Below average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Mount Vernon Healthcare Center during CMS and state inspections, most recent first.
Surveyors found that kitchen staff failed to follow facility policies requiring all refrigerated foods to be covered, labeled, dated, and used within specified time frames. During a kitchen tour, they observed uncovered and undated cucumbers with white spots, cut green and red peppers with visible white spots and older storage dates, undated butter in an open wrapper, and pork chops leaking into a wet cardboard box. The Regional District Dietary Supervisor confirmed these findings, acknowledged that products should have been used before expiration, and stated there was no procedure or schedule for dietary staff to routinely check stored foods’ expiration dates, despite written policies and a food storage and retention guide specifying proper storage and time limits for animal, plant, and dairy products.
The facility failed to inform cognitively intact, registered-voter residents about a state election or assist them with voting, resulting in missed opportunities to exercise their right to vote. One resident reported waiting for an absentee ballot that never arrived and stated that no election information was provided, while two other residents said they were not approached about voting or made aware that voting was occurring, though they would have liked to participate. Staff interviews showed that no absentee ballots were issued, no voting opportunities were offered, and there was confusion between the Activities staff, SSD, and the Administrator about who was responsible for coordinating resident voting and election notifications.
Two cognitively intact, bedbound residents with multiple comorbidities, including CVA with hemiplegia, ESRD on dialysis, major depressive disorder, and mobility limitations, had documented preferences and care plans for in-room, one-to-one activities such as reading, chess, music, TV/movies, religious study, and conversation, yet reported that no staff had ever come to their rooms to engage them in such activities. Activity calendars were posted out of their visual range, and observations showed activity staff inviting other residents to group programs while not inviting these residents or providing alternative in-room activities. The Activities Director stated that residents needing one-to-one activities should receive twice-weekly 30-minute visits with documentation, but no activity records existed for these two residents, contrary to the facility’s policy that activities be geared to each resident’s needs and interests.
A resident with a history of cerebrovascular disease, hemiplegia, dysphagia, and GERD had a physician order for a daily 81 mg chewable aspirin. Instead, an LPN crushed an 81 mg delayed-release (enteric-coated) aspirin tablet, mixed it with applesauce, and administered it, contrary to the specific order for a chewable form and despite facility policy and manufacturer guidance not to crush enteric-coated medications. The DON confirmed that this type of aspirin should not be crushed, and facility policy required following manufacturer "do not crush" recommendations.
A resident with neuromuscular bladder dysfunction using an external catheter and urinary drainage bag was repeatedly observed with the drainage bag dragging on the floor after care by a CNA. Later, an LPN, when asked to check the resident’s positioning, lifted the drainage bag above bladder level, causing urine to back up in the tubing, then placed the full bag on the bed while repositioning the resident. During repositioning, the bag fell to the floor and the LPN stepped on it before directing that it be placed in a basin. These actions did not follow facility policy requiring the collection bag to remain dependent to the bladder to prevent urine from flowing back to the resident.
Surveyors found that medications in a medication room refrigerator were not maintained according to expiration-date requirements, including five expired bags of Fetroja IV antibiotic that remained in active storage and an opened Tuberculin vial that was not dated. An LPN reported that he was responsible for removing the Fetroja when new medication arrived but admitted he did not remove or return the expired bags to the pharmacy, and he did not know when the Tuberculin vial had been opened. The DON confirmed that medications should be removed when expired and that vials are to be dated when first opened, while facility policy addressed dating opened medications but did not specify procedures for handling expired medications.
Two residents on contact isolation or Enhanced Barrier Precautions (EBP) did not receive care in accordance with posted PPE requirements and facility policy. One resident with MRSA and multiple antimicrobial-resistant infections had contact isolation and EBP signage and an isolation cart with PPE at the door, yet an LPN entered and remained in the room without donning a gown or gloves, despite acknowledging the resident’s contact isolation status. Another resident on EBP related to a condom catheter had door signage directing staff to wear gowns and gloves for direct care, but a CNA twice provided dressing assistance and peri-care while wearing only gloves and no gown, later stating he had forgotten to don the gown. The DON confirmed the first resident should have been on contact isolation with gowns and gloves used upon room entry, and the Infection Preventionist confirmed that EBP was not appropriate for the first resident and that staff are expected to use gowns and gloves for residents on EBP during direct care, consistent with the facility’s EBP policy.
Failure to Label, Date, and Properly Store Refrigerated Food Items
Penalty
Summary
Surveyors identified a deficiency in the facility’s food storage practices when touring the kitchen refrigerator with the Regional District Dietary Supervisor (RDDS). They observed 18 uncovered cucumbers with white spots and soft texture stored in an uncovered, undated cardboard box; cut green peppers in a one‑pound plastic bag with visible white spots and dated 04/07/26; and cut red peppers in a one‑pound plastic bag with visible white spots and dated 04/07/26. They also found a half‑pound of butter in an open wrapper on a shelf with no date on the package, and six pork chops in a plastic bag inside a cardboard box where the corner of the box was wet from apparent leakage from the pork chop bag, with a date of 04/12/26. The RDDS confirmed these observations and stated that the dates on the food items represented storage dates. The RDDS further stated that butter should have been kept in closed packaging and dated by staff, and confirmed that all products should have been used before they expired. The RDDS also acknowledged there was no procedure or schedule in place for dietary staff to routinely check stored foods’ expiration dates. Review of the facility’s “Dining Services Policy and Procedure Manual – Food Storage: Cold Foods” showed that all food was required to be stored wrapped or in covered containers, labeled and dated, and arranged to prevent cross‑contamination. A separate “Food Storage and Retention Guide” indicated that animal and plant foods were to be kept up to seven days and butter/dairy products for one to three months. These observations and statements demonstrated that the facility did not follow its own policies for labeling, dating, covering, and timely use of stored food items.
Failure to Inform and Assist Residents With Voting in State Election
Penalty
Summary
The facility failed to honor residents' rights to self-determination and to exercise their right to vote by not informing or assisting registered voters with a special state election. Three cognitively intact residents, each identified on the facility’s list of registered voters, were not notified of the election or provided any opportunity to vote. One resident, with a BIMS score of 15/15, reported being aware that voting was occurring and had been waiting for an absentee ballot that never arrived, stating that the facility had not offered any information about the election and that he felt his right to vote was being denied. Another resident, with a BIMS score of 14/15, stated he was a registered voter, had seen commercials about the upcoming elections, but no staff approached him about voting and that he would have voted if asked. A third resident, also cognitively intact with a BIMS score of 14/15, reported not being made aware that voting was occurring and stated she would have liked to vote. Staff interviews confirmed that no arrangements were made to inform residents of the election or facilitate voting. The Activity Leader initially was unsure whether an election was occurring and later acknowledged that, to her knowledge, no information had been given to residents. The Activities Director, who maintained the list of registered voters and stated that most residents typically voted via absentee ballots, confirmed that no absentee ballots were issued and no other voting opportunities were offered, and indicated that voting activities were the responsibility of the Social Service Director (SSD). The Administrator stated that none of the registered voters had expressed interest in participating in the election and acknowledged that no arrangements were made to inform residents of the upcoming election. The SSD, in turn, stated that the Activities Director was responsible for resident voting, demonstrating confusion and lack of coordination regarding responsibility for ensuring residents could exercise their right to vote.
Failure to Provide Individualized One-to-One Activities for Bedbound Residents
Penalty
Summary
The facility failed to provide a program of activities to meet the individual needs and documented preferences of two cognitively intact, bedbound residents. One resident had diagnoses including cerebrovascular infarction with right-sided hemiplegia/hemiparesis, diabetes mellitus, neuromuscular bladder dysfunction, and major depression. His Activity Preferences Interview showed he preferred afternoon activities in his room or activity room and enjoyed audiobooks, reading/writing, TV/movies, radio, computer use, news, and religious activities/bible study. His care plan stated he was self-directed for activities and would participate in activities of choice or one-to-one. However, he reported that he did not attend activities outside his room because he was bedbound, could not read the posted activity calendar, and that no activity staff had ever come to his room to offer one-to-one activities. He stated he would like someone to play chess with him or read to him and that staff only entered his room to provide care, without spending time engaging him in activities. The second resident had diagnoses including end stage renal disease with dialysis, peripheral vascular disease, right above-knee amputation, and major depressive disorder, and was also cognitively intact. Her Activity Preferences Interview documented preferences for music, TV/movies, radio, reading books, cooking, computers, religious studies, keeping up with the news, and conversing with others, with a preference for morning or afternoon activities. Her care plan documented that she preferred to stay in her room for activities and would engage in one-to-one activities with staff. She reported being bedbound, disliking group activities such as bingo, and stated that no one had ever come to her room to offer one-to-one activities. Observations over multiple days showed both residents had activity calendars posted across the room, out of their view, and activity staff were seen inviting other residents to group activities but did not invite these two residents or provide in-room activities. The Activities Director stated that residents requiring one-to-one activities should receive visits at least twice weekly with documentation of the type and length of activity, but was unable to provide any activity documentation for these two residents, despite the facility policy stating the activity program is to be geared to each resident’s needs and interests.
Improper Crushing and Administration of Aspirin Contrary to Physician Order
Penalty
Summary
The facility failed to administer medication as ordered by the physician for one resident. The resident, who had diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side, dysphagia following unspecified cerebrovascular disease, and gastro-esophageal reflux disease without esophagitis, had a physician order dated 02/12/22 for aspirin tablet chewable 81 mg to be given by mouth once daily. The physician also wrote on the order sheet that medications may be crushed unless contraindicated. During a medication administration observation, an LPN crushed an 81 mg delayed-release (enteric-coated) aspirin tablet, mixed it in applesauce, and administered it to the resident instead of the ordered chewable aspirin tablet. When interviewed, the DON stated that a delayed-release aspirin tablet should not be crushed and acknowledged that some medications can be crushed but not that one. The LPN reported administering the delayed-release aspirin in crushed form because she thought regular aspirin was better to crush than the chewable and that it was easier for the resident to swallow. Review of the facility’s policy on crushing medications indicated staff should follow manufacturer recommendations for medications labeled “do not crush.” Manufacturer information for enteric-coated aspirin 81 mg tablets stated they should not be crushed because the coating is designed to protect the stomach by allowing the tablet to pass through and dissolve later, and that crushing destroys this protection and may cause stomach issues.
Improper Management of Urinary Drainage Bag and Positioning
Penalty
Summary
The facility failed to ensure proper management of a urinary drainage system for a resident with neuromuscular dysfunction of the bladder who used an external catheter connected to a urinary drainage bag. The resident’s Significant Change MDS indicated use of an external catheter to a urinary drainage bag. On multiple observations during the same day, the resident’s urinary drainage bag was seen dragging on the floor, beginning at 12:16 PM after a CNA had finished providing care. Subsequent observations at 12:45 PM and 2:40 PM showed the drainage bag continued to drag on the floor, with approximately 300 milliliters of amber-colored urine in the bag. During an interview and concurrent observation at 2:50 PM, an LPN was asked to inspect the resident’s positioning. The urinary drainage bag was still on the floor. The LPN picked up the drainage bag and held it above the level of the resident’s bladder, causing urine in the tubing to back up toward the bladder, then placed the full drainage bag on the bed with the resident while pulling the resident up in bed. As the resident was repositioned, the drainage bag fell back onto the floor, and the LPN stepped on the bag while continuing to position the resident. Only afterward did the LPN instruct the CNA to place the drainage bag in a basin so it would not touch the floor. The LPN later stated he could not explain the concern about the drainage bag touching the floor or being held above the bladder area. The facility’s policy for external catheter care directed that the collection bag should remain dependent to the bladder to prevent urine from flowing back to the resident, which was not followed in this instance.
Expired Medications and Undated Tuberculin Vial Found in Medication Room Refrigerator
Penalty
Summary
Surveyors identified a deficiency in the facility’s medication storage practices when observing the first-floor medication storage room refrigerator with an LPN. The refrigerator contained five bags of Fetroja, an IV antibiotic (2 gm/100 mg), that were expired but remained in active storage. One bag had a use-by date of 04/16/26 and four bags had use-by dates of 04/19/26. These medications had not been removed from the refrigerator or returned to the pharmacy despite being past their labeled use-by dates. During the same observation, surveyors found an opened box containing a vial of Tuberculin with the vial’s top removed, but neither the vial nor the box was dated to indicate when it had been opened. The LPN stated he was responsible for removing the Fetroja bags when new medication arrived on the 16th and 19th but acknowledged he did not remove or send them back to the pharmacy as required by policy. He also stated he did not open the Tuberculin vial and did not know its expiration once opened. The DON confirmed that the expired medication should not have been in the medication room and that staff are required to date vials when first opened. Review of the facility’s 2013 policies showed instructions to label the date opened on medications that expire (e.g., insulin, irrigation solutions) but did not address procedures for replacing or returning expired medications to the pharmacy.
Failure to Follow PPE Requirements for Contact Isolation and Enhanced Barrier Precautions
Penalty
Summary
The deficiency involves failures in implementing appropriate infection prevention and control practices, specifically related to Enhanced Barrier Precautions (EBP) and contact isolation. One resident with diagnoses including a left hip open wound, resistance to multiple antimicrobial drugs, ESBL resistance, carbapenem resistance, and MRSA was ordered for contact isolation and had signage on the door indicating both contact isolation and EBP, along with instructions to don and doff PPE including a face mask. An isolation cart with masks, gowns, gloves, and hand sanitizer was available outside the room. Despite this, an LPN entered the resident’s room, remained inside for approximately five minutes with the door closed, and did not wear a gown or gloves. The LPN acknowledged awareness that the resident was on contact isolation for MRSA but stated he did not believe PPE was necessary because he did not go “all the way in” the room. The DON later confirmed that staff should wear gowns and gloves when entering this resident’s room according to the posted contact isolation signage and that the EBP signage on the door was incorrect for this resident. A second resident, cognitively intact per a recent MDS and with diagnoses including cerebrovascular infarction with right-sided hemiplegia and hemiparesis, diabetes mellitus, neuromuscular bladder dysfunction, and major depression, had physician orders for EBP related to use of a condom catheter. EBP signage on this resident’s door directed staff to wear gowns and gloves while providing direct care. During observations, a CNA assisted this resident with dressing while wearing only gloves and no gown, and on another occasion was observed having just completed peri-care for the resident while again wearing only gloves and no gown. The CNA stated he forgot to don the gown. The Infection Preventionist later stated that EBP should not have been used for the first resident with MRSA and other antimicrobial organisms and IV antibiotic therapy, and that staff were expected to wear gowns and gloves for residents on EBP when providing direct care. The facility’s EBP policy directs staff to use targeted gown and glove use during high-contact resident care activities such as dressing, bathing, transferring, providing hygiene, changing linens or briefs, device care, and wound care.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Alexandria
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| George Washington Health & Rehabilitation | 1.1 mi | ★★★★★ | 0 | 0 |
| Ft Washington Rehabilitation And Wellness Center | 4.9 mi | ★★★★★ | 35 | 0 |
| Woodbine Rehabilitation & Healthcare Center | 5.4 mi | ★★★★★ | 0 | 0 |
| Alexandria Rehabilitation And Healthcare Center | 6.2 mi | ★★★★★ | 0 | 0 |
| Belvoir Woods Health Care Center At The Fairfax | 6.4 mi | ★★★★★ | 14 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.