19 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Arlington, VA
1-star overall rating with 1-star inspections with 19 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
550 South Carlin Springs Road, Arlington, VA
(703) 379-7200
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
161
Certified beds
Average residents
144
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Hill Valley Healthcare
Operator or chain grouping
Approved since
1977-01-03
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
40 facilities
Chain averages 2 overall / 2 health / 2 staffing / 4 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
RN hours / resident day
0.54
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.08
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.64
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.25
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.61
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
2.79
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.53
CMS adjusted RN staffing hours
Adjusted total hours
3.23
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
48%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
8,057
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.95
Composite VBP score used to determine payment impact.
Payment multiplier
0.9848
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.07
Baseline 20.05% · Performance 20.01% · Measure score 3.07 · Achievement 3.07 · Improvement 0
Healthcare-associated infections
1.54
Baseline 7.09% · Performance 7.37% · Measure score 1.54 · Achievement 1.54 · Improvement 0
Total nurse turnover
6.57
Baseline 28.26% · Performance 36.84% · Measure score 6.57 · Achievement 6.57 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.50 hours · Performance 2.91 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.54% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 152 · Observed rate 9.87% · Lower 95% interval 7.4% |
| Discharge to community | 49.08% |
50.57%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 154 · Observed rate 42.86% · Lower 95% interval 40.13% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 73 · Denominator 73 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 73 |
| Discharge self-care score | 42.59% |
53.69%
11.1 pts worse
|
Numerator 23 · Denominator 54 |
| Discharge mobility score | 38.89% |
50.94%
12 pts worse
|
Numerator 21 · Denominator 54 |
| Pressure ulcers or injuries, new or worsened | 2.74% |
2.29%
0.5 pts worse
|
Numerator 2 · Denominator 73 · Adjusted rate 2.41% |
| Healthcare-associated infections requiring hospitalization | 7.37% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 82 · Observed rate 8.54% · Lower 95% interval 4.65% |
| Staff COVID-19 vaccination coverage | 9.09% |
8.2%
0.9 pts better
|
Numerator 16 · Denominator 176 |
| Staff flu vaccination coverage | 61.5% |
42%
19.5 pts better
|
Numerator 115 · Denominator 187 |
| Discharge function score | 38.89% |
56.45%
17.6 pts worse
|
Numerator 21 · Denominator 54 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 76.19% |
96.28%
20.1 pts worse
|
Numerator 32 · Denominator 42 |
| Resident COVID-19 vaccinations up to date | 9.68% |
25.2%
15.5 pts worse
|
Numerator 3 · Denominator 31 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 79.1% |
91.2%
12.1 pts worse
|
93.4%
14.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 78.0% · Q2 75.2% · Q3 80.0% · Q4 83.1% · 4Q avg 79.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.0% |
94.0%
3 pts worse
|
95.5%
4.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.2% |
3.6%
2.4 pts better
|
3.3%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.8% · Q3 1.6% · Q4 0.8% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.7% |
15.7%
7 pts better
|
11.4%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 5.4% · Q3 6.2% · Q4 10.6% · 4Q avg 8.7% |
| Percentage of long-stay residents who lose too much weight | 1.3% |
5.7%
4.4 pts better
|
5.4%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 2.6% · Q4 1.8% · 4Q avg 1.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.8% |
20.2%
9.4 pts better
|
19.6%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 13.1% · Q3 7.8% · Q4 13.3% · 4Q avg 10.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.1% |
15.0%
3.9 pts better
|
16.7%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 9.5% · Q3 11.4% · Q4 13.6% · 4Q avg 11.1% · 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 | 1.8% |
17.5%
15.7 pts better
|
16.3%
14.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 1.8% |
15.7%
13.9 pts better
|
14.9%
13.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.5% · Q3 0.0% · Q4 0.9% · 4Q avg 1.8% · 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 | 26.8% |
22.2%
4.6 pts worse
|
19.8%
7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.1% · Q2 26.9% · Q3 29.4% · Q4 28.7% · 4Q avg 26.8% |
| Percentage of long-stay residents with pressure ulcers | 2.8% |
5.2%
2.4 pts better
|
5.1%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 4.6% · Q3 1.5% · Q4 2.8% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 45.8% |
74.6%
28.8 pts worse
|
81.7%
35.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 54.2% · Q2 46.4% · Q3 30.9% · Q4 52.4% · 4Q avg 45.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.5% |
11.7%
5.2 pts better
|
12.0%
5.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.5% · Observed 6.3% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.2%
0.5 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 3.5% · Q3 0.0% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 41.7% |
73.6%
31.9 pts worse
|
79.7%
38 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 41.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.1% |
22.0%
5.1 pts worse
|
23.9%
3.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.1% · Observed 23.8% · Expected 20.9% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Quality of Life and Care (6 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Administration (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
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 2022-09-21
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-09-21
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2020-03-12
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 2020-04-10
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2020-04-10
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2020-03-12
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2020-03-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-03-12
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2020-03-12
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-04-10
Fire Safety
Provide rooms that can be unlocked from inside without a key.
Corrected 2018-02-07
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-02-07
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2018-02-07
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2018-02-07
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2018-02-07
Inspection history
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-09-21
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-10-19
Health
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2022-10-19
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-09-21
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-09-21
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2022-09-21
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2022-09-21
Health
Keep all essential equipment working safely.
Corrected 2022-09-21
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-10-19
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-09-21
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 2022-10-19
Health
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected 2022-09-21
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2022-09-21
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-10-19
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 2022-09-21
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-09-21
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-10-19
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 2022-10-19
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-09-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-03-23
Health
Provide and implement an infection prevention and control program.
Corrected 2019-03-23
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 2019-04-16
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2019-03-23
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-03-23
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2019-03-23
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2019-03-23
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-03-23
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 2019-04-16
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-03-23
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-04-16
Health
Provide care by qualified persons according to each resident's written plan of care.
Corrected 2019-03-23
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-03-23
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-04-16
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 2019-04-16
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-03-23
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 2019-03-23
Health
Provide or obtain dental services for each resident.
Corrected 2019-03-23
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2019-03-23
Health
Post nurse staffing information every day.
Corrected 2019-03-23
Health
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2017-11-07
Health
Train all employees on what to do in an emergency, and carry out unannounced staff drills.
Corrected 2017-11-07
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
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