ARLEIGH BURKE PAVILION

MC LEAN, VA · 49 beds · Non profit - Corporation

100 Trust Score
Grade: A+ LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • 4-star health inspection rating
  • 5-star staffing rating
  • No fines or penalties on record
  • Above-average RN staffing (0.94 hrs vs 0.67 state avg)
  • Low staff turnover (23%)

Quick Facts

★★★★★
CMS Overall
★★★★☆
Health Inspection
8
0.5x state avg
Deficiencies
$0
Fines (3-yr)
★★★★★
Staffing

Violation Timeline

January 14, 2025

8 deficiencyies
F0623 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F0625 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0655 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0688 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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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.

F0695 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe and appropriate respiratory care for a resident when needed.

F0757 Potential Harm Scope/Severity: E

Pharmacy Service Deficiencies

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Ensure each resident’s drug regimen must be free from unnecessary drugs.

August 10, 2022

2 deficiencyies
F0623 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F0840 Potential Harm Scope/Severity: D

Administration Deficiencies

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Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

July 7, 2021

3 deficiencyies
F0583 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Keep residents' personal and medical records private and confidential.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

See full violation history →

Staffing

0.94
RN hrs/res/day
1.77
LPN hrs/res/day
2.85
CNA hrs/res/day
4.91
Weekend hrs/res/day
23%
Total nurse turnover
30%
RN turnover

A nurse checks on each resident roughly every 4.3 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

Non profit - Corporation Independent (not part of a chain)
  • NMCGR

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 06/17/2011

    100% Organization
  • VINSON HALL LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 06/30/2011

    Organization
  • MAZZA, RICHARD

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/07/2024

    Individual
  • POTTANAT, CISSY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 09/01/2022

    Individual
  • ROE, ROBERT

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/19/2022

    Individual
  • VASQUEZ SOTO, ANALISSE

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 08/29/2022

    Individual
  • MAZZA, RICHARD

    CORPORATE OFFICER

    Since since 04/07/2024

    Individual
  • ROE, ROBERT

    CORPORATE OFFICER

    Since since 07/19/2022

    Individual

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