Overall Rating
Address
14935 Holly Knoll Lane
Gainesville, VA 20155
Contact
7037433999
Certification Date
2017-10-26
CMS Certification Number
495424
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Average Number of Residents per Day
114.7
Provider Type
Medicare and Medicaid
Legal Business Name
LAKE MANASSAS SNF LLC
Affiliated Entity Name
MEDICAL FACILITIES OF AMERICA
Affiliated Entity ID
343
Health Inspection Rating
3
Quality Measure Rating
4
Staffing Rating
1
Reported Nurse Aide Staffing Hours per Resident per Day
1.60134
Reported LPN Staffing Hours per Resident per Day
1.10939
Reported RN Staffing Hours per Resident per Day
0.78562
Reported Total Nurse Staffing Hours per Resident per Day
3.49635
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.00933
Registered Nurse Hours per Resident per Day on the Weekend
0.48515
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19471
Long-Stay Quality Measure Rating
3
Short-Stay Quality Measure Rating
5
Total Weighted Health Survey Score
65.333
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Citations from Infection Control Inspections
Standard Health Survey Date
2022-07-14
Total Number of Health Deficiencies
17
Number of Standard Health Deficiencies
15
Number of Complaint Health Deficiencies
4
Health Deficiency Score
84
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
84
Standard Health Survey Date
2020-02-27
Total Number of Health Deficiencies
11
Number of Standard Health Deficiencies
11
Number of Complaint Health Deficiencies
0
Health Deficiency Score
52
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
52
Standard Health Survey Date
2018-12-13
Total Number of Health Deficiencies
8
Number of Standard Health Deficiencies
8
Number of Complaint Health Deficiencies
0
Health Deficiency Score
36
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
36
Number of Fines
0
Total Amount of Fines in Dollars
0.00
Number of Payment Denials
0
Total Number of Penalties
0