22 health deficiencies
Top issue: Resident Rights (6 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
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
10701 Main Street, Fairfax, VA
(703) 273-7705
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
200
Certified beds
Average residents
187
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Lifeworks Rehab
Operator or chain grouping
Approved since
1976-04-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
59 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
0.63
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.04
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.95
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.62
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.67
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.02
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.49
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.54
CMS adjusted RN staffing hours
Adjusted total hours
3.10
CMS adjusted total nurse staffing hours
Case-mix index
1.60
Higher values indicate more complex resident acuity
RN turnover
53%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
5,166
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
37.16
Composite VBP score used to determine payment impact.
Payment multiplier
0.9904
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
9.47
Baseline 18.02% · Performance 17.04% · Measure score 9.47 · Achievement 9.47 · Improvement 9
Healthcare-associated infections
0
Baseline 7.42% · Performance 8.48% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.40
Baseline 64.76% · Performance 41.62% · Measure score 5.40 · Achievement 5.40 · Improvement 5.3
Adjusted total nurse staffing
0
Baseline 3.22 hours · Performance 3.05 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.2% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 402 · Observed rate 9.2% · Lower 95% interval 7.33% |
| Discharge to community | 47.87% |
50.57%
2.7 pts worse
|
No Different than the National Rate · Eligible stays 429 · Observed rate 38.93% · Lower 95% interval 43.25% |
| Medicare spending per beneficiary | 1.22 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 99.15% |
95.27%
3.9 pts better
|
Numerator 352 · Denominator 355 |
| Falls with major injury | 1.41% |
0.77%
0.6 pts worse
|
Numerator 5 · Denominator 355 |
| Discharge self-care score | 65.8% |
53.69%
12.1 pts better
|
Numerator 127 · Denominator 193 |
| Discharge mobility score | 65.8% |
50.94%
14.9 pts better
|
Numerator 127 · Denominator 193 |
| Pressure ulcers or injuries, new or worsened | 1.41% |
2.29%
0.9 pts better
|
Numerator 5 · Denominator 355 · Adjusted rate 0.97% |
| Healthcare-associated infections requiring hospitalization | 8.48% |
7.12%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 300 · Observed rate 10.67% · Lower 95% interval 6.37% |
| Staff COVID-19 vaccination coverage | 1.83% |
8.2%
6.4 pts worse
|
Numerator 5 · Denominator 273 |
| Staff flu vaccination coverage | 36.7% |
42%
5.3 pts worse
|
Numerator 80 · Denominator 218 |
| Discharge function score | 67.36% |
56.45%
10.9 pts better
|
Numerator 130 · Denominator 193 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 122 · Denominator 122 |
| Transfer of health information to patient | 96.24% |
96.28%
About the same
|
Numerator 179 · Denominator 186 |
| Resident COVID-19 vaccinations up to date | 35.52% |
25.2%
10.3 pts better
|
Numerator 65 · Denominator 183 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.5
0.3 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.4 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.4
0.8 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.6 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.4% |
91.2%
6.2 pts better
|
93.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 94.7% · Q2 96.5% · Q3 100.0% · Q4 98.6% · 4Q avg 97.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 89.2% |
94.0%
4.8 pts worse
|
95.5%
6.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 89.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.7% |
3.6%
0.1 pts worse
|
3.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 4.2% · Q3 3.7% · Q4 0.7% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 42.5% |
15.7%
26.8 pts worse
|
11.4%
31.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.9% · Q2 37.1% · Q3 39.3% · Q4 51.9% · 4Q avg 42.5% |
| Percentage of long-stay residents who lose too much weight | 4.7% |
5.7%
1 pts better
|
5.4%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 6.9% · Q3 2.4% · Q4 4.4% · 4Q avg 4.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.9% |
20.2%
10.3 pts better
|
19.6%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 9.0% · Q3 9.4% · Q4 11.9% · 4Q avg 9.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.1% |
15.0%
2.9 pts better
|
16.7%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.2% · Q2 11.8% · Q3 11.7% · Q4 10.8% · 4Q avg 12.1% · 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 | 3.8% |
17.5%
13.7 pts better
|
16.3%
12.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 5.0% · Q3 3.2% · Q4 4.1% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.7% |
15.7%
13 pts better
|
14.9%
12.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 2.3% · Q3 3.3% · Q4 2.3% · 4Q avg 2.7% · 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 | 0.7% |
1.6%
0.9 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 0.7% · Q4 0.7% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.4% |
22.2%
1.2 pts worse
|
19.8%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.2% · Q2 33.2% · Q3 14.3% · Q4 18.0% · 4Q avg 23.4% |
| Percentage of long-stay residents with pressure ulcers | 6.0% |
5.2%
0.8 pts worse
|
5.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 5.3% · Q3 6.4% · Q4 6.2% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.4% |
74.6%
20.8 pts better
|
81.7%
13.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.5% · Q2 94.2% · Q3 95.8% · Q4 97.0% · 4Q avg 95.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.3% |
11.7%
0.6 pts worse
|
12.0%
0.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.3% · Observed 13.4% · Expected 12.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.2%
0.9 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.0% · Q3 0.0% · Q4 0.6% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.4% |
73.6%
20.8 pts better
|
79.7%
14.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.6% |
22.0%
1.6 pts worse
|
23.9%
0.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.6% · Observed 30.0% · Expected 30.2% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (6 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Quality of Life and Care (5 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-12-03
Fire Safety
Provide large enough exits.
Corrected 2024-12-03
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-12-03
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-01
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-06-21
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-06-21
Fire Safety
Have proper power supply for life support equipment.
Corrected 2022-06-21
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-08-18
Fire Safety
Have properly sized and located compartments to protect residents from smoke.
Corrected 2020-08-18
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2020-08-18
Fire Safety
Use approved construction type or materials.
Corrected 2020-08-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-08-18
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-08-18
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2020-08-18
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-29
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-07-29
Health
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected 2025-07-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-04
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-11-04
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-11-04
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-10-01
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-10-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-01
Health
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected 2024-10-01
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2023-08-08
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 2023-08-08
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-08-08
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-08-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-08
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 2023-08-08
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 2023-08-08
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-08-08
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-08
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 2022-06-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-06-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-06-15
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-06-15
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2022-06-15
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-06-15
Health
Dispose of garbage and refuse properly.
Corrected 2022-06-15
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-06-15
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-06-15
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-06-15
Health
Keep residents' personal and medical records private and confidential.
Corrected 2022-06-15
Health
Assess the resident when there is a significant change in condition
Corrected 2022-06-15
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-06-15
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2022-06-15
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-06-15
Health
Provide activities to meet all resident's needs.
Corrected 2022-06-15
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-06-15
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-06-15
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2022-06-15
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2019-12-30
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 2019-12-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-12-30
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2018-07-27
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2018-07-27
Health
Ensure that residents are free from significant medication errors.
Corrected 2018-07-27
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 2018-07-27
Health
Assess the resident when there is a significant change in condition
Corrected 2018-07-27
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-07-27
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2018-07-27
Health
Honor each resident's preferences, choices, values and beliefs.
Corrected 2018-07-27
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2018-07-27
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2018-07-27
Health
Provide and implement an infection prevention and control program.
Corrected 2018-07-27
Penalties and ownership
Fine · fine $15,935
Fine
Fine · fine $12,599
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · 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 · Individual
W-2 Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Fairfax, VA
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Fairfax, VA
2-star overall rating with 1-star inspections with 38 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Burke, VA
3-star overall rating with 3-star inspections with 11 recent health deficiencies
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