Envoy of Williamsburg

Neither this facility's overall score nor its category scores gave us anything positive to point out. Its best category was short-term care, but even there it received a grade of just D. This is still a well below average grade. In the area of short-term care, we try to evaluate indicators of a facility's rehabilitation. We look at the facility's skilled nursing services, such as those performed by registered nurses and physical therapists. Not surprisingly, we learned that this nursing home provides substantially less physical therapist and registered nurse hours per patient than the typical nursing home. Lastly, we looked at the number of residents who were able to return to the community from this facility. This was not a strength for this facility. We found that just 5.2 percent of this nursing home's patients returned home. At most facilities, about half of their residents are able to return home so this is well below average.

Among this nursing home's several poor grades was its F in the area of nursing care. Nursing ratings are primarily based on a nursing home's level of nurse staffing. This place provided only 0.2 hours of nursing care per patient per day. This is well below average. Lastly, we also assessed some nursing quality measures in determining our nursing ratings. This facility fared well in terms of avoiding major falls and pressure ulcers. Many consider these statistics to be good measures of the quality of nursing care.

Unfortunately, this facility received really weak inspection reports in recent years, causing them to receive an F in our inspection category. An F in this category is typically a sign that we found some red flags on the facility's inspections. When a facility has this poor of an inspection score, you should look for severe deficiencies on its inspection report. Severe deficiencies indicate a risk to patient safety. This facility was assessed one category G through L deficiency, which are among the more serious categories of deficiencies. This generally indicates that the deficiencies uncovered by CMS had potential to cause actual harm to patients. Another red flag is that CMS cited this nursing home for possible abuse or neglect. Hopefully, its performance improves in the future, but until then we simply can't recommend this facility.

Switching gears to our final category, this nursing home really did not perform very well in this area either. Due to a poor grade of F in long-term care, this is about as as uninspiring as it gets. Nursing homes that don't fare well in this category typically aren't as well-staffed and are lagging in some of the areas of routine healthcare services we assessed. In addition to looking at the amount of care provided by aids and other staff, we also looked at the percentage of residents vaccinated against pneumonia. This facility administered the vaccine to 92.47911 percent of its patients. This is somewhat lower than we were hoping for but still a reasonably acceptable percentage. Surprisingly, this facility was actually able to limit hospitalizations. With only 0.01 hospitalizations per 1,000 long-term resident days, this nursing home had fewer hospitalizations than the average nursing home. This is its best feature in this category.