Goodwin House Alexandria
4800 Fillmore Ave, Alexandria, VA 22311 · Alexandria City County · 80 certified beds · avg 76 residents/day · certified since Jul 3, 1968
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 5, 2023 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Apr 5, 2023 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Apr 5, 2023 | E · Potential for harm, repeated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Apr 5, 2023 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Oct 14, 2021 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 31, 2019 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 31, 2019 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jan 31, 2019 | D · Potential for harm, one-off | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. |
| Jan 31, 2019 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jan 31, 2019 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jan 31, 2019 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 31, 2019 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Jan 31, 2019 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jan 31, 2019 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 9 | 0 | E |
| 2021 | 1 | 0 | E |
| 2023 | 4 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Virginia avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 6.17 | 3.67 | 3.95 | top 4% in Virginia; top 3% in the U.S. |
| Registered Nurse hours | 1.34 | 0.66 | 0.69 | top 7% in Virginia; top 7% in the U.S. |
| Weekend total nurse staffing | 5.88 | 3.21 | 3.50 | top 3% in Virginia; top 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.88 | 0.46 | 0.48 | top 7% in Virginia; top 9% in the U.S. |
| Total nursing staff turnover (%) | 17.8 | 48.1 | 45.8 | top 2% in Virginia; top 2% in the U.S. |
| RN turnover (%) | 16.7 | 48.2 | 42.9 | top 6% in Virginia; top 9% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.34, RN 1.16, weekend 5.08. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Liebreich, Robert | Individual | 5% or Greater Indirect Ownership Interest | — | 07/01/2019 |
| Bernateau, Sherretta | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/25/2019 |
| Carwile, Justin | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2016 |
| Choi, Phoebe | Individual | W-2 Managing Employee | NOT APPLICABLE | 12/21/2020 |
| D'agostino, Barbara | Individual | Corporate Officer | NOT APPLICABLE | 11/06/2017 |
| Kumar, Chandra | Individual | Corporate Officer | NOT APPLICABLE | 02/14/2023 |
| Siegel, Andrew | Individual | Corporate Officer | NOT APPLICABLE | 05/23/2017 |
| Smith, Timothy | Individual | Corporate Officer | NOT APPLICABLE | 08/30/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can I see where garbage is stored and how often it's removed?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Goodwin House Bailey's Crossroads | 1.1 mi | Falls Church, VA | ★★★★★ | 4/5 | |
| Carlin Springs Health & Rehabilitation | 1.9 mi | Arlington, VA | ★☆☆☆☆ | 1/5 | |
| Alexandria Rehabilitation and Healthcare Center | 2.1 mi | Alexandria, VA | ★★★☆☆ | 2/5 | |
| Woodbine Rehabilitation & Healthcare Center | 2.6 mi | Alexandria, VA | ★★★★★ | 4/5 | |
| The Jefferson | 3.1 mi | Arlington, VA | ★★☆☆☆ | 1/5 | abuse |
| Regency Care of Arlington, LLC | 3.4 mi | Arlington, VA | ★★☆☆☆ | 3/5 | |
| Annandale Healthcare Center | 3.4 mi | Annandale, VA | ★☆☆☆☆ | 1/5 | |
| Cherrydale Health & Rehabilitation Center | 4.1 mi | Arlington, VA | ★★☆☆☆ | 1/5 | |
| August Healthcare at Leewood | 4.5 mi | Annandale, VA | ★★☆☆☆ | 1/5 | |
| Harborside Health & Rehabilitation | 5.5 mi | Washington, DC | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 495057.