Envoy of Westover Hills
4403 Forest Hill Avenue, Richmond VA 23225 · (804) 231-0231 · 72.24% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Lata
Envoy of Westover Hills is one of a multitude of nursing home options to select from in Richmond, Virginia. We gave this facility an alarming overall grade based on the data we looked at. Keep in mind that Richmond received a city grade of B-, so should consider other options in the city as well. More information on this nursing home's category grades may be found below. Its best category is nursing, which is addressed in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 174 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Nurse Quality
Even though we gave this nursing home a terrible overall grade, we gave it a grade of B- for our nursing category. The nursing grade consists of quite a few factors, many of which are tied to levels of nurse staffing. Based on the CMS data, this nursing home offers 3.4 hours of nursing care per resident per day. Lastly, we also looked at several nursing quality measures and this nursing home excelled in some of these areas. With less than five percent of its residents sustaining pressure ulcers, it fared well in this subcategory. This is typically a reliable indicator of quality nursing care. Pressure ulcers can generally be prevented by offering better nursing care, such as having a system of moving a patient at least once a day.
Long-term Care Quality
As it turns out, this nursing home only earned a D for its long-term care grade, which is actually one of its higher category scores. Nursing homes that don't fare well in long-term care often do not provide as much nursing care and also may be lagging in a few of the areas of routine healthcare services we looked at. On top of looking at the volume of care provided by aids and other staff, we also looked at the number of residents vaccinated against pneumonia. We were a bit worried that this facility provided the vaccine to only 79.545456 percent of its residents. Lastly, we looked at the nursing home's number of hospitalizations. Here we found that this nursing home had 2.26 hospitalizations per one thousand long-term resident days. Unfortunately, this figure is also a cause for concern.
Short-term Care Quality
Unfortunately, this nursing home only received a grade of D for its short-term care rating, which is not a score to write home about. In computing our short-term care grades, we look at a facility's levels of highly skilled nursing services, which includes registered nurses, physical therapists speech therapists and other highly skilled individuals. This area is typically a useful measure of the facility's rehabilitation. Based on its poor rating in this category, we weren't shocked to learn that this place provides substantially fewer physical therapist and registered nurse hours per resident than most nursing homes. The last measure we considered in this area is the percentage of patients that ultimately were able to return home from the nursing home. This nursing home struggled quite a bit in this metric as well, with just 38.1 percent of its patients returning home. Unfortunately, this was well below average.
Facility Inspections
Turning our final category of inspections, this nursing home received an abysmal grade. For facilities that received this bad of an inspection score, we would scrutinize the severe deficiencies on its inspection report. Tragically, this nursing home had several category J through L deficiencies. This indicates multiple widespread deficiencies placing resident safety or health in immediate jeopardy. These deficiencies are toxic to a facility's inspection rating. On top of having severe deficiencies, this facility was cited by CMS for possible abuse or neglect. We would not recommend this facility under any circumstance.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Envoy of Westover Hills Quality Metrics
Minimizes Pressure Ulcers
This is an indication of the percentage of long-term care residents who developed new or worsened pressure ulcers . We use this statistic in calculating our nursing grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This tells you the percentage of patients who suffered from a major fall. Falls resulting in major injuries are routinely associated with lower levels of patient supervision. More supervision limits the number of major falls sustained by residents in a nursing home.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This indicates the percentage of residents who suffered from a urinary tract infection. Urinary tract infections are often caused by lower quality nursing care. More frequent bathing can minimize the percentage of residents in a nursing home who suffer from UTI's. Note that this metric is affected by by the fact that facilities have incongruent reporting standards for infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This tells you the percentage of patients who were prescribed antipsychotic medications. While antipsychotic drugs may be vital to many patients, it is important to ensure these medications are being used only where medically required. In some cases, high levels of antipsychotic drug use may indicate that a facility is using these drugs to subdue residents.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This metric is a measure of the percentage of long-term residents taking antianxiety medications.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This datapoint is a measure of the percentage of long-term patients who are exhibiting signs of depression. Many in the industry argue that this is a measure of quality of care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is a measure of the percentage of long-term stay patients who were given the flu and pneumonia vaccines. Respiratory viruses can be deadly for nursing home residents, making these vaccines vital to patient care.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This metric measures the percentage of long-term care patients that required additional assistance with activities of daily living over time. Activities of daily living include activities such as dressing and continence. Some experts would argue that this is a reliable measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This tells you the percent of residents who retained mobility levels over time. Preserving mobility is usually a good sign for residents' well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This tells you the number of times residents are hospitalized per 1,000 days of care. There is typically a correlation between keeping patients out of the hospital and the quality of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This metric is a measure of the number of rehospitalizations per 1,000 days of short-term patient care. Keeping residents out of the hospital during rehabilitation is critical to restoring the physical abilities of patients.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This is the number of emergency room visits per 1,000 days of short-term care. There is generally a correlation between reduced emergency room visits and the overall quality of care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percent of short-term care residents who saw functional improvements, such as enhanced ability to perform activities of daily living. High levels of independence with ADL's often correlates with superior rehabilitation services.
Percentage of Resident
Higher is Better