Carlin Springs Health & Rehabilitation

CMS star ratings

Overall★★★★★ 1/5

State avg 3.0

Health inspections★★★★★ 1/5

State avg 2.7

Staffing★★★★★ 2/5

State avg 2.4

Quality measures★★★★★ 4/5

State avg 3.9

Long-stay quality★★★★★ 5/5

Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.22 (state 3.76 · U.S. 3.86)
Registered nurses (RN): 0.52 (state 0.69 · U.S. 0.69)
Licensed practical nurses: 1.05 (state 1.00 · U.S. 0.86)
Nurse aides: 1.65 (state 2.07 · U.S. 2.32)
Weekend total: 2.88 (state 3.29 · U.S. 3.42)
Nursing staff turnover: 37.3 (state 48.1 · U.S. 45.8)%
RN turnover: 55.0 (state 48.2 · U.S. 42.9)%
Administrators who left: 1 in the last year

Inspections

Last standard inspection: July 27, 2022
Health deficiencies (last cycle): 19.0 (state 14.5 · U.S. 9.3)
From complaints: 0
Citations on record (3 years): 41 health · 15 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2022-07-27	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	G Actual harm	Corrected 2022-09-21
2022-07-27	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-10-19
2022-07-27	Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. F0691 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-10-19
2022-07-27	Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-09-21
2022-07-27	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-09-21
2022-07-27	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-09-21
2022-07-27	Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. F0809 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-09-21
2022-07-27	Keep all essential equipment working safely. F0908 · Environmental Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-09-21
2022-07-27	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-10-19
2022-07-27	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-09-21
2022-07-27	Honor 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. F0584 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-10-19
2022-07-27	Provide doctor's orders for the resident's immediate care at the time the resident was admitted. F0635 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-09-21
2022-07-27	PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-09-21
2022-07-27	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-10-19
2022-07-27	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-09-21
2022-07-27	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-09-21
2022-07-27	Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-10-19
2022-07-27	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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-10-19
2022-07-27	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-09-21
2019-02-07	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	J Immediate jeopardy to resident health or safety	Corrected 2019-03-23
2019-02-07	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2019-03-23
2019-02-07	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-04-16
2019-02-07	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-03-23
2019-02-07	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-03-23
2019-02-07	Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-03-23
2019-02-07	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2019-03-23
2019-02-07	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-03-23
2019-02-07	Honor 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. F0584 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-04-16
2019-02-07	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-03-23
2019-02-07	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-04-16
2019-02-07	Provide care by qualified persons according to each resident's written plan of care. F0659 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-03-23
2019-02-07	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-03-23
2019-02-07	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-04-16
2019-02-07	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-04-16
2019-02-07	Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-03-23
2019-02-07	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. F0761 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-03-23
2019-02-07	Provide or obtain dental services for each resident. F0791 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-03-23
2019-02-07	Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. F0809 · Nutrition and Dietary Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2019-03-23
2019-02-07	Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies	C No actual harm, potential for minimal harm	Corrected 2019-03-23
2017-10-04	Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0279 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2017-11-07
2017-10-04	Train all employees on what to do in an emergency, and carry out unannounced staff drills. F0518 · Administration Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2017-11-07

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

Name	Role	Since
VA Pro 7 SNF Operations Holdings LLC (organization)	5%+ Direct Ownership Interest · 100%
CRG VA Pro 7 SNF Holdings LLC (organization)	5%+ Indirect Ownership Interest · 13%
HVH VA Pro 7 SNF Operations Holdings LLC (organization)	5%+ Indirect Ownership Interest · 55%
PH VA LLC (organization)	5%+ Indirect Ownership Interest · 11%
Idels, Shimon (individual)	Corporate Officer · NOT APPLICABLE
Jenkins, Darnell (individual)	W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Carlin Springs Health & Rehabilitation?

Carlin Springs Health & Rehabilitation has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Virginia.

How many beds does Carlin Springs Health & Rehabilitation have?

It has 161 certified beds and cares for about 144 residents per day.

Has Carlin Springs Health & Rehabilitation been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Carlin Springs Health & Rehabilitation?

It is part of Hill Valley Healthcare and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Carlin Springs Health & Rehabilitation?

(703) 379-7200. The facility is located at 550 South Carlin Springs Road, Arlington, VA 22204.

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Contact & location

Facility details