Cycle 1
Health 2024-03-06 · Fire 2024-03-06
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Winchester, VA
The Village At Orchard Ridge
5-star overall rating with 4-star inspections with 4 recent health deficiencies
100 Procession Way, Winchester, VA
(540) 431-2800
Overall
5 / 5
CMS overall stars
Health inspections
4 / 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
20
Certified beds
Average residents
19
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
National Lutheran Communities & Services
Operator or chain grouping
Approved since
2014-07-31
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
Hours and turnover
RN hours / resident day
1.43
Registered nurse staffing
LPN hours / resident day
0.62
Licensed practical nurse staffing
Aide hours / resident day
2.40
Nurse aide staffing
Weekend hours
3.93
Weekend nurse staffing
RN turnover
43%
Annual RN turnover
Total nurse turnover
44%
Annual nurse turnover
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 82.9% |
91.2%
8.3 pts worse
|
93.4%
10.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.6%
3.6 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
15.7%
15.7 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 35.0% |
20.2%
14.8 pts worse
|
19.6%
15.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% |
0.5%
1.1 pts worse
|
1.0%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 3.0% |
1.6%
1.4 pts worse
|
1.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.3% |
22.2%
3.1 pts worse
|
19.8%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 13.0% |
5.2%
7.8 pts worse
|
5.1%
7.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 68.0% |
74.6%
6.6 pts worse
|
81.7%
13.7 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.9% |
11.7%
2.2 pts worse
|
12.0%
1.9 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.2%
0.8 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 56.2% |
73.6%
17.4 pts worse
|
79.7%
23.5 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.6% |
22.0%
3.4 pts better
|
23.9%
5.3 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-06-01 · Fire 2022-06-01
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2021-02-25 · Fire 2021-02-25
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-03-06
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-04-01
D · Potential for more than minimal harm
2024-03-06
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 2024-04-01
D · Potential for more than minimal harm
2024-03-06
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-04-01
D · Potential for more than minimal harm
2024-03-06
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-01
Penalties and ownership
What sits behind the stars
Ownership
National Lutheran Inc
5% Or Greater Direct Ownership Interest · Organization
Ault, Jared
Operational/Managerial Control · Individual
Blakemore, Victoria
Corporate Director · Individual
Casner, Donna
Corporate Officer · Individual
Combs, Allison
Operational/Managerial Control · Individual
Combs, Allison
Corporate Director · Individual
Coulter, Bonnie
Operational/Managerial Control · Individual
Cruz, Medardo
Operational/Managerial Control · Individual
Custer, William
Operational/Managerial Control · Individual
Gwinn, Lauren
Operational/Managerial Control · Individual
Hearn, Garri Ann
Operational/Managerial Control · Individual
Hollis, Michelle
Operational/Managerial Control · Individual
Isham, Sarah
Operational/Managerial Control · Individual
Loy, Shannon
Operational/Managerial Control · Individual
Mason, Susan
Operational/Managerial Control · Individual
Midolo, John
Corporate Director · Individual
Nastasi, Steven
Operational/Managerial Control · Individual
Nastasi, Steven
Corporate Director · Individual
National Lutheran Inc
Operational/Managerial Control · Organization
Palomo, Mary
Operational/Managerial Control · Individual
Patterson, Elizabeth
Operational/Managerial Control · Individual
Portalanza, Joanne
Operational/Managerial Control · Individual
Radigan, Erin
Operational/Managerial Control · Individual
Rosamond, Lori
Operational/Managerial Control · Individual
Rutz, Melissa
Operational/Managerial Control · Individual
Wagoner, Craig
Corporate Officer · Individual
Walters, Cynthia
Corporate Officer · Individual
Wood, Melissa
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Shenandoah Valley Westminster Canterbury
Winchester, VA
3-star overall rating with 3-star inspections with 12 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Winchester Health & Rehabilitation
Winchester, VA
2-star overall rating with 1-star inspections with 31 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Evergreen Health And Rehabilitation Center
Winchester, VA
2-star overall rating with 2-star inspections with $8,190 in total fines with 22 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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