Cycle 1
Health 2023-01-12 · Fire 2023-01-12
16 health deficiencies
Top issue: Infection Control (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Arlington, VA
The Jefferson
4-star overall rating with 3-star inspections with 16 recent health deficiencies
900 North Taylor Street, Arlington, VA
(703) 516-9455
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
31
Certified beds
Average residents
25
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sunrise Senior Living
Operator or chain grouping
Approved since
1992-10-21
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 4 overall / 3 health / 4 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.57
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
0.90
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
2.54
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
5.01
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
2.48
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
4.21
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
1.20
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.37
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.61
CMS adjusted RN staffing hours
Adjusted total hours
5.15
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
64%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,479
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
56.39
Composite VBP score used to determine payment impact.
Payment multiplier
1.0115
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.40
Baseline 22.33% · Performance 19.20% · Measure score 5.40 · Achievement 4.81 · Improvement 5.40
Healthcare-associated infections
0
Baseline 8.02% · Performance 8.00% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
10
Performance 22.86% · Measure score 10 · Achievement 10 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
7.15
Baseline 4.72 hours · Performance 5.11 hours · Measure score 7.15 · Achievement 7.15 · Improvement 3.18
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.4% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 407 · Observed rate 8.35% · Lower 95% interval 8% |
| Discharge to community | 67.71% |
50.57%
17.1 pts better
|
Better than the National Rate · Eligible stays 432 · Observed rate 64.58% · Lower 95% interval 63.97% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99.17% |
95.27%
3.9 pts better
|
Numerator 238 · Denominator 240 |
| Falls with major injury | 1.26% |
0.77%
0.5 pts worse
|
Numerator 3 · Denominator 239 |
| Discharge self-care score | 48.2% |
53.69%
5.5 pts worse
|
Numerator 67 · Denominator 139 |
| Discharge mobility score | 56.83% |
50.94%
5.9 pts better
|
Numerator 79 · Denominator 139 |
| Pressure ulcers or injuries, new or worsened | 0.42% |
2.29%
1.9 pts better
|
Numerator 1 · Denominator 238 · Adjusted rate 0.37% |
| Healthcare-associated infections requiring hospitalization | 8% |
7.12%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 243 · Observed rate 7.41% · Lower 95% interval 5.25% |
| Staff COVID-19 vaccination coverage | 13.04% |
8.2%
4.8 pts better
|
Numerator 6 · Denominator 46 |
| Staff flu vaccination coverage | 87.72% |
42%
45.7 pts better
|
Numerator 50 · Denominator 57 |
| Discharge function score | 68.35% |
56.45%
11.9 pts better
|
Numerator 95 · Denominator 139 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 167 · Denominator 167 |
| Transfer of health information to patient | 96% |
96.28%
0.3 pts worse
|
Numerator 48 · Denominator 50 |
| Resident COVID-19 vaccinations up to date | 23.08% |
25.2%
2.1 pts worse
|
Numerator 24 · Denominator 104 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 72.9% |
74.6%
1.7 pts worse
|
81.7%
8.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 74.1% · Q2 69.6% · Q3 74.8% · Q4 73.0% · 4Q avg 72.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.1% |
11.7%
2.4 pts worse
|
12.0%
2.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.1% · Observed 12.8% · Expected 10.1% · 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 1.0% · Q2 1.0% · Q3 0.0% · Q4 0.9% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 67.8% |
73.6%
5.8 pts worse
|
79.7%
11.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 67.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.2% |
22.0%
1.2 pts worse
|
23.9%
0.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.2% · Observed 19.8% · Expected 20.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-08-12 · Fire 2021-08-12
5 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Cycle 3
Health 2019-03-06 · Fire 2019-03-06
3 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2021-08-12
K222 · Egress Deficiencies
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 2021-09-21
D · Potential for more than minimal harm
2021-08-12
K223 · Egress Deficiencies
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 2021-09-21
Inspection history
Recent health citations
E · Potential for more than minimal harm
2023-01-12
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 2023-02-23
E · Potential for more than minimal harm
2023-01-12
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-02-23
E · Potential for more than minimal harm
2023-01-12
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-23
D · Potential for more than minimal harm
2023-01-12
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 2023-02-23
D · Potential for more than minimal harm
2023-01-12
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-02-23
D · Potential for more than minimal harm
2023-01-12
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-02-23
D · Potential for more than minimal harm
2023-01-12
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-02-23
D · Potential for more than minimal harm
2023-01-12
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-02-23
D · Potential for more than minimal harm
2023-01-12
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 2023-02-23
D · Potential for more than minimal harm
2023-01-12
F756 · Pharmacy Service Deficiencies
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 2023-02-23
D · Potential for more than minimal harm
2023-01-12
F847 · Administration Deficiencies
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2023-02-23
D · Potential for more than minimal harm
2023-01-12
F848 · Administration Deficiencies
Health
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected 2023-02-23
D · Potential for more than minimal harm
2023-01-12
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-02-23
C · Minimal harm
2023-01-12
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2023-02-23
C · Minimal harm
2023-01-12
F885 · Infection Control Deficiencies
Health
Report COVID19 data to residents and families.
Corrected 2023-02-23
C · Minimal harm
2023-01-12
F886 · Infection Control Deficiencies
Health
Perform COVID19 testing on residents and staff.
Corrected 2023-02-23
F · Potential for more than minimal harm
2021-08-12
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2021-09-14
E · Potential for more than minimal harm
2021-08-12
F700 · Quality of Life and Care Deficiencies
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 2021-09-14
E · Potential for more than minimal harm
2021-08-12
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 2021-09-14
D · Potential for more than minimal harm
2021-08-12
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 2021-09-14
C · Minimal harm
2021-08-12
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2021-09-14
E · Potential for more than minimal harm
2019-03-06
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-04-18
D · Potential for more than minimal harm
2019-03-06
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-04-18
D · Potential for more than minimal harm
2019-03-06
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-04-18
Penalties and ownership
What sits behind the stars
Ownership
Welltower Trs Holdco LLC
5% Or Greater Direct Ownership Interest · Organization
Anbessie, Tedla
Operational/Managerial Control · Individual
Campbell, Kaleb
Operational/Managerial Control · Individual
Coelho, Andrew
Operational/Managerial Control · Individual
Falco, Denise
Operational/Managerial Control · Individual
Frantz, Edward
Operational/Managerial Control · Individual
Kessler, Thomas
Operational/Managerial Control · Individual
Marcinik, John
Operational/Managerial Control · Individual
O'riordan, Damien
Operational/Managerial Control · Individual
Painter, David
Operational/Managerial Control · Individual
Royal, Patricia
Operational/Managerial Control · Individual
Sekel, Wendy
Operational/Managerial Control · Individual
Sunrise Senior Living Management Inc
Operational/Managerial Control · Organization
Thompson, Lisa
Operational/Managerial Control · Individual
Wells, Anja
Operational/Managerial Control · Individual
Nearby options
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Arlington, VA
2-star overall rating with 1-star inspections with $18,066 in total fines with 45 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Carlin Springs Health & Rehabilitation
Arlington, VA
1-star overall rating with 1-star inspections with 19 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Goodwin House Bailey's Crossroads
Falls Church, VA
5-star overall rating with 4-star inspections with 8 recent health deficiencies
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