Starfile / Virginia

MOUNT VERNON HEALTHCARE CENTER

8111 TISWELL DRIVE, ALEXANDRIA, VA 22306 · CCN 495211

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Inspection history vs Virginia & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

COMMUNICARE HEALTH

Facilities in chain

122

Chain avg overall

2.80 / 5

Inspection citations (79)1 immediate jeopardy8 actual harm

1. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-11-15 · Health · corrected 2023-12-28

   Potential for more than minimal harm

2. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-09-29 · Health · corrected 2022-11-13

   Potential for more than minimal harm

3. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2022-09-29 · Health · corrected 2022-11-13

   Potential for more than minimal harm

4. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2022-09-29 · Health · corrected 2022-11-13

   Potential for more than minimal harm

5. DF0567Honor the resident's right to manage his or her financial affairs.2022-09-29 · Health · corrected 2022-11-13

   Potential for more than minimal harm

6. EF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2022-09-29 · Health · corrected 2022-11-13

   Potential for more than minimal harm

7. DF0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.2022-09-29 · Health · corrected 2023-02-10

   Potential for more than minimal harm

8. DF0571Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.2022-09-29 · Health · corrected 2023-02-10

   Potential for more than minimal harm

9. EF0574The resident has the right to receive notices in a format and a language he or she understands.2022-09-29 · Health · corrected 2022-11-13

   Potential for more than minimal harm

10. FF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

11. DF0578Honor 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.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

12. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2022-09-29 · Health · corrected 2023-02-10

    Potential for more than minimal harm

13. EF0583Keep residents' personal and medical records private and confidential.2022-09-29 · Health · corrected 2023-02-10

    Potential for more than minimal harm

14. EF0584Honor 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.2022-09-29 · Health · corrected 2023-02-22

    Potential for more than minimal harm

15. DF0585Honor 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.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

16. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2022-09-29 · Health · corrected 2022-11-13

    Immediate jeopardy

17. GF0602Protect each resident from the wrongful use of the resident's belongings or money.2022-09-29 · Health · corrected 2022-11-13

    Actual harm

18. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

19. DF0608Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

20. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

21. GF0610Respond appropriately to all alleged violations.2022-09-29 · Health · corrected 2023-02-10

    Actual harm

22. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

23. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

24. DF0625Notify 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.2022-09-29 · Health · corrected 2023-02-22

    Potential for more than minimal harm

25. DF0641Ensure each resident receives an accurate assessment.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

26. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

27. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

28. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

29. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

30. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-09-29 · Health · corrected 2023-02-10

    Potential for more than minimal harm

31. GF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-09-29 · Health · corrected 2022-11-13

    Actual harm

32. DF0660Plan the resident's discharge to meet the resident's goals and needs.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

33. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2022-09-29 · Health · corrected 2023-02-10

    Potential for more than minimal harm

34. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

35. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-09-29 · Health · corrected 2023-02-22

    Potential for more than minimal harm

36. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-09-29 · Health · corrected 2022-11-13

    Actual harm

37. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-09-29 · Health · corrected 2022-11-13

    Actual harm

38. GF0688Provide 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.2022-09-29 · Health · corrected 2022-11-13

    Actual harm

39. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-09-29 · Health · corrected 2023-02-10

    Potential for more than minimal harm

40. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

41. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

42. EF0730Observe each nurse aide's job performance and give regular training.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

43. FF0732Post nurse staffing information every day.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

44. EF0741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

45. DF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

46. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

47. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-09-29 · Health · corrected 2023-02-10

    Potential for more than minimal harm

48. EF0760Ensure that residents are free from significant medication errors.2022-09-29 · Health · corrected 2023-02-10

    Potential for more than minimal harm

49. EF0761Ensure 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.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

50. DF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

51. GF0825Provide or get specialized rehabilitative services as required for a resident.2022-09-29 · Health · corrected 2023-02-10

    Actual harm

52. EF0880Provide and implement an infection prevention and control program.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

53. EF0886Perform COVID19 testing on residents and staff.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

54. DF0888Ensure staff are vaccinated for COVID-192022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

55. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-09-29 · Health · corrected 2023-02-10

    Potential for more than minimal harm

56. EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

57. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2022-09-29 · Health · corrected 2022-11-13

    Potential for more than minimal harm

58. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-11-08 · Health · corrected 2019-12-10

    Potential for more than minimal harm

59. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2019-11-08 · Health · corrected 2019-12-10

    Potential for more than minimal harm

60. DF0558Reasonably accommodate the needs and preferences of each resident.2019-11-08 · Health · corrected 2019-12-10

    Potential for more than minimal harm

61. CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2019-11-08 · Health · corrected 2019-12-10

    Potential for minimal harm

62. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2019-11-08 · Health · corrected 2019-12-10

    Potential for more than minimal harm

63. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-11-08 · Health · corrected 2019-12-10

    Potential for more than minimal harm

64. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-11-08 · Health · corrected 2020-01-15

    Potential for more than minimal harm

65. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2019-11-08 · Health · corrected 2019-12-10

    Potential for more than minimal harm

66. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2019-11-08 · Health · corrected 2019-12-10

    Actual harm

67. DF0760Ensure that residents are free from significant medication errors.2019-11-08 · Health · corrected 2019-12-10

    Potential for more than minimal harm

68. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2019-11-08 · Health · corrected 2020-01-15

    Potential for more than minimal harm

69. DF0880Provide and implement an infection prevention and control program.2019-11-08 · Health · corrected 2019-12-10

    Potential for more than minimal harm

70. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2018-05-24 · Health · corrected 2018-07-06

    Potential for more than minimal harm

71. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2018-05-24 · Health · corrected 2018-07-06

    Potential for more than minimal harm

72. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2018-05-24 · Health · corrected 2018-07-06

    Potential for more than minimal harm

73. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2018-05-24 · Health · corrected 2018-07-06

    Potential for more than minimal harm

74. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2018-05-24 · Health · corrected 2018-07-06

    Potential for more than minimal harm

75. DF0711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.2018-05-24 · Health · corrected 2018-07-06

    Potential for more than minimal harm

76. DF0758Implement 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.2018-05-24 · Health · corrected 2018-07-06

    Potential for more than minimal harm

77. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2018-05-24 · Health · corrected 2018-07-06

    Potential for more than minimal harm

78. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2018-05-24 · Health · corrected 2018-07-06

    Potential for more than minimal harm

79. DF0880Provide and implement an infection prevention and control program.2018-05-24 · Health · corrected 2018-07-06

    Potential for more than minimal harm

Ownership

Other facilities in ALEXANDRIA

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.