Envoy of Alexandria, LLC
900 Virginia Avenue, Alexandria, VA 22302


Envoy of Alexandria, LLC is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 495203. The address is 900 Virginia Avenue, Alexandria, VA 22302. The zip code is 22302. The phone number is 7036849100.


Envoy of Alexandria, LLC · 900 Virginia Avenue, Alexandria, VA 22302

Federal Provider Number 495203
Provider Name ENVOY OF ALEXANDRIA, LLC
Address 900 VIRGINIA AVENUE
ALEXANDRIA, VA 22302
Phone Number 7036849100
SSA County Code 11
County Name Alexandria City
Ownership Type For profit - Corporation
Certified Beds 111
Certified Beds Residents 107
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name ENVOY OF ALEXANDRIA, LLC
Date First Approved to Provide Medicare Medicaid Services 11/08/1989
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 3
Staffing Rating 1
RN Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 1.72196
Reported LPN Staffing Hours per Resident per Day 0.86121
Reported RN Staffing Hours per Resident per Day 0.39579
Reported Licensed Staffing Hours per Resident per Day 1.25701
Reported Total Nurse Staffing Hours per Resident per Day 2.97896
Reported Physical Therapist Staffing Hours per Resident Per Day 0.06822
Expected CNA Staffing Hours per Resident per Day 2.34828
Expected LPN Staffing Hours per Resident per Day 0.64731
Expected RN Staffing Hours per Resident per Day 1.0567
Expected Total Nurse Staffing Hours per Resident per Day 4.0523
Adjusted CNA Staffing Hours per Resident per Day 1.79926
Adjusted LPN Staffing Hours per Resident per Day 1.10426
Adjusted RN Staffing Hours per Resident per Day 0.27986
Adjusted Total Nurse Staffing Hours per Resident per Day 2.96323
Cycle 1 Total Number of Health Deficiencies 18
Cycle 1 Number of Standard Health Deficiencies 18
Cycle 1 Health Deficiency Score 84
Cycle 1 Standard Survey Health Date 12/01/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 84
Cycle 2 Total Number of Health Deficiencies 18
Cycle 2 Number of Standard Health Deficiencies 18
Cycle 2 Number of Complaint Health Deficiencies 1
Cycle 2 Health Deficiency Score 180
Cycle 2 Standard Health Survey Date 12/11/2015
Cycle 2 Number of Health Revisits 2
Cycle 2 Health Revisit Score 90
Cycle 2 Total Health Score 270
Cycle 3 Total Number of Health Deficiencies 13
Cycle 3 Number of Standard Health Deficiencies 13
Cycle 3 Health Deficiency Score 80
Cycle 3 Standard Health Survey Date 11/14/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 80
Total Weighted Health Survey Score 145.333
Number of Substantiated Complaints 1
Number of Fines 1
Total Amount of Fines in Dollars $17875.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Envoy of Alexandria, LLC

Owner Name Role Association Date
ALG LAVIE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2014
BRYSON, CHRISTOPHER (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/01/2015
CMC II INVESTORS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2014
CMC II LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 06/29/2012
COLUMBIA PACIFIC OPPORTUNITY FUND (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2014
CONSULATE EV ACQUISITION, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2014
CONSULATE EV OPERATIONS I LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2014
CONTE, JOSEPH (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2014
DIAS, DANIEL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/01/2015
ENVOY HEALTH CARE LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 12/31/2008
FC INVESTORS XXI, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2014
FC LV HOLDCO LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2014
HANSON, ROBERT (Individual) OFFICER since 04/06/2016
HARTMAN, ROBERT (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2014
LAVIE CARE CENTERS, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2014
LOGANZO, SHARON (Individual) MANAGING EMPLOYEE since 06/30/2016
LOW, ASHER (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 06/30/2014
LV INVESTMENT, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2014
LV OPERATIONS I, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2014
LV OPERATIONS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2014
MCP LAVIE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2014
MEHAFFEY, TODD (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/14/2016
NEUBERGER, ISAAC (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2014
SAY LA VIE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2014
SENIOR CARE LAVIE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2014
THE 1995 DAVID REIS FAMILY TRUST (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 07/31/2014
USSERY, KENNETH (Individual) OFFICER since 01/01/2009
USSERY, KENNETH (Individual) OPERATIONAL/MANAGERIAL CONTROL since 09/01/2015

street_number: 900
route: Virginia Avenue (Virginia Ave)
neighborhood, political: North Ridge
locality, political: Alexandria
admin_level_1, political: Virginia (VA)
country, political: United States (US)
postal_code: 22302
postal_code_suffix: 3200
types : premise
latitude: 38.826794
longitude: -77.0756009
latlng: (38.826794, -77.0756009)


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