General Information: ENVOY OF WOODBRIDGE, LLC
Nursing home name ENVOY OF WOODBRIDGE, LLC
Address14906 JEFFERSON DAVIS HIGHWAY
WOODBRIDGE, VA 22191
Phone number (703) 491-6167
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 120
Total number of residents 113
Perc of occupied beds 94
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints7
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: ENVOY OF WOODBRIDGE, LLC
Overall rating 2
2
Nursing Home Staffing 1
1
Registered Nurses only 1
1
Health Inspections 2
2
Quality Measures 5
5
Nursing Home Staffing Info: ENVOY OF WOODBRIDGE, LLC
National AverageVirginia AverageENVOY OF WOODBRIDGE, LLC
Overall staff rating NA NA 1
1
Registered Nurses only rating NANA 1
1
Total Number of Residents NA NA 113
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.21 hours 3.26 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.85 hours 1.34 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.77 hours 0.42 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 1.07 hours 0.92 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.37 hours 1.92 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.12 hours 0.11 hours
Health Survey: ENVOY OF WOODBRIDGE, LLC
Heath Survey Summary on 2012-11-09
Total Number of Health Deficiencies 10
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2011-11-04
Total Number of Health Deficiencies 9
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2010-12-02
Total Number of Health Deficiencies 6
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Health Survey Details: ENVOY OF WOODBRIDGE, LLC
Inspection Results: 11/09/2012
Corrected Deficiency Scope and Severity
12/19/2012 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated/Minimal harm or potential for actual harm
12/19/2012 Give notice to the resident before a room or roommate change. Isolated/Minimal harm or potential for actual harm
12/19/2012 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
12/19/2012 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
12/19/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
12/19/2012 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
12/19/2012 Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. Isolated/Minimal harm or potential for actual harm
12/19/2012 Make sure that doctors visit residents regularly, as required. Isolated/Minimal harm or potential for actual harm
12/19/2012 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
12/19/2012 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
Inspection Results: 11/04/2011
Corrected Deficiency Scope and Severity
12/08/2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
12/08/2011 Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Pattern/Minimal harm or potential for actual harm
12/08/2011 Dispose of garbage and refuse properly. Widespread/Potential for minimal harm
12/08/2011 Ensure each resident receives an accurate assessment by a qualified health professional. Pattern/Potential for minimal harm
12/08/2011 Provide housekeeping and maintenance services. Isolated/Minimal harm or potential for actual harm
12/08/2011 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated/Minimal harm or potential for actual harm
12/08/2011 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated/Minimal harm or potential for actual harm
12/08/2011 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
12/08/2011 Tell the attending physician the results of x-rays and other tests, in a timely manner. Isolated/Minimal harm or potential for actual harm
Inspection Results: 12/02/2010
Corrected Deficiency Scope and Severity
01/11/2011 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
01/11/2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
01/11/2011 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern/Minimal harm or potential for actual harm
01/11/2011 Store, cook, and serve food in a safe and clean way. Widespread /Minimal harm or potential for actual harm
01/11/2011 Have a program that investigates, controls and keeps infection from spreading. Widespread /Minimal harm or potential for actual harm
01/11/2011 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Widespread/Potential for minimal harm

Fire Safety Survey: ENVOY OF WOODBRIDGE, LLC
Fire Safety Survey Summary on 2012-11-14
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-11-10
Total Number of Fire SafetyDeficiencies 8
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2010-12-17
Total Number of Fire SafetyDeficiencies 7
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: ENVOY OF WOODBRIDGE, LLC
Fire Safety Survey Results: 11/14/2012
Corrected Deficiency Severity
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. Isolated/Minimal harm or potential for actual harm
Exits that are accessible at all times. Isolated/Minimal harm or potential for actual harm
Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 11/10/2011
Corrected Deficiency Severity
12/28/2011 Properly protected cooking facilities. Isolated/Minimal harm or potential for actual harm
Properly working alarms on sprinkler valves. Widespread /Minimal harm or potential for actual harm
12/28/2011 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
12/28/2011 Proper stairway enclosures and vertical shafts. Isolated/Minimal harm or potential for actual harm
12/28/2011 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm
12/28/2011 Smoke barrier doors that can resist smoke for at least 20 minutes. Isolated/Minimal harm or potential for actual harm
12/28/2011 Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Isolated/Minimal harm or potential for actual harm
12/28/2011 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 12/17/2010
Corrected Deficiency Severity
01/26/2011 Corridors or aisles that are unobstructed and are at least 8 feet in width. Isolated/Minimal harm or potential for actual harm
01/26/2011 Properly maintained smoke detectors. Isolated/Minimal harm or potential for actual harm
01/26/2011 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
01/26/2011 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Isolated/Minimal harm or potential for actual harm
01/26/2011 Automatic sprinkler systems that have been maintained in working order. Widespread /Minimal harm or potential for actual harm
01/26/2011 Portable fire extinguishers. Isolated/Minimal harm or potential for actual harm
01/26/2011 Restrictions on the use of portable space heaters. Isolated/Minimal harm or potential for actual harm

Resident Complaints: ENVOY OF WOODBRIDGE, LLC
Date Complaint Substantiated: 01/22/2014
CorrectedCategoryDeficiencySeverity
Keep accurate, complete and organized clinical records on each resident that meet professional standards. D
Date Complaint Substantiated: 11/08/2013
CorrectedCategoryDeficiencySeverity
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E

Quality Measures: ENVOY OF WOODBRIDGE, LLC
Quality Measures National Average Virginia Average ENVOY OF WOODBRIDGE, LLC
Overall quality rating NA NA 5
5
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 17.2% 8.5%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 8.0% 1.1%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.4% 6.3%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 8.0% 9.7%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 52.4% 57.7%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.8% 0.9%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.8% 7.2%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 3.8% 0.0%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 0.7% 0.7%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.3% 2.8%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 90.4% 99.3%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 93.3% 99.3%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 20.5% 29.0%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 17.7% 12.0%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.0% 0.3%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 83.7% 86.0%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 81.8% 83.8%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.5% 4.5%

User reviews on ENVOY OF WOODBRIDGE, LLC

ENVOY OF WOODBRIDGE, LLC has 1 user reviews:
On Friday Aug 19 2011 08:38 PM Cambridge wrote:

My stepdad died after being there just TWO DAYS!!! He was transported from Potomac Hospital around 2
pm. I got there after work -- around 6:30 to check on him. Found him lying in bed (head not
elevated at 90 degree angle...imperative so that he would not aspirate); and his feeding tube
machine had not been set up. However, there were TWO so-called nurses hovering over a VISITOR trying
to get her up off the floor after falling out of her wheelchair. Meanwhile, my father lie there
totally unattended to, and unable to move or speak after suffering a stroke! Two days later, I
received a call from one of the so called nurses saying that he had vomited twice, and was being
transported back to emergency. He died shortly after! These incompetent so-called nurses and poorly
run facility are substandard at best. You would be better off shipping them to a third world
country!By the way, the odor is not only from the patients, but the staff as well!



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