · Q2 53.3% · Q3 53.2% · Q4 60.0% · 4Q avg 57.4% |
| Percentage of long-stay residents who lose too much weight | 4.9% |
5.7%
0.8 pts better
|
5.4%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 5.6% · Q3 5.5% · Q4 3.1% · 4Q avg 4.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.9% |
20.2%
4.7 pts worse
|
19.6%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.3% · Q2 23.4% · Q3 25.0% · Q4 25.8% · 4Q avg 24.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.2% |
15.0%
11.8 pts better
|
16.7%
13.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 4.5% · Q3 4.2% · Q4 1.3% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.5% |
0.2%
0.3 pts worse
|
0.1%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% |
| Percentage of long-stay residents whose ability to walk independently worsened | 11.7% |
17.5%
5.8 pts better
|
16.3%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · 4Q avg 11.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.5% |
15.7%
4.2 pts better
|
14.9%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 18.4% · Q3 14.0% · Q4 6.7% · 4Q avg 11.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.5%
0.5 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.6%
1.6 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 9.3% |
22.2%
12.9 pts better
|
19.8%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 9.5% · Q3 10.0% · Q4 6.1% · 4Q avg 9.3% |
| Percentage of long-stay residents with pressure ulcers | 3.1% |
5.2%
2.1 pts better
|
5.1%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.4% · Q3 3.0% · Q4 4.7% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 65.9% |
74.6%
8.7 pts worse
|
81.7%
15.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 73.2% · Q2 69.0% · Q3 65.1% · Q4 55.2% · 4Q avg 65.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.8% |
11.7%
0.1 pts worse
|
12.0%
0.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.8% · Observed 10.1% · Expected 9.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.9% |
73.6%
3.3 pts better
|
79.7%
2.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 76.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 34.9% |
22.0%
12.9 pts worse
|
23.9%
11 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 34.9% · Observed 32.6% · Expected 22.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
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.
Corrected 2024-08-29
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-08-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-29
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2024-08-29
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2021-05-24
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2021-05-24
Inspection history
Health
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.
Corrected 2023-09-15
Health
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2023-09-15
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-04-17
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-04-17
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-04-17
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-04-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-17
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-04-17
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-04-17
Health
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.
Corrected 2023-04-17
Health
Dispose of garbage and refuse properly.
Corrected 2021-04-26
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-04-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-04-26
Health
Provide and implement an infection prevention and control program.
Corrected 2021-04-26
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-08-04
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2018-08-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2018-08-04
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2018-08-04
Health
Ensure that residents are free from significant medication errors.
Corrected 2018-08-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2018-08-04
Penalties and ownership
Fine · fine $16,673
Fine
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