| Chelsea Rehabilitation and Healthcare Center | |
| 2715 Dogtown Road, Goochland, Virginia 23063 | |
| (804) 556-4418 | |
| Name | Chelsea Rehabilitation and Healthcare Center |
|---|---|
| Location | 2715 Dogtown Road, Goochland, Virginia |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 84 |
| Occupancy Rate | 96.9% |
| Medicare ID (CCN) | 495236 |
| Legal Business Name | Chelsea Operator LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Marquis Health Services (87 nursing homes) |
| Chain Average Overall Rating | 3 out of 5 |
| NPI Number | 1447970702 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Chelsea Operator, LLC |
| Doing Business As | Chelsea Rehabilitation and Healthcare Center |
| Address | 2715 Dogtown Rd, Goochland, VA 23063 |
| Phone Number | 804-556-4418 |
| NPI Number | 1104079243 |
| Match | Possible same name, address or phone number |
| Organization Name | Envoy of Goochland, LLC |
| Doing Business As | Envoy at the Meadows |
| Address | 2715 Dogtown Rd, Goochland, VA 23063 |
| Phone Number | 804-556-4418 |
| NPI Number | 1457375875 |
| Match | Possible same name, address or phone number |
| Organization Name | Ruxton Health Care Ix, LLC |
| Doing Business As | Ruxton Health at the Meadows |
| Address | 2715 Dogtown Rd, Goochland, VA 23063 |
| Phone Number | 804-556-4418 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.12 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.56 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.79 | 0.86 |
| Nurse aide hours per resident per day | 1.77 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.8 | 3.42 |
| RN hours per resident per day on the weekend | 0.26 | 0.48 |
| Physical therapist hours per resident per day | 0.03 | 0.07 |
| Total nursing staff turnover | 45.5% | 45.8% |
| Registered nurse turnover | 16.7% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | Yes |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $10,033 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Dec 10, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jan 21, 2025 |
| Dec 10, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jan 21, 2025 |
| Dec 10, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jan 21, 2025 |
| Sep 12, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Actual harm, isolated | Past non-compliance (already corrected) |
| Sep 12, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Oct 15, 2024 |
| Sep 12, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Oct 15, 2024 |
| Sep 12, 2024 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Oct 15, 2024 |
| Sep 12, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Oct 15, 2024 |
| Sep 12, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Oct 15, 2024 |
| Sep 12, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 15, 2024 |
| Sep 12, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 15, 2024 |
| Sep 12, 2024 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 15, 2024 |
| Sep 12, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 15, 2024 |
| Sep 28, 2023 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Nov 11, 2023 |
| Dec 13, 2022 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jan 27, 2023 |
| Dec 13, 2022 | Employ staff that are licensed, certified, or registered in accordance with state laws. F0839, Administration, Standard inspection | Potential for harm, pattern | Corrected by Jan 27, 2023 |
| Dec 13, 2022 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 27, 2023 |
| Dec 13, 2022 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Jan 27, 2023 |
| Dec 13, 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. F0622, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 27, 2023 |
| Dec 13, 2022 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 27, 2023 |
| Dec 13, 2022 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 27, 2023 |
| Dec 13, 2022 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 27, 2023 |
| Dec 13, 2022 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 27, 2023 |
| Dec 13, 2022 | Post nurse staffing information every day. F0732, Nursing and Physician Services, Standard inspection | Minimal harm potential, widespread | Corrected by Jan 27, 2023 |
| Aug 17, 2021 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Sep 22, 2021 |
| Aug 17, 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. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Sep 22, 2021 |
| Aug 17, 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. F0622, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Sep 22, 2021 |
| Aug 17, 2021 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Sep 22, 2021 |
| Aug 17, 2021 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 22, 2021 |
| Aug 17, 2021 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 22, 2021 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.67 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.85 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 2.33 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 83.13 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.93 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 86.87 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 64.58 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.38 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 0.75 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.07 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.22 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 67.33 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.25 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.61 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 10.43 | 15.38 |