ARLEIGH BURKE PAVILION

1739 KIRBY ROAD
MC LEAN, VA, 22101
7035066900
CCN: 495410
5
Overall
4
Health
5
Staffing
5
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
NMCGR5% OR GREATER DIRECT OWNERSHIP INTEREST100%
ROE, ROBERTCORPORATE OFFICERNOT APPLICABLE
MAZZA, RICHARDCORPORATE OFFICERNOT APPLICABLE
POTTANAT, CISSYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ROE, ROBERTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
VASQUEZ SOTO, ANALISSEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
VINSON HALL LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MAZZA, RICHARDOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (13)
2025-01-15 · Health
E
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F688 · Quality of Life and Care Deficiencies
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.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
D
F625 · Resident Rights Deficiencies
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.
D
F623 · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
2022-08-11 · Health
D
F840 · Administration Deficiencies
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
D
F623 · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
2021-07-08 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
5.58
3.68
RN Hrs/Resident/Day
0.94
0.54
LPN Hrs/Resident/Day
1.77
0.81
CNA Hrs/Resident/Day
2.86
2.33
PT Hrs/Resident/Day
0.10
0.12
Data as of 2026-03-01