4 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Herndon, VA
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
2978 Centreville Road, Herndon, VA
(703) 934-5000
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
166
Certified beds
Average residents
160
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Commonwealth Care Of Roanoke
Operator or chain grouping
Approved since
1987-12-09
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
12 facilities
Chain averages 4 overall / 3 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
0.44
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.39
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
2.32
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
4.16
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.83
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.76
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.29
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.38
CMS adjusted RN staffing hours
Adjusted total hours
3.59
CMS adjusted total nurse staffing hours
Case-mix index
1.58
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
17%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
6,556
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.48
Composite VBP score used to determine payment impact.
Payment multiplier
0.9871
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.64
Baseline 20.84% · Performance 21.13% · Measure score 0.64 · Achievement 0.64 · Improvement 0
Healthcare-associated infections
0
Baseline 9.47% · Performance 10.89% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
10
Baseline 13.57% · Performance 11.28% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
2.35
Baseline 3.66 hours · Performance 3.75 hours · Measure score 2.35 · Achievement 2.35 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.32% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 540 · Observed rate 10.93% · Lower 95% interval 9.01% |
| Discharge to community | 59.78% |
50.57%
9.2 pts better
|
Better than the National Rate · Eligible stays 549 · Observed rate 53.37% · Lower 95% interval 55.27% |
| Medicare spending per beneficiary | 0.96 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 348 · Denominator 348 |
| Falls with major injury | 0.57% |
0.77%
0.2 pts better
|
Numerator 2 · Denominator 348 |
| Discharge self-care score | 62.83% |
53.69%
9.1 pts better
|
Numerator 142 · Denominator 226 |
| Discharge mobility score | 57.96% |
50.94%
7 pts better
|
Numerator 131 · Denominator 226 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 346 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 10.89% |
7.12%
3.8 pts worse
|
Worse than the National Rate · Eligible stays 315 · Observed rate 12.38% · Lower 95% interval 8.07% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 209 |
| Staff flu vaccination coverage | 29.72% |
42%
12.3 pts worse
|
Numerator 74 · Denominator 249 |
| Discharge function score | 61.5% |
56.45%
5 pts better
|
Numerator 139 · Denominator 226 |
| Transfer of health information to provider | 94.19% |
95.95%
1.8 pts worse
|
Numerator 243 · Denominator 258 |
| Transfer of health information to patient | 90.57% |
96.28%
5.7 pts worse
|
Numerator 48 · Denominator 53 |
| Resident COVID-19 vaccinations up to date | 9.05% |
25.2%
16.1 pts worse
|
Numerator 18 · Denominator 199 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
1.5
0.2 pts worse
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.4 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.4
0.5 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.2%
8.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.2% |
94.0%
5.2 pts better
|
95.5%
3.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% |
3.6%
0.9 pts better
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 2.7% · Q3 2.7% · Q4 1.8% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.7% |
15.7%
14 pts better
|
11.4%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.2% · Q4 4.7% · 4Q avg 1.7% |
| Percentage of long-stay residents who lose too much weight | 8.1% |
5.7%
2.4 pts worse
|
5.4%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 8.5% · Q3 9.5% · Q4 5.9% · 4Q avg 8.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.0% |
20.2%
7.2 pts better
|
19.6%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 11.2% · Q3 14.2% · Q4 14.7% · 4Q avg 13.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.9% |
15.0%
1.1 pts better
|
16.7%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 17.8% · Q3 10.3% · Q4 11.5% · 4Q avg 13.9% · 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 | 19.6% |
17.5%
2.1 pts worse
|
16.3%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.1% · Q2 21.4% · Q3 21.8% · Q4 6.4% · 4Q avg 19.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.7% |
15.7%
2 pts worse
|
14.9%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.5% · Q2 15.8% · Q3 20.0% · Q4 19.8% · 4Q avg 17.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
0.5%
0.8 pts worse
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.5% · Q3 0.6% · Q4 1.2% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.9% |
1.6%
0.7 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 0.0% · Q4 2.7% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.7% |
22.2%
1.5 pts better
|
19.8%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.5% · Q2 22.6% · Q3 21.6% · Q4 21.9% · 4Q avg 20.7% |
| Percentage of long-stay residents with pressure ulcers | 3.6% |
5.2%
1.6 pts better
|
5.1%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 6.9% · Q3 3.0% · Q4 2.7% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
74.6%
23.4 pts better
|
81.7%
16.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.1% · Q2 98.5% · Q3 97.6% · Q4 97.8% · 4Q avg 98.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.8% |
11.7%
5.9 pts better
|
12.0%
6.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.8% · Observed 5.1% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.2%
0.5 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.8% · Q3 0.8% · Q4 0.4% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.5% |
73.6%
22.9 pts better
|
79.7%
16.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.5% |
22.0%
6.5 pts worse
|
23.9%
4.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.5% · Observed 25.3% · Expected 21.2% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Resident Rights (5 deficiencies)
9 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
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 2021-09-30
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2021-09-30
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2021-09-30
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2019-02-05
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-02-05
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2019-02-05
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-02-05
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-02-05
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-02-05
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-02-05
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-02-05
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-02-05
Fire Safety
Use approved construction type or materials.
Corrected 2017-11-14
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 2017-11-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2017-11-14
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2017-11-14
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2017-11-14
Inspection history
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-12-26
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 2023-12-26
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2021-09-22
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2021-09-22
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 2021-09-22
Health
Provide and implement an infection prevention and control program.
Corrected 2021-09-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2018-11-07
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2018-11-07
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2018-11-07
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2018-11-07
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2018-11-07
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2018-11-07
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2018-11-07
Health
Respond appropriately to all alleged violations.
Corrected 2018-11-07
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2018-11-07
Health
Assess the resident when there is a significant change in condition
Corrected 2018-11-07
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-11-07
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2018-11-07
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2018-11-07
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2018-11-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2018-11-07
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2018-11-07
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2018-11-07
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 2018-11-07
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2017-09-05
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2017-09-05
Health
Store, cook, and serve food in a safe and clean way.
Corrected 2017-09-05
Health
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
Corrected 2017-09-05
Health
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
Corrected 2017-09-05
Health
Allow residents the right to participate in the planning or revision of care and treatment.
Corrected 2017-09-05
Health
Provide necessary care and services to maintain or improve the highest well being of each resident .
Corrected 2017-09-05
Health
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Corrected 2017-09-05
Health
Make sure that special or therapeutic diets are ordered by the attending doctor.
Corrected 2017-09-05
Health
Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.
Corrected 2017-09-05
Health
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
Corrected 2017-09-05
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Nearby options
Fairfax, VA
2-star overall rating with 1-star inspections with 38 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Sterling, VA
3-star overall rating with 3-star inspections with 14 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Fairfax, VA
3-star overall rating with 2-star inspections with $28,534 in total fines with 22 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Jump out