LOUDOUN NURSING AND REHAB CNTR

πŸ“ 235 OLD WATERFORD ROAD, NORTHWEST, leesburg, VA 20176 πŸ“ž 7037712841 πŸ›οΈ 100 beds

Overall Rating

⭐⭐⭐⭐⭐
5/5

Health Inspection

⭐⭐⭐
3/5

Staffing

⭐⭐⭐⭐⭐
5/5

Quality Measures

⭐⭐⭐⭐⭐
5/5

Inspection History Overview

63
Total Violations
5 years of data
$2,925
Total Fines
3 penalties
4
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2023 26 violations

Tag 0550 D Dec 1, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Tag 0554 D Dec 1, 2023

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: Feb 16, 2024
Tag 0578 D Dec 1, 2023

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.

βœ“ Corrected: Jan 15, 2024
Tag 0582 D Dec 1, 2023

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

βœ“ Corrected: Jan 15, 2024
Tag 0583 D Dec 1, 2023

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Jan 15, 2024
Tag 0584 D Dec 1, 2023

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.

βœ“ Corrected: Jan 15, 2024
Tag 0609 D Dec 1, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Jan 15, 2024
Tag 0622 D Dec 1, 2023

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

βœ“ Corrected: Jan 15, 2024
Tag 0641 D Dec 1, 2023

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Jan 15, 2024
Tag 0655 D Dec 1, 2023

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

βœ“ Corrected: Jan 15, 2024
Tag 0656 E Dec 1, 2023

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

βœ“ Corrected: Feb 16, 2024
Tag 0657 D Dec 1, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Jan 15, 2024
Tag 0658 D Dec 1, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Jan 15, 2024
Tag 0676 D Dec 1, 2023

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

βœ“ Corrected: Jan 15, 2024
Tag 0677 E Dec 1, 2023

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

βœ“ Corrected: Jan 15, 2024
Tag 0684 D Dec 1, 2023

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

βœ“ Corrected: Feb 16, 2024
Tag 0697 D Dec 1, 2023

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Jan 15, 2024
Tag 0699 D Dec 1, 2023

Provide care or services that was trauma informed and/or culturally competent.

βœ“ Corrected: Jan 15, 2024
Tag 0745 D Dec 1, 2023

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

βœ“ Corrected: Jan 15, 2024
Tag 0755 D Dec 1, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Jan 15, 2024

2022 12 violations

Tag 0550 E Apr 26, 2022

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Jun 6, 2022
Tag 0622 D Apr 26, 2022

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

βœ“ Corrected: Jun 6, 2022
Tag 0640 B Apr 26, 2022

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

βœ“ Corrected: Jun 6, 2022
Tag 0641 D Apr 26, 2022

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Jun 6, 2022
Tag 0657 D Apr 26, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Jun 6, 2022
Tag 0658 D Apr 26, 2022

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Jun 6, 2022
Tag 0695 D Apr 26, 2022

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

βœ“ Corrected: Jun 6, 2022
Tag 0756 D Apr 26, 2022

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Jun 6, 2022
Tag 0758 D Apr 26, 2022

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Jun 6, 2022
Tag 0812 E Apr 26, 2022

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

βœ“ Corrected: Jun 6, 2022
Tag 0842 D Apr 26, 2022

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

βœ“ Corrected: Jun 6, 2022
Tag 0947 D Apr 26, 2022

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

βœ“ Corrected: Jun 6, 2022

2019 9 violations

Tag 0550 D Jun 20, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Jul 26, 2019
Tag 0550 D Mar 21, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: May 1, 2019
Tag 0583 D Mar 21, 2019

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: May 1, 2019
Tag 0622 E Mar 21, 2019

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

βœ“ Corrected: May 1, 2019
Tag 0657 D Mar 21, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: May 1, 2019
Tag 0658 D Mar 21, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: May 1, 2019
Tag 0684 D Mar 21, 2019

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

βœ“ Corrected: May 1, 2019
Tag 0695 D Mar 21, 2019

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

βœ“ Corrected: May 1, 2019
Tag 0880 E Mar 21, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 1, 2019

2018 9 violations

Tag 0584 D Feb 1, 2018

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.

βœ“ Corrected: Mar 9, 2018
Tag 0607 D Feb 1, 2018

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

βœ“ Corrected: Mar 9, 2018
Tag 0609 D Feb 1, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Mar 9, 2018
Tag 0623 D Feb 1, 2018

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

βœ“ Corrected: Mar 9, 2018
Tag 0645 D Feb 1, 2018

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Mar 9, 2018
Tag 0655 D Feb 1, 2018

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

βœ“ Corrected: Mar 9, 2018
Tag 0812 D Feb 1, 2018

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

βœ“ Corrected: Mar 9, 2018
Tag 0842 D Feb 1, 2018

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

βœ“ Corrected: Mar 9, 2018
Tag 0880 E Feb 1, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Mar 9, 2018

2016 7 violations

Tag 0278 D Nov 16, 2016

Ensure each resident receives an accurate assessment by a qualified health professional.

βœ“ Corrected: Dec 23, 2016
Tag 0281 D Nov 16, 2016

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Dec 23, 2016
Tag 0282 D Nov 16, 2016

Provide care by qualified persons according to each resident's written plan of care.

βœ“ Corrected: Dec 23, 2016
Tag 0309 D Nov 16, 2016

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

βœ“ Corrected: Dec 23, 2016
Tag 0328 D Nov 16, 2016

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

βœ“ Corrected: Dec 23, 2016
Tag 0334 D Nov 16, 2016

Develop policies and procedures for influenza and pneumococcal immunizations.

βœ“ Corrected: Dec 23, 2016
Tag 0514 D Nov 16, 2016

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

βœ“ Corrected: Dec 23, 2016

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 2 penalties totaling $2,275

$1,300
Fine
January 10, 2022
$975
Fine
January 3, 2022
Average: $1,138 | Range: $975 - $1,300

2021 1 penalties totaling $650

$650
Fine
June 14, 2021
Average: $650 | Range: $650 - $650

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

December 1, 2023
0.00

Health

April 26, 2022
0.00

Health

March 21, 2019
0.00

Health

February 1, 2018
0.00

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Ownership Information

Non profit - Corporation
Independent (Not part of a chain)
495275
495275
7037712841
Loudoun

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Organization