Cherrydale Health & Rehabilitation Center
CHERRYDALE HEALTH & REHABILITATION CENTER in ARLINGTON, VA — inspection on November 13, 2025.
Found 7 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
According to the facility synopsis, CNA #1 was noted prior to the incident to be at the nursing station and not responding to resident's requests for assistance/call lights.
Review of CNA #1's personnel file, revealed termination of employment was effective 4/17/25.
The facility policy titled, Administrative Reference Guide, with an effective date of 1/23/20, was reviewed.
The policy read in part, . b.
Neglect means a repeated or willful failure to provide timely and consistent services, treatment or care to a patient which are necessary to obtain or maintain a patient's health, safety or comfort; or a repeated or willful failure to provide timely and consistent goods and services necessary to avoid physical harm, mental anguish, or emotional distress, including but not limited to acts that cause, or could cause, pain or injury to a patient or death of a patient; acts that substantially disregard a Center's duties and obligations to a patient; acts that cause or could significantly or likely be expected to cause, mental or emotional damage to a patient.
Examples include but are not limited to: . iii.
Disregard of physical needs including, but not limited to, toileting and bathing, or continued omission in providing daily care and/or failure to address the omission. On 11/14/25 at 12:30 PM, the above findings were reviewed with the facility Administrator, Assistant Administrator, Director of nursing and Regional Director of Clinical Services. No additional information was provided.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/13/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Cherrydale Health & Rehabilitation Center
3710 Lee Highway Arlington, VA 22207
SUMMARY STATEMENT OF DEFICIENCIES
During the above interview, the HRD was shown CNA #1's personnel file and confirmed that a criminal background check was not in the file and there was no evidence of a license verification in the personnel file.
The HRD stated she would go look and see what she could find. On 11/13/25 at 12:20 PM, the HRD returned and reported that CNA #1 had previously worked for the facility from 9/5/23-11/1/24.
With respect to the criminal background check, the HRD said, I'm not sure what happened here.
With the license verification, the HRD stated that because she had worked at the facility previously and her license was still active, they did not pull it again. On 11/13/25 at 12:25 PM, the facility administrator confirmed that despite the fact that CNA #1 had previously worked for the facility and they had evidence at the time of her termination that her license remained active at the time of re-hire, they should have checked it again to ensure there were no adverse actions against the license and that it had not been suspended for any reason.
According to the facility's policy titled, Prevention/Screening/Training, which read in part, 1.
Criminal background and reference checks are performed on all employees. On 11/13/25 at 12:30 PM, the above findings were reviewed with the facility's administrator, assistant administrator, director of nursing and regional director of clinical services. No additional information was provided.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/13/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Cherrydale Health & Rehabilitation Center
3710 Lee Highway Arlington, VA 22207
SUMMARY STATEMENT OF DEFICIENCIES
Review of CNA #1's personnel file and timecard revealed that following the incident on 4/9/25, she was permitted to work a full shift on 4/10/25 from 7:05 AM until 3:34 PM, providing direct resident care.
The facility policies titled, Prevention/Screening/Training, Reporting Requirements/Investigations, and Administrative Reference Guide, were reviewed.
None of the policies addressed protection of residents from alleged perpetrators during an investigation regarding allegations of abuse or neglect. On 11/14/25 at 12:30 PM, the above findings were reviewed with the facility Administrator, Assistant Administrator, Director of nursing and Regional Director of Clinical Services.
The administrator confirmed that OS #7 should have left the facility when the allegation was made and not permitted to work the remainder of the shift. On 11/14/25 at 1 PM, the facility administrator confirmed that nurses are the unit supervisors and responsible for the supervision of CNA's and should be taking measures to protect residents when allegations of abuse/neglect are made. No additional information was provided.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/13/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Cherrydale Health & Rehabilitation Center
3710 Lee Highway Arlington, VA 22207
SUMMARY STATEMENT OF DEFICIENCIES
According to the treatment administration record (TAR), facility staff had signed off each shift three times daily from 11/7/25-11/12/25, that the anchor device was in place.
According to R6's physician orders, an order was entered 10/30/25 and remained an active order at the time of review that read, Anchor feeding tube every shift for tx.
According to R6's TAR, the anchor device was signed off three times daily, at each shift for the month of November, except for first shift on 11/6/25.
The review revealed that on 11/11/25 and 11/12/25, LPN #2 had signed off as the anchor device having been in place. On 11/13/25 at 10:42 AM, an interview was conducted with the director of nursing (DON).
When asked about the use of anchor devices for peg tubes, the DON said, we don't use an anchor, we clean it daily and use tape to secure the gauze [gauze dressing placed between the skin and tube bumper].
The surveyor notified the DON of R5 and R6 of having orders for anchor devices to be used and observations that morning revealed they were not in place, the DON stated she would have to get with central supply about an anchor device and if they could order them.
The DON stated she was not aware of the physician's order, but if an order was present, they should be following the order. On 11/13/25 at 11:15 AM, a follow-up interview was conducted with LPN #2. LPN #2 was made aware of the physician order for the anchor device for the PEG tube and was asked about her signing off the two days prior that the device was in place. LPN #2 reported that she thought she was signing off that the yankauer [plastic suction tip used to suction a patient] was present in the drawer.
According to the facility policy titled, Enteral Feeding Tubes with an effective date of 1/29/24, it did not address the use of an anchor device. On 11/13/25 at 12:30 PM, the facility Administrator, Assistant Administrator, DON and Regional Director of Clinical Services were made aware of the above findings. No additional information was provided.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/13/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Cherrydale Health & Rehabilitation Center
3710 Lee Highway Arlington, VA 22207
SUMMARY STATEMENT OF DEFICIENCIES
- Right route. 5.
Right time. 6.
Include diagnosis/reason for use. On 11/13/25 at 12:30 PM, the above findings were again reviewed with the facility Administrator, Assistant Administrator, DON, and Regional Director of Clinical Services. No additional information was provided.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/13/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Cherrydale Health & Rehabilitation Center
3710 Lee Highway Arlington, VA 22207
SUMMARY STATEMENT OF DEFICIENCIES
Review of the facility policy titled, Hemodialysis with an effective date of 1/29/24, was conducted.
The policy read in part, . 1.
The Dialysis Communication Form will be initiated prior to sending patient for dialysis. A dialysis center's designated form may be used in place of the center's Dialysis Communication Form. 2.
Patient reports received from dialysis center will be uploaded to the medical record. A follow-up review of R8's clinical record revealed that no Dialysis Communication Forms had been uploaded into the clinical record for the month of November. No additional information was provided.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/13/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Cherrydale Health & Rehabilitation Center
3710 Lee Highway Arlington, VA 22207
SUMMARY STATEMENT OF DEFICIENCIES
During the interview, the DON was made aware of the above findings.
When asked about the RT who entered the hallway in full PPE and then re-entered the patient's room, she said, We have plenty of PPE to get a new set if you exit and re-enter the room. It still puts the patient at risk. I always tell them no gloves or gowns in the hall.
Regarding the administration of eye drops in the hallway, the DON said, No, they shouldn't be administering medications in the hallway.
The facility policy titled, Enhanced Barrier Precautions (EBPs), which had an effective date of 3/26/24, was reviewed.
The policy read in part, . 3.
EBPs require the use of gown and gloves by staff during high-contact patient care activities as defined below: a.
Dressing, b. bathing/showering, c. transferring, d. changing linen, e. providing hygiene, f. changing briefs or assisting with toileting, g. device care or use, h. wound care for chronic wounds. 4.
Post Enhanced Barrier Precaution signage on the wall outside the patient(s) room. 5.
Ensure PPE is available.
The facility policy titled, Transmission Based Precautions- General Practice, with an effective date of 12/1/21, was reviewed.
The policy read in part, 1.
Standard precautions combine the major features of universal precautions and body substance isolation and are based on the principle that all blood, body fluids, secretions, excretions, (except sweat), non-intact skin, and mucous membranes may contain transmissible infectious agents.
Standard precautions are to be used during the care of all patients . 4. a. TBPs will be instituted when it is necessary to be especially wary of protecting select patients from infections. b. TBPs will be instituted if there is a risk of spreading infection. e.
The health care team and visitors will be instructed on the importance and necessity of maintaining TBPs before entering the patient's room. 5.
Fundamental protective measures must be maintained. a.
Hand Hygiene and Gloving. 6.
Masks, Respiratory Protection, Eye Protection, Face Shields. 7.
Gowns and Protective Apparel. On 11/13/25 at 12:30 PM, the above findings were reviewed with the facility's administrator, assistant administrator, director of nursing and regional director of clinical services. No additional information was provided.
Facility ID: