15 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
30 fire-safety deficiencies
Top issue: Egress (9 deficiencies)
Falls Church, VA
0-star overall rating with 0-star inspections with 30 fire-safety deficiencies in the latest cycle
2100 Powhatan Street, Falls Church, VA
(703) 538-2400
Overall
0 / 5
CMS overall stars
Health inspections
0 / 5
Survey and complaint cycles
Staffing
0 / 5
RN + nurse staffing
Quality measures
0 / 5
Resident outcomes and process measures
Quick facts
Beds
160
Certified beds
Average residents
143
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Vierra Communities
Operator or chain grouping
Approved since
2022-11-30
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
3 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 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
RN hours / resident day
0.78
Registered nurse staffing · state 0.69 · national 0.68
LPN hours / resident day
1.07
Licensed practical nurse staffing · state 1.00 · national 0.87
Aide hours / resident day
1.99
Nurse aide staffing · state 2.12 · national 2.35
Total nurse hours
3.84
All reported nurse hours · state 3.81 · national 3.89
Licensed hours
1.85
RN + LPN hours · state 1.68 · national 1.54
Weekend hours
3.26
Weekend nurse staffing · state 3.31 · national 3.43
Weekend RN hours
0.50
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
1.48
Higher values indicate more complex resident acuity
RN turnover
28%
Annual RN turnover · state 49% · national 45%
Total nurse turnover
33%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
3,111
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
45.96
Composite VBP score used to determine payment impact.
Payment multiplier
0.9993
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
8.09
Performance 17.68% · Measure score 8.09 · Achievement 8.09 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
0
Performance 8.05% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
8.52
Performance 28.87% · Measure score 8.52 · Achievement 8.52 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
1.78
Performance 3.58 hours · Measure score 1.78 · Achievement 1.78 · This facility did not have sufficient data to calculate a baseline period measure result.
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.66% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 393 · Observed rate 11.45% · Lower 95% interval 9.09% |
| Discharge to community | 58.12% |
50.57%
7.5 pts better
|
Better than the National Rate · Eligible stays 422 · Observed rate 50.95% · Lower 95% interval 52.38% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 97.48% |
95.27%
2.2 pts better
|
Numerator 348 · Denominator 357 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 357 |
| Discharge self-care score | 38.65% |
53.69%
15 pts worse
|
Numerator 97 · Denominator 251 |
| Discharge mobility score | 55.38% |
50.94%
4.4 pts better
|
Numerator 139 · Denominator 251 |
| Pressure ulcers or injuries, new or worsened | 5.6% |
2.29%
3.3 pts worse
|
Numerator 20 · Denominator 357 · Adjusted rate 4.72% |
| Healthcare-associated infections requiring hospitalization | 8.05% |
7.12%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 327 · Observed rate 8.56% · Lower 95% interval 5.78% |
| Staff COVID-19 vaccination coverage | 8.84% |
8.2%
0.6 pts better
|
Numerator 16 · Denominator 181 |
| Staff flu vaccination coverage | 5.95% |
42%
36 pts worse
|
Numerator 10 · Denominator 168 |
| Discharge function score | 49% |
56.45%
7.5 pts worse
|
Numerator 123 · Denominator 251 |
| Transfer of health information to provider | 99.3% |
95.95%
3.3 pts better
|
Numerator 141 · Denominator 142 |
| Transfer of health information to patient | 95.78% |
96.28%
0.5 pts worse
|
Numerator 159 · Denominator 166 |
| Resident COVID-19 vaccinations up to date | 23.83% |
25.2%
1.4 pts worse
|
Numerator 51 · Denominator 214 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.5
0.4 pts worse
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.3 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.4
0.1 pts worse
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.6 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 86.6% |
91.2%
4.6 pts worse
|
93.4%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 91.0% · Q2 87.7% · Q3 83.8% · Q4 84.9% · 4Q avg 86.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 79.0% |
94.0%
15 pts worse
|
95.5%
16.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 79.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.7% |
3.6%
2.9 pts better
|
3.3%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 1.2% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.2% |
15.7%
12.5 pts better
|
11.4%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 2.7% · Q4 7.4% · 4Q avg 3.2% |
| Percentage of long-stay residents who lose too much weight | 8.6% |
5.7%
2.9 pts worse
|
5.4%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 10.3% · Q3 10.8% · Q4 3.9% · 4Q avg 8.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.0% |
20.2%
3.2 pts better
|
19.6%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 16.9% · Q3 16.7% · Q4 14.3% · 4Q avg 17.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 26.6% |
15.0%
11.6 pts worse
|
16.7%
9.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 27.7% · Q3 19.3% · Q4 27.6% · 4Q avg 26.6% · 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 | 22.7% |
17.5%
5.2 pts worse
|
16.3%
6.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 29.3% · Q3 20.0% · Q4 20.1% · 4Q avg 22.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.6% |
15.7%
7.9 pts worse
|
14.9%
8.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 33.3% · Q3 30.1% · Q4 14.1% · 4Q avg 23.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.1% |
0.5%
0.4 pts better
|
1.0%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.5% · Q4 0.0% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
1.6%
0.6 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 0.0% · Q4 2.4% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.1% |
22.2%
5.9 pts worse
|
19.8%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.8% · Q2 29.4% · Q3 29.7% · Q4 28.2% · 4Q avg 28.1% |
| Percentage of long-stay residents with pressure ulcers | 10.9% |
5.2%
5.7 pts worse
|
5.1%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 15.6% · Q3 8.5% · Q4 5.6% · 4Q avg 10.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 57.7% |
74.6%
16.9 pts worse
|
81.7%
24 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 63.3% · Q2 55.6% · Q3 54.1% · Q4 58.7% · 4Q avg 57.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.8% |
11.7%
4.9 pts better
|
12.0%
5.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.8% · Observed 6.7% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.2%
0.1 pts worse
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.4% · Q3 1.7% · Q4 1.5% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 56.0% |
73.6%
17.6 pts worse
|
79.7%
23.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 56.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.7% |
22.0%
0.7 pts worse
|
23.9%
1.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.7% · Observed 23.7% · Expected 24.9% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (4 deficiencies)
30 fire-safety deficiencies
Top issue: Egress (9 deficiencies)
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Assessment and Care Planning (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-05-18
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 2022-05-18
Fire Safety
Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion.
Corrected 2022-05-18
Fire Safety
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Corrected 2022-05-18
Fire Safety
Install resident room doors of proper design and width.
Corrected 2022-05-18
Fire Safety
Have exits that are accessible at all times.
Corrected 2022-05-18
Fire Safety
Install proper backup exit lighting.
Corrected 2022-05-18
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-05-18
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-05-18
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-05-18
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-05-18
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-05-18
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2022-05-18
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-05-18
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-05-18
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-05-18
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-05-18
Fire Safety
Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
Corrected 2022-05-18
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2022-05-18
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-05-18
Fire Safety
Have proper power supply for life support equipment.
Corrected 2022-05-18
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2022-05-18
Fire Safety
Ensure electrical receptacles or cover plates have distinctive color or marking.
Corrected 2022-05-18
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-05-18
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-05-18
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-09-12
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2022-09-12
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2022-09-12
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2022-09-12
Fire Safety
Implement emergency and standby power systems.
Corrected 2022-09-12
Inspection history
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-05-31
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-12
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-01
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-04-01
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-04-01
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-04-01
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2024-04-01
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-04-01
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-11-27
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-27
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2023-10-13
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-10-13
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-13
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-10-13
Health
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Corrected 2022-09-12
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2022-09-12
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-09-12
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-09-12
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-09-12
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 2022-09-12
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-09-12
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 2022-09-12
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-09-12
Health
Provide activities to meet all resident's needs.
Corrected 2022-09-12
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-09-12
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 2022-09-12
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-09-12
Health
Provide and implement an infection prevention and control program.
Corrected 2022-09-12
Health
Ensure staff are vaccinated for COVID-19
Corrected 2022-09-12
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
Nearby options
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Arlington, VA
4-star overall rating with 3-star inspections with 16 recent health deficiencies
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