3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Located at 2121 Eisenhower Avenue in Alexandria, Russell County, Virginia, Wonders Home Health Care LLC operates as a nonprofit 60-bed skilled nursing facility under the direction of Administrator Samuella Kanu. Established in 2021, the facility provides home care, respite care, and rehabilitation services with 24-hour nursing coverage and on-site nurse aide training.
The community maintains high occupancy at 89.3%, substantially above Virginia’s state average and reflecting robust local demand. Current residents are split between Medicare (26.9%) and Medicaid (73.1%), with typical Medicare stays averaging one month and Medicaid placements running seven to eight months.
Wonders received a four-star CMS overall rating, with health inspections performed 19.4% better than Virginia norms. Across four inspections since 2020, the facility accumulated 14 citations, ranking 15th of 86 Virginia facilities; and averaged 3.5 citations per inspection, placing it 6th statewide in deficiency frequency. Deficiency clusters centered on pharmacy services, infection control, and quality-of-life issues.
No critical citations or federal penalties appeared on record.
Staffing hours of 3 hours 55 minutes per resident per day run 10.8% above state benchmarks, with weekend coverage sustained at 3 hours 22 minutes per day.
Vaccination performance stands at 100% for both pneumococcal and influenza vaccines, antipsychotic use remains controlled, and depression screening is strong. Conversely, falls with major injury reach 5.2%; substantially worse than Virginia’s 3.6% state average, with walking-ability decline at 28.6% and activities-of-daily-living decline at 27.1%, each running significantly below state performance. Pressure ulcers affect 7.6% of high-risk residents, tracking 42% worse than peer facilities.
The facility serves short-term rehabilitation residents and long-term Medicaid-funded placements across the greater Alexandria region.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 43rd out of 89 homes in Virginia for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 51m per day | ▲ 28% State avg: 40m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 40m per day | ▼ 33% State avg: 1h 0m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 15m per day | ▲ 7% State avg: 2h 6m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 16m per day | ■ Avg State avg: 3h 21m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 5m per day | ■ Avg State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 33m per day | ▲ 24% State avg: 27m per day · National avg: 29m per day |
Key information about the people who lead and staff this community.
Virginia average 4.2
Last Health inspection on Oct 2025
Virginia average 38.4
Virginia average 8.93
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
13 of 14 citations resulted from standard inspections; and 1 of 14 resulted from complaint investigations.
100% better than Virginia averageVirginia average: 0.4
In line with Virginia averageVirginia average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
5% fewer staff per resident than Virginia average
10% worse than Virginia average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 7 RN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursAssists with medical care and medications.
All 8 LPN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursHelps with daily care and mobility.
All 40 CNA Staff are full-time employees. No contractors work on this role.
40
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
388 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 40 | 0 | 40 | 11,235 | 92 | 100% | 6.7 |
| Registered Nurse | 7 | 0 | 7 | 3,332 | 92 | 100% | 8.8 |
| Licensed Practical Nurse | 8 | 0 | 8 | 2,847 | 92 | 100% | 7.9 |
| Physical Therapy Aide | 4 | 0 | 4 | 1,061 | 74 | 80% | 7.1 |
| Speech Language Pathologist | 3 | 0 | 3 | 954 | 72 | 78% | 7.3 |
| Qualified Social Worker | 3 | 0 | 3 | 549 | 64 | 70% | 7 |
| RN Director of Nursing | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 484 | 61 | 66% | 7.9 |
| Mental Health Service Worker | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 462 | 57 | 62% | 7.8 |
| Administrator | 1 | 0 | 1 | 460 | 58 | 63% | 7.9 |
| Dietitian | 1 | 0 | 1 | 447 | 60 | 65% | 7.4 |
| Other Dietary Services Staff | 1 | 0 | 1 | 443 | 60 | 65% | 7.4 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 419 | 51 | 55% | 8.2 |
| Feeding Assistant | 0 | 1 | 1 | 328 | 41 | 45% | 8 |
| Physical Therapy Assistant | 1 | 0 | 1 | 318 | 45 | 49% | 7.1 |
| Occupational Therapy Aide | 1 | 0 | 1 | 102 | 13 | 14% | 7.9 |
| Occupational Therapy Assistant | 0 | 3 | 3 | 39 | 34 | 37% | 1.1 |
| Medical Director | 0 | 1 | 1 | 22 | 4 | 4% | 5.4 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.5
43% worse than Virginia averageVirginia average: 10.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.1
37% worse than Virginia averageVirginia average: 19.7
Percent of long-stay residents whose need for help with daily activities has increased
27.1%
61% worse than Virginia averageVirginia average: 16.8%
Percent of long-stay residents whose ability to move independently worsened
28.6%
45% worse than Virginia averageVirginia average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.5%
13% worse than Virginia averageVirginia average: 22.6%
Percent of long-stay residents experiencing one or more falls with major injury
5.2%
42% worse than Virginia averageVirginia average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
7.6%
42% worse than Virginia averageVirginia average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.7%
57% better than Virginia averageVirginia average: 1.5%
Percent of long-stay residents who lose too much weight
4.1%
29% better than Virginia averageVirginia average: 5.9%
Percent of long-stay residents who have depressive symptoms
7.0%
53% better than Virginia averageVirginia average: 14.9%
Percent of long-stay residents who received an antipsychotic medication
11.3%
12% better than Virginia averageVirginia average: 12.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
10% better than Virginia averageVirginia average: 91.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Virginia averageVirginia average: 94.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.5%
18% better than Virginia averageVirginia average: 74.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.7%
43% better than Virginia averageVirginia average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
83.9%
14% better than Virginia averageVirginia average: 73.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
46% of new residents, usually for short-term rehab.
29% of new residents, often for short stays.
25% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
52State-approved Nurse Aide Training and Competency Evaluation Program on-site
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Wonders Home Health Care LLC from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #89 / 89Payroll — State benchmarkedThis home is ranked 89th out of 89 homes in Virginia. Shows total annual staff payroll benchmarked to the Virginia average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #38 / 89Payroll % — State benchmarkedThis home is ranked 38th out of 89 homes in Virginia. Shows payroll as a percentage of revenue versus the Virginia average. Well-run Virginia facilities typically land around 51–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (46% of admissions), and a typical Medicare stay runs around 1 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.5 miles from city center
Estimated distance in miles from Alexandria's city center to Wonders Home Health Care LLC's address, calculated via Google Maps.
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The information below is reported by the Virginia Department of Social Services and Department of Health.
| Wonders Home Health Care LLC | AL NH HC RC | Alexandria (Eisenhower East) | - | 60
Facility
60
VA AVG
95
Rank
#273 / 371 | A+ |
82
Facility
82
VA AVG
44
Rank
#43 / 449 | - |
| Arleigh Burke Pavilion at Vinson Hall Retirement Community | AL HC IL MC NH RC | Mclean (Kirby Road) | - | 32
Facility
32
VA AVG
95
Rank
#341 / 371 | - |
52
Facility
52
VA AVG
44
Rank
#161 / 449 | Studio / 1 Bed / 2 Bed |
| Goodwin House Alexandria | AL HC IL MC NC NH | Alexandria (Alexandria West) | - | 250
Facility
250
VA AVG
95
Rank
#6 / 371 | - |
62
Facility
62
VA AVG
44
Rank
#98 / 449 | Studio / 1 Bed / 2 Bed |
| Mount Vernon Healthcare Center | AL HC MC NH RC | Alexandria | - | 130
Facility
130
VA AVG
95
Rank
#69 / 371 | F |
36
Facility
36
VA AVG
44
Rank
#257 / 449 | - |
| Woodbine Rehabilitation & Healthcare Center | AL HC MC NC NH PC RC | Alexandria (Rosemont) | - | 307
Facility
307
VA AVG
95
Rank
#2 / 371 | - |
24
Facility
24
VA AVG
44
Rank
#342 / 449 | - |
Wonders Home Health Care LLC is located in Alexandria, Virginia.
Here are the financial assistance programs available to residents in Virginia.
Wonders Home Health Care LLC is in the Eisenhower East neighborhood of Alexandria.
Wonders Home Health Care LLC has a walk score of 82. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Wonders Home Health Care LLC's occupancy is 89.3%.
Wonders Home Health Care LLC is registered as a for-profit in VA.
Yes — there are 2 photos of Wonders Home Health Care LLC in the photo gallery on this page.
Wonders Home Health Care LLC is located at 2121 Eisenhower Ave Ste 222, Alexandria, VA 22314.
(571) 397-8405 will put you in contact with the team at Wonders Home Health Care LLC.
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