Cycle 1
Health 2022-03-17 · Fire 2022-03-17
19 health deficiencies
Top issue: Resident Assessment and Care Planning (7 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Annandale, VA
August Healthcare At Leewood
3-star overall rating with 2-star inspections with 19 recent health deficiencies
7120 Braddock Road, Annandale, VA
(703) 256-9770
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
132
Certified beds
Average residents
133
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Simcha Hyman & Naftali Zanziper
Operator or chain grouping
Approved since
1999-04-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
94 facilities
Chain averages 2 overall / 3 health / 2 staffing / 3 quality stars
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
Hours and turnover
RN hours / resident day
0.43
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.12
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
2.28
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.83
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.55
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.47
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.27
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.46
CMS adjusted RN staffing hours
Adjusted total hours
4.08
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,457
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
49.69
Composite VBP score used to determine payment impact.
Payment multiplier
1.0037
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.89
Baseline 19.66% · Performance 19.63% · Measure score 3.89 · Achievement 3.89 · Improvement 0
Healthcare-associated infections
6.40
Baseline 7.02% · Performance 5.92% · Measure score 6.40 · Achievement 6.40 · Improvement 4.92
Total nurse turnover
6.57
Baseline 32.58% · Performance 36.84% · Measure score 6.57 · Achievement 6.57 · Improvement 0
Adjusted total nurse staffing
3.02
Baseline 3.72 hours · Performance 3.94 hours · Measure score 3.02 · Achievement 3.02 · Improvement 0.58
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 17.44% |
10.72%
6.7 pts worse
|
Worse than the National Rate · Eligible stays 263 · Observed rate 23.19% · Lower 95% interval 13.83% |
| Discharge to community | 55.82% |
50.57%
5.2 pts better
|
No Different than the National Rate · Eligible stays 254 · Observed rate 46.06% · Lower 95% interval 50.22% |
| Medicare spending per beneficiary | 1.17 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 94.44% |
95.27%
0.8 pts worse
|
Numerator 119 · Denominator 126 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 126 |
| Discharge self-care score | 46.75% |
53.69%
6.9 pts worse
|
Numerator 36 · Denominator 77 |
| Discharge mobility score | 42.86% |
50.94%
8.1 pts worse
|
Numerator 33 · Denominator 77 |
| Pressure ulcers or injuries, new or worsened | 3.17% |
2.29%
0.9 pts worse
|
Numerator 4 · Denominator 126 · Adjusted rate 2.72% |
| Healthcare-associated infections requiring hospitalization | 5.92% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 135 · Observed rate 5.19% · Lower 95% interval 3.5% |
| Staff COVID-19 vaccination coverage | 10.84% |
8.2%
2.6 pts better
|
Numerator 18 · Denominator 166 |
| Staff flu vaccination coverage | 98.96% |
42%
57 pts better
|
Numerator 191 · Denominator 193 |
| Discharge function score | 48.05% |
56.45%
8.4 pts worse
|
Numerator 37 · Denominator 77 |
| Transfer of health information to provider | 85.42% |
95.95%
10.5 pts worse
|
Numerator 41 · Denominator 48 |
| Transfer of health information to patient | 88.46% |
96.28%
7.8 pts worse
|
Numerator 46 · Denominator 52 |
| Resident COVID-19 vaccinations up to date | 75% |
25.2%
49.8 pts better
|
Numerator 54 · Denominator 72 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.5
About the same
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.2 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.4
About the same
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
91.2%
8.1 pts better
|
93.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.2% · Q3 99.1% · Q4 100.0% · 4Q avg 99.3% |
| 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 | 3.3% |
3.6%
0.3 pts better
|
3.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.5% · Q3 2.7% · Q4 1.9% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 77.3% |
15.7%
61.6 pts worse
|
11.4%
65.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 93.0% · Q2 92.4% · Q3 82.2% · Q4 41.7% · 4Q avg 77.3% |
| Percentage of long-stay residents who lose too much weight | 5.7% |
5.7%
About the same
|
5.4%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 5.1% · Q3 2.9% · Q4 2.0% · 4Q avg 5.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.8% |
20.2%
7.4 pts better
|
19.6%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 11.7% · Q3 11.3% · Q4 10.8% · 4Q avg 12.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.7% |
15.0%
0.7 pts worse
|
16.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 20.0% · Q3 11.5% · Q4 9.8% · 4Q avg 15.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.0% |
17.5%
4.5 pts better
|
16.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 11.7% · Q3 8.5% · Q4 15.3% · 4Q avg 13.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.9% |
15.7%
1.8 pts better
|
14.9%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.8% · Q2 16.3% · Q3 8.8% · Q4 10.9% · 4Q avg 13.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.5%
0.1 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.2% |
1.6%
1.4 pts better
|
1.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.7% |
22.2%
3.5 pts worse
|
19.8%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.2% · Q2 32.0% · Q3 19.1% · Q4 23.7% · 4Q avg 25.7% |
| Percentage of long-stay residents with pressure ulcers | 5.4% |
5.2%
0.2 pts worse
|
5.1%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 5.7% · Q3 6.7% · Q4 3.6% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.5% |
74.6%
12.9 pts better
|
81.7%
5.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 85.2% · Q2 86.5% · Q3 88.4% · Q4 89.2% · 4Q avg 87.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.5% |
11.7%
7.2 pts better
|
12.0%
7.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.5% · Observed 4.3% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.2%
0.3 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.2% |
73.6%
2.6 pts better
|
79.7%
3.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 76.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.8% |
22.0%
0.2 pts better
|
23.9%
2.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.8% · Observed 21.4% · Expected 23.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2018-11-08 · Fire 2018-11-08
9 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2017-08-30 · Fire 2017-08-30
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2018-11-08
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2019-02-05
F · Potential for more than minimal harm
2018-11-08
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-02-05
F · Potential for more than minimal harm
2018-11-08
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-02-05
F · Potential for more than minimal harm
2018-11-08
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-02-05
F · Potential for more than minimal harm
2018-11-08
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-02-05
E · Potential for more than minimal harm
2018-11-08
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-02-05
D · Potential for more than minimal harm
2018-11-08
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2019-02-05
D · Potential for more than minimal harm
2018-11-08
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-02-05
D · Potential for more than minimal harm
2018-11-08
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-02-05
D · Potential for more than minimal harm
2017-08-30
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2017-12-15
D · Potential for more than minimal harm
2017-08-30
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2017-12-15
D · Potential for more than minimal harm
2017-08-30
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2017-12-15
Inspection history
Recent health citations
F · Potential for more than minimal harm
2022-03-17
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2022-04-20
E · Potential for more than minimal harm
2022-03-17
F622 · Resident Rights Deficiencies
Health
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.
Corrected 2022-04-20
E · Potential for more than minimal harm
2022-03-17
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-04-20
E · Potential for more than minimal harm
2022-03-17
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2022-04-20
E · Potential for more than minimal harm
2022-03-17
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-04-20
E · Potential for more than minimal harm
2022-03-17
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-04-20
E · Potential for more than minimal harm
2022-03-17
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-04-20
E · Potential for more than minimal harm
2022-03-17
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-04-20
D · Potential for more than minimal harm
2022-03-17
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-04-20
D · Potential for more than minimal harm
2022-03-17
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2022-04-20
D · Potential for more than minimal harm
2022-03-17
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-04-20
D · Potential for more than minimal harm
2022-03-17
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2022-04-20
D · Potential for more than minimal harm
2022-03-17
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2022-04-20
D · Potential for more than minimal harm
2022-03-17
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-04-20
D · Potential for more than minimal harm
2022-03-17
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-04-20
D · Potential for more than minimal harm
2022-03-17
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-04-20
D · Potential for more than minimal harm
2022-03-17
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-04-20
D · Potential for more than minimal harm
2022-03-17
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-04-20
D · Potential for more than minimal harm
2022-03-17
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-04-20
E · Potential for more than minimal harm
2018-11-08
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2018-11-12
E · Potential for more than minimal harm
2018-11-08
F744 · Quality of Life and Care Deficiencies
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2018-11-12
D · Potential for more than minimal harm
2018-11-08
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2018-11-30
D · Potential for more than minimal harm
2018-11-08
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2018-11-30
D · Potential for more than minimal harm
2018-11-08
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2018-11-08
D · Potential for more than minimal harm
2018-11-08
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2018-11-08
D · Potential for more than minimal harm
2018-11-08
F758 · Pharmacy Service Deficiencies
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 2018-11-21
D · Potential for more than minimal harm
2018-11-08
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2018-11-08
D · Potential for more than minimal harm
2018-11-08
F808 · Nutrition and Dietary Deficiencies
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2018-11-08
D · Potential for more than minimal harm
2017-08-30
F240 · Resident Rights Deficiencies
Health
Provide care for each resident in a way that maintains or improves their quality of life.
Corrected 2017-10-06
D · Potential for more than minimal harm
2017-08-30
F279 · Resident Assessment and Care Planning Deficiencies
Health
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2017-10-06
D · Potential for more than minimal harm
2017-08-30
F309 · Quality of Life and Care Deficiencies
Health
Provide necessary care and services to maintain or improve the highest well being of each resident .
Corrected 2017-10-06
D · Potential for more than minimal harm
2017-08-30
F328 · Quality of Life and Care Deficiencies
Health
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
Corrected 2017-10-06
D · Potential for more than minimal harm
2017-08-30
F518 · Administration Deficiencies
Health
Train all employees on what to do in an emergency, and carry out unannounced staff drills.
Corrected 2017-10-06
Penalties and ownership
What sits behind the stars
Ownership
Nearby options
Other facilities in reach
#1
Annandale Healthcare Center
Annandale, VA
1-star overall rating with 1-star inspections with $90,896 in total fines with 35 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Greenspring Village
Springfield, VA
2-star overall rating with 1-star inspections with $81,178 in total fines with 26 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Goodwin House Alexandria
Alexandria, VA
5-star overall rating with 4-star inspections with 4 recent health deficiencies
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