ARLEIGH BURKE PAVILION
1739 KIRBY ROAD
MC LEAN, VA, 22101
7035066900
CCN: 495410
5
Overall4
Health5
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| NMCGR | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| ROE, ROBERT | CORPORATE OFFICER | NOT APPLICABLE |
| MAZZA, RICHARD | CORPORATE OFFICER | NOT APPLICABLE |
| POTTANAT, CISSY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ROE, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| VASQUEZ SOTO, ANALISSE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| VINSON HALL LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MAZZA, RICHARD | OPERATIONAL/MANAGERIAL CONTROL | NOT 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/Day3.68
5.58
RN Hrs/Resident/Day0.54
0.94
LPN Hrs/Resident/Day0.81
1.77
CNA Hrs/Resident/Day2.33
2.86
PT Hrs/Resident/Day0.12
0.10
Data as of 2026-03-01