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CARLIN SPRINGS HEALTH & REHABILITATION Inspection Report, Violations & Safety Grade (ARLINGTON, Virginia)

550 SOUTH CARLIN SPRINGS ROAD, ARLINGTON, Virginia 22204

Phone: 7033797200

CMS Overall:1/5

Overview & Bed Count

Certified Beds
161
Avg Residents/Day
138.2
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Arlington
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall1/5
Health1/5
Staffing2/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityVirginia AvgDifference
RN Hours per Resident per Day0.480.71-0.23
Total Nurse Hours per Resident per Day3.303.88-0.58
CMS Staffing Rating2/52.5/5-
Nursing Staff Turnover35.2%47.5%-

Health Citation History

47 health citations on record

DateCategoryDescriptionSeverity
2026-07-27Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E – Moderate Harm Potential
2026-07-27Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.E – Moderate Harm Potential
2026-07-27Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2026-07-27Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2026-07-27Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2026-07-27Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2022-07-27Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.G – Actual Harm
2022-07-27Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.E – Moderate Harm Potential
2022-07-27Quality of Life and Care DeficienciesProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.E – Moderate Harm Potential
2022-07-27Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.E – Moderate Harm Potential
2022-07-27Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2022-07-27Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.E – Moderate Harm Potential
2022-07-27Nutrition and Dietary DeficienciesEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.E – Moderate Harm Potential
2022-07-27Environmental DeficienciesKeep all essential equipment working safely.E – Moderate Harm Potential
2022-07-27Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2022-07-27Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D – Moderate Harm Potential
2022-07-27Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2022-07-27Resident Assessment and Care Planning DeficienciesProvide doctor's orders for the resident's immediate care at the time the resident was admitted.D – Moderate Harm Potential
2022-07-27Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2022-07-27Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2022-07-27Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2022-07-27Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2022-07-27Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2022-07-27Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2022-07-27Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2019-02-07Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2019-02-07Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2019-02-07Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E – Moderate Harm Potential
2019-02-07Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2019-02-07Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2019-02-07Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.E – Moderate Harm Potential
2019-02-07Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E – Moderate Harm Potential
2019-02-07Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2019-02-07Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2019-02-07Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2019-02-07Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2019-02-07Resident Assessment and Care Planning DeficienciesProvide care by qualified persons according to each resident's written plan of care.D – Moderate Harm Potential
2019-02-07Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2019-02-07Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2019-02-07Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2019-02-07Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2019-02-07Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2019-02-07Quality of Life and Care DeficienciesProvide or obtain dental services for each resident.D – Moderate Harm Potential
2019-02-07Nutrition and Dietary DeficienciesEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.D – Moderate Harm Potential
2019-02-07Nursing and Physician Services DeficienciesPost nurse staffing information every day.C – Minimal Harm Potential
2017-10-04Resident Assessment and Care Planning DeficienciesDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2017-10-04Administration DeficienciesTrain all employees on what to do in an emergency, and carry out unannounced staff drills.D – Moderate Harm Potential

Fire Safety Citation History

15 fire safety citations on record

DateCategoryDescriptionSeverity
2022-07-27Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.D – Moderate Harm Potential
2022-07-27Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2019-02-07Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential
2019-02-07Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.E – Moderate Harm Potential
2019-02-07Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2019-02-07Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.E – Moderate Harm Potential
2019-02-07Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the use of electrical equipment.E – Moderate Harm Potential
2019-02-07Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2019-02-07Services DeficienciesInstall properly constructed and protected linen or trash chutes.D – Moderate Harm Potential
2019-02-07Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2017-10-04Egress DeficienciesProvide rooms that can be unlocked from inside without a key.D – Moderate Harm Potential
2017-10-04Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2017-10-04Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2017-10-04Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.D – Moderate Harm Potential
2017-10-04Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential

Total Penalties & Fines

$26,135
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2026-07-27Fine$26,135-
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