Facility Watch Inspection records for every certified US nursing home

Potomac Falls Health & Rehab Center

46531 Harry Byrd Highway
Sterling, VA 20164
(703) 834-5800

CCN

495179

Certified beds

150

Ownership

For profit - Corporation

Chain

Commonwealth Care of Roanoke

Nurse staffing

3.73

Total nurse staffing hours per resident per day, case-mix adjusted

Registered nurses: 0.60 hours per resident per day

Nursing staff turnover: 28% a year

Derived by CMS from the Payroll-Based Journal and refreshed quarterly.

Inspection history

Inspected December 2, 2021

14 citations · Health

D

F0553 No actual harm with potential for more than minimal harm · Isolated

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Deficient, Provider has date of correction · corrected January 11, 2022

D

F0558 No actual harm with potential for more than minimal harm · Isolated

Reasonably accommodate the needs and preferences of each resident.

Deficient, Provider has date of correction · corrected January 11, 2022

D

F0578 No actual harm with potential for more than minimal harm · Isolated

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.

Deficient, Provider has date of correction · corrected January 11, 2022

D

F0582 No actual harm with potential for more than minimal harm · Isolated

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Deficient, Provider has date of correction · corrected January 11, 2022

D

F0623 No actual harm with potential for more than minimal harm · Isolated

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

Deficient, Provider has date of correction · corrected January 11, 2022

D

F0625 No actual harm with potential for more than minimal harm · Isolated

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.

Deficient, Provider has date of correction · corrected January 11, 2022

D

F0640 No actual harm with potential for more than minimal harm · Isolated

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Deficient, Provider has date of correction · corrected January 11, 2022

D

F0698 No actual harm with potential for more than minimal harm · Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Deficient, Provider has date of correction · corrected January 11, 2022

D

F0812 No actual harm with potential for more than minimal harm · Isolated

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

Deficient, Provider has date of correction · corrected January 11, 2022

D

F0842 No actual harm with potential for more than minimal harm · Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Deficient, Provider has date of correction · corrected January 11, 2022

D

F0919 No actual harm with potential for more than minimal harm · Isolated

Make sure that a working call system is available in each resident's bathroom and bathing area.

Deficient, Provider has date of correction · corrected January 11, 2022

E

F0656 No actual harm with potential for more than minimal harm · Pattern

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

Deficient, Provider has date of correction · corrected January 11, 2022

E

F0760 No actual harm with potential for more than minimal harm · Pattern

Ensure that residents are free from significant medication errors.

Deficient, Provider has date of correction · corrected January 11, 2022

E

F0761 No actual harm with potential for more than minimal harm · Pattern

Ensure 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.

Deficient, Provider has date of correction · corrected January 11, 2022

Inspected October 11, 2018

12 citations · Health

D

F0558 No actual harm with potential for more than minimal harm · Isolated

Reasonably accommodate the needs and preferences of each resident.

Deficient, Provider has date of correction · corrected November 23, 2018

D

F0559 No actual harm with potential for more than minimal harm · Isolated

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Deficient, Provider has date of correction · corrected November 23, 2018

D

F0582 No actual harm with potential for more than minimal harm · Isolated

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Deficient, Provider has date of correction · corrected November 23, 2018

D

F0623 No actual harm with potential for more than minimal harm · Isolated

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

Deficient, Provider has date of correction · corrected November 23, 2018

D

F0641 No actual harm with potential for more than minimal harm · Isolated

Ensure each resident receives an accurate assessment.

Deficient, Provider has date of correction · corrected November 23, 2018

D

F0656 No actual harm with potential for more than minimal harm · Isolated

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

Deficient, Provider has date of correction · corrected November 23, 2018

D

F0660 No actual harm with potential for more than minimal harm · Isolated

Plan the resident's discharge to meet the resident's goals and needs.

Deficient, Provider has date of correction · corrected November 23, 2018

D

F0677 No actual harm with potential for more than minimal harm · Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Deficient, Provider has date of correction · corrected November 23, 2018

D

F0690 No actual harm with potential for more than minimal harm · Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Deficient, Provider has date of correction · corrected November 23, 2018

D

F0698 No actual harm with potential for more than minimal harm · Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Deficient, Provider has date of correction · corrected November 23, 2018

D

F0726 No actual harm with potential for more than minimal harm · Isolated

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.

Deficient, Provider has date of correction · corrected November 23, 2018

D

F0880 No actual harm with potential for more than minimal harm · Isolated

Provide and implement an infection prevention and control program.

Deficient, Provider has date of correction · corrected November 23, 2018

Inspected March 23, 2017

11 citations · Health

D

F0157 No actual harm with potential for more than minimal harm · Isolated

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Deficient, Provider has date of correction · corrected May 12, 2017

D

F0246 No actual harm with potential for more than minimal harm · Isolated

Reasonably accommodate the needs and preferences of each resident.

Deficient, Provider has date of correction · corrected May 11, 2017

D

F0328 No actual harm with potential for more than minimal harm · Isolated

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

Deficient, Provider has date of correction · corrected May 11, 2017

D

F0518 No actual harm with potential for more than minimal harm · Isolated

Train all employees on what to do in an emergency, and carry out unannounced staff drills.

Deficient, Provider has date of correction · corrected May 11, 2017

E

F0250 No actual harm with potential for more than minimal harm · Pattern

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Deficient, Provider has date of correction · corrected May 12, 2017

E

F0252 No actual harm with potential for more than minimal harm · Pattern

Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

Deficient, Provider has date of correction · corrected May 11, 2017

E

F0441 No actual harm with potential for more than minimal harm · Pattern

Have a program that investigates, controls and keeps infection from spreading.

Deficient, Provider has date of correction · corrected May 11, 2017

E

F0498 No actual harm with potential for more than minimal harm · Pattern

Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.

Deficient, Provider has date of correction · corrected May 11, 2017

F

F0371 No actual harm with potential for more than minimal harm · Widespread

Store, cook, and serve food in a safe and clean way.

Deficient, Provider has date of correction · corrected May 11, 2017

G

F0309 Actual harm · Isolated

Provide necessary care and services to maintain or improve the highest well being of each resident .

Deficient, Provider has date of correction · corrected May 11, 2017

K

F0323 Immediate jeopardy to resident health or safety · Pattern

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

Deficient, Provider has date of correction · corrected May 11, 2017