Gainesville Health And Rehab Center

7501 Heritage Village Plaza
Gainesville, VA 20155
Prince William County
Phone: 571-248-6100
Provider Number: 495388
Last Inspection: 10/16/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
120
Number of Residents
Number of
Residents
113
Number of Beds Available
Beds Available
7
Percent Occupancy
Percent Occupancy
94%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
For profit - Corporation
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • VA
  • USA
  • 42
  • 54
  • 27
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2013
  • 42
  • 49
  • 55
Lower Numbers are Better

Details by Inspection Date

 

10/16/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 11/27/2015
Failed To: Upon the death of a resident, convey the resident’s personal funds and an accounting of those funds to the appropriate party. Isolated : Minimal 3 11/27/2015
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Isolated : Minimal 3 11/27/2015
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Minimal 4 11/27/2015
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 11/27/2015
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 11/27/2015
Failed To: 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 3 11/27/2015
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 11/27/2015
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 11/27/2015
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 11/27/2015
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 11/27/2015
Failed To: 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 4 11/27/2015
Failed To: Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. Isolated : Minimal 3 11/27/2015
 

10/9/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Isolated : Minimal 3 11/18/2014
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 11/18/2014
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 11/18/2014
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Pattern : Potential 3 11/18/2014
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 12/18/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 12/18/2014
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated : Minimal 3 11/18/2014
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 12/18/2014
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 11/18/2014
Failed To: 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 3 11/18/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 11/18/2014
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated : Minimal 3 11/18/2014
Failed To: Provide or obtain laboratory services only when ordered by the attending physician. Isolated : Minimal 3 11/18/2014
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Pattern : Minimal 4 11/18/2014
 

12/12/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 1/23/2014
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 1/23/2014
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 1/23/2014
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 1/23/2014
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 1/23/2014
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 1/23/2014
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 1/23/2014
Failed To: 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. Isolated : Minimal 3 1/23/2014
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 1/23/2014
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 1/23/2014
Failed To: 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 3 1/23/2014
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern : Potential 3 1/23/2014
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated : Minimal 3 1/23/2014
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 1/23/2014
Failed To: Provide clean bed and bath linens that are in good condition. Isolated : Minimal 3 1/23/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 1/23/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 1/23/2014


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

5/15/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Actual 4 unknown
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 unknown
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Actual 4 5/6/2014
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Actual 4 5/6/2014
Failed To: Keep complete, dated laboratory records in the resident's file. Isolated : Minimal 3 unknown
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 unknown

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg VA State Avg
Number of Residents 113 89.00 97.49
Registered Nurses 0.95 0.80 0.76
Licensed Practical / Vocational Nurses 0.98 1.01 1.02
Certified Nursing Assistants 2.21 2.37 2.22
Total Staff Hours 4.14 4.18 3.99

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% VA State Avg%
High Risk Long Stay Residents With Pressure Ulcers 5 4 6
Long Stay Residents Experiencing One or More Falls with Major Injury 1 5 3
Long Stay Residents Who Have Depressive Symptoms 5 2 2
Long Stay Residents Who Lose Too Much Weight 5 6 7
Long Stay Residents Who Received an Antipsychotic Medication 12 13 17
Long Stay Residents Who Self Report Moderate to Severe Pain 1 1 9
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 5 4 8
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 3 5 6
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 13 16 17
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 2 2 2
Long Stay Residents With a Urinary Tract Infection 7 4 6
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 66 56 52
Short Stay Residents Who Newly Received an Antipsychotic Medication 2 1 2
Short Stay Residents Who Self Report Moderate to Severe Pain 10 10 17
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 11 14 18
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 11 18 18
Short Stay Residents With Pressure Ulcers That Are New or Worsened 0 0 0