ANNANDALE HEALTHCARE CENTER
ANNANDALE HEALTHCARE CENTER is a 222-bed nursing home in ANNANDALE, Virginia. CMS has certified it for Medicare and Medicaid since 1985-04-01. It averages 209.1 residents a day.
What harm was found in the violations cited at ANNANDALE HEALTHCARE CENTER?
CMS lists 61 health-inspection deficiencies for ANNANDALE HEALTHCARE CENTER since 2018-08-23, 35 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2024-10-09.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2024-10-09 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K |
| 2024-10-09 | F0580, F0584, F0585, F0656, F0657, F0679, F0700, F0712, F0770, F0909 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide activities to meet all resident's needs. / 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. / Ensure that the resident and his/her doctor meet face-to-face at all required visits. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E |
| 2024-10-09 | F0550, F0554, F0609, F0623, F0625, F0641, F0655, F0658, F0661, F0677, F0684, F0688, F0690, F0730, F0745, F0755, F0756, F0758, F0760, F0805, F0842, F0880, F0944, F0949 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Allow residents to self-administer drugs if determined clinically appropriate. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Observe each nurse aide's job performance and give regular training. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Ensure that residents are free from significant medication errors. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D |
| 2021-03-05 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2021-03-05 | F0814, F0838 | Dispose of garbage and refuse properly. / Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F |
| 2021-03-05 | F0553, F0558, F0578, F0622, F0623, F0625, F0641, F0657, F0740, F0755, F0842, F0880 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Reasonably accommodate the needs and preferences of each resident. / 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. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
| 2018-08-23 | F0623, F0625, F0925 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2018-08-23 | F0550, F0606, F0607, F0656, F0689, F0698, F0726, F0842 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Not hire anyone with a finding of abuse, neglect, exploitation, or theft. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
Why was ANNANDALE HEALTHCARE CENTER fined?
| Date | Type | Amount |
|---|---|---|
| 2024-10-09 | Fine | $90,896 |
How is ANNANDALE HEALTHCARE CENTER staffed relative to the VA average?
| Measure | This facility | VA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.30936 | 3.75779 |
| Total nursing staff turnover (%) | 24.1 | 48.1 |
| Average number of residents per day | 209.1 | 99.5 |
Who owns ANNANDALE HEALTHCARE CENTER, and what chain is it in?
ANNANDALE HEALTHCARE CENTER is registered with CMS as For profit - Corporation, operates under the legal business name COLUMBIA LEASING CO LLC and belongs to the COMMUNICARE HEALTH chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | PC MSTR LSCO, LLC | since 05/01/2017 |
| MANAGING CONTROL - GOVERNING BODY | STOLTZ, CHARLES | since 05/01/2017 |
| CORPORATE OFFICER | ROMEO, DOMINIC, WILHEIM, RONALD | since 04/01/2023 |
| OPERATIONAL/MANAGERIAL CONTROL | COLUMBIA MGT CO., LLC, ELEBIARY, AHMED, GROVES, DONNA, ROMEO, DOMINIC, STOLTZ, CHARLES, WALTON, DEAULO | since 03/31/2025 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | ODENTHAL, RICHARD | since 04/23/2025 |
| ADP OF THE SNF | COLUMBIA MGT CO., LLC, ELEBIARY, AHMED, WALTON, DEAULO | since 03/31/2025 |
Were you or a family member harmed at ANNANDALE HEALTHCARE CENTER?