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Envoy Of Winchester, Llc

📍 110 Lauck Dr, Winchester, VA 22603 📞 (540) 667-7830 🛏️ 60 beds

Inspection History Overview

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 1 penalties totaling $994

$994
Apr 4, 2022

Fine

2020 2 penalties totaling $10,173

$9,750
Jun 17, 2020

Fine

$423
Jun 8, 2020

Fine

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Health Violations by Year

2023 30 violations

Tag 0580 E Apr 12, 2023

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

✓ Corrected: May 26, 2023
Tag 0607 E Apr 12, 2023

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

✓ Corrected: May 26, 2023
Tag 0622 D Apr 12, 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.

✓ Corrected: May 26, 2023
Tag 0623 D Apr 12, 2023

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

✓ Corrected: May 26, 2023
Tag 0625 D Apr 12, 2023

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.

✓ Corrected: May 26, 2023
Tag 0640 B Apr 12, 2023

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

✓ Corrected: May 26, 2023
Tag 0655 D Apr 12, 2023

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

✓ Corrected: May 26, 2023
Tag 0656 E Apr 12, 2023

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

✓ Corrected: May 26, 2023
Tag 0657 D Apr 12, 2023

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

✓ Corrected: May 26, 2023
Tag 0658 E Apr 12, 2023

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

✓ Corrected: May 26, 2023
Tag 0677 E Apr 12, 2023

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

✓ Corrected: May 26, 2023
Tag 0686 E Apr 12, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: May 26, 2023
Tag 0689 D Apr 12, 2023

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

✓ Corrected: May 26, 2023
Tag 0691 E Apr 12, 2023

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

✓ Corrected: May 26, 2023
Tag 0695 E Apr 12, 2023

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

✓ Corrected: May 26, 2023
Tag 0697 D Apr 12, 2023

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

✓ Corrected: May 26, 2023
Tag 0698 E Apr 12, 2023

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

✓ Corrected: May 26, 2023
Tag 0700 D Apr 12, 2023

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

✓ Corrected: May 26, 2023
Tag 0725 D Apr 12, 2023

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

✓ Corrected: May 26, 2023
Tag 0727 E Apr 12, 2023

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

✓ Corrected: May 26, 2023

2021 25 violations

Tag 0583 D Sep 9, 2021

Keep residents' personal and medical records private and confidential.

✓ Corrected: Oct 14, 2021
Tag 0584 D Sep 9, 2021

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.

✓ Corrected: Oct 14, 2021
Tag 0622 E Sep 9, 2021

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.

✓ Corrected: Oct 14, 2021
Tag 0623 D Sep 9, 2021

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

✓ Corrected: Oct 14, 2021
Tag 0625 D Sep 9, 2021

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.

✓ Corrected: Oct 14, 2021
Tag 0641 D Sep 9, 2021

Ensure each resident receives an accurate assessment.

✓ Corrected: Oct 14, 2021
Tag 0656 E Sep 9, 2021

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

✓ Corrected: Oct 14, 2021
Tag 0657 D Sep 9, 2021

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

✓ Corrected: Oct 14, 2021
Tag 0658 D Sep 9, 2021

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

✓ Corrected: Oct 14, 2021
Tag 0684 D Sep 9, 2021

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

✓ Corrected: Oct 14, 2021
Tag 0686 D Sep 9, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Oct 14, 2021
Tag 0688 D Sep 9, 2021

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: Oct 14, 2021
Tag 0689 D Sep 9, 2021

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

✓ Corrected: Oct 14, 2021
Tag 0697 E Sep 9, 2021

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

✓ Corrected: Oct 14, 2021
Tag 0700 D Sep 9, 2021

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

✓ Corrected: Oct 14, 2021
Tag 0726 D Sep 9, 2021

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.

✓ Corrected: Oct 14, 2021
Tag 0727 C Sep 9, 2021

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

✓ Corrected: Oct 14, 2021
Tag 0732 C Sep 9, 2021

Post nurse staffing information every day.

✓ Corrected: Oct 14, 2021
Tag 0755 D Sep 9, 2021

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

✓ Corrected: Oct 14, 2021
Tag 0761 D Sep 9, 2021

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.

✓ Corrected: Oct 14, 2021
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2020 16 violations

Tag 0880 D Jun 17, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 20, 2020
Tag 0550 D Jan 9, 2020

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

✓ Corrected: Feb 15, 2020
Tag 0623 D Jan 9, 2020

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

✓ Corrected: Feb 15, 2020
Tag 0625 D Jan 9, 2020

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.

✓ Corrected: Feb 15, 2020
Tag 0655 D Jan 9, 2020

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

✓ Corrected: Feb 15, 2020
Tag 0656 D Jan 9, 2020

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

✓ Corrected: Feb 15, 2020
Tag 0657 D Jan 9, 2020

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

✓ Corrected: Feb 15, 2020
Tag 0684 D Jan 9, 2020

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

✓ Corrected: Feb 15, 2020
Tag 0689 D Jan 9, 2020

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

✓ Corrected: Feb 15, 2020
Tag 0695 E Jan 9, 2020

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

✓ Corrected: Feb 15, 2020
Tag 0757 E Jan 9, 2020

Ensure each resident’s drug regimen must be free from unnecessary drugs.

✓ Corrected: Feb 15, 2020
Tag 0759 D Jan 9, 2020

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Feb 15, 2020
Tag 0760 D Jan 9, 2020

Ensure that residents are free from significant medication errors.

✓ Corrected: Feb 15, 2020
Tag 0812 E Jan 9, 2020

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

✓ Corrected: Feb 15, 2020
Tag 0842 D Jan 9, 2020

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

✓ Corrected: Feb 15, 2020
Tag 0880 E Jan 9, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 15, 2020

2018 13 violations

Tag 0550 D Oct 12, 2018

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

✓ Corrected: Nov 10, 2018
Tag 0622 E Oct 12, 2018

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.

✓ Corrected: Nov 10, 2018
Tag 0623 E Oct 12, 2018

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

✓ Corrected: Nov 10, 2018
Tag 0625 E Oct 12, 2018

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.

✓ Corrected: Nov 10, 2018
Tag 0655 D Oct 12, 2018

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

✓ Corrected: Nov 10, 2018
Tag 0656 D Oct 12, 2018

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

✓ Corrected: Nov 10, 2018
Tag 0658 D Oct 12, 2018

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

✓ Corrected: Nov 10, 2018
Tag 0693 D Oct 12, 2018

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Nov 10, 2018
Tag 0695 E Oct 12, 2018

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

✓ Corrected: Nov 10, 2018
Tag 0804 B Oct 12, 2018

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Nov 10, 2018
Tag 0812 F Oct 12, 2018

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

✓ Corrected: Nov 10, 2018
Tag 0842 D Oct 12, 2018

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

✓ Corrected: Nov 10, 2018
Tag 0880 D Oct 12, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 10, 2018
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2017 10 violations

Tag 0164 D Aug 3, 2017

Keep residents' personal and medical records private and confidential.

✓ Corrected: Sep 5, 2017
Tag 0226 D Aug 3, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

✓ Corrected: Sep 5, 2017
Tag 0272 D Aug 3, 2017

Conduct initial and periodic assessments of each resident's functional capacity.

✓ Corrected: Sep 5, 2017
Tag 0279 D Aug 3, 2017

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

✓ Corrected: Sep 5, 2017
Tag 0281 D Aug 3, 2017

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

✓ Corrected: Sep 5, 2017
Tag 0333 D Aug 3, 2017

Ensure that residents are safe from serious medication errors.

✓ Corrected: Sep 5, 2017
Tag 0431 D Aug 3, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Sep 5, 2017
Tag 0441 D Aug 3, 2017

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

✓ Corrected: Sep 5, 2017
Tag 0465 D Aug 3, 2017

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Sep 5, 2017
Tag 0514 D Aug 3, 2017

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

✓ Corrected: Sep 5, 2017
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