1 Inspection Summary
Inspection Reports Summary
Covers 14 inspections · Nov 2019 – Sep 2025Visit Reason
This report covers 14 inspections of Bickford of Chesterfield from November 20, 2019 to September 19, 2025, including routine, renewal, complaint, and monitoring inspections.
Complaint Details
Seven inspections were prompted by complaints alleging issues in staffing, resident care, and administrative compliance. Investigations found some supported violations and some allegations not substantiated.
Findings
Across that history VDSS cited 40 violations under 36 distinct standards. Seven inspections were prompted by a complaint.
Violations (40)
22VAC40-73-260-A: Direct care staff did not maintain current certification in first aid.
22VAC40-73-250-D: Facility failed to ensure staff submitted tuberculosis risk assessment results.
22VAC40-73-720-A: DNR orders not included in individualized service plan.
22VAC40-73-870-B: Building had foul, stale, and musty odors.
22VAC40-73-720-A: DNR orders not included in individualized service plan.
22VAC40-73-460-B: Failed to personalize care and services to resident's preferences.
22VAC40-73-580-F: Failed to implement interventions for suspected nutritional problems.
22VAC40-73-450-E: Individualized service plans not signed and dated by required parties.
22VAC40-73-450-A: Preliminary plan of care not developed within seven days of admission.
22VAC40-73-460-C: Failed to furnish care fostering resident independence and potential.
22VAC40-73-325-B: Fall risk assessment not conducted after each fall.
22VAC40-73-440-F: Resident's UAI not completed within 90 days prior to admission.
22VAC40-73-1180-B: Harmful materials accessible to resident without staff supervision.
22VAC40-73-330-B: Failed to keep direct care staff informed of significant resident issues.
22VAC40-73-325-C: No documentation of fall analysis and interventions after falls.
22VAC40-73-460-D: Failed to provide supervision to prevent falls and attend specialized needs.
22VAC40-73-210-B: Direct care staff did not attend at least 12 hours of annual training.
22VAC40-73-40-A: Failed to ensure compliance with all regulations and facility policies.
22VAC40-73-100-A: Failed to implement infection control program consistent with CDC and OSHA.
22VAC40-73-40-B-12: Failed to afford reasonable opportunity for inspection and interviews.
22VAC40-73-430-H-1: Failed to provide signed discharge statement with required elements.
22VAC40-73-250-C: Failed to obtain original criminal record report and sworn disclosure for staff.
22VAC40-73-1140-D: Cognitive impairment training not conducted by qualified professional.
22VAC40-73-440-H: Failed to reassess resident using UAI after significant condition change.
22VAC40-73-170-B: Administrator responsible for multiple facilities exceeding allowed capacity and distance.
22VAC40-73-450-F: Individualized service plans not reviewed and updated annually or as needed.
22VAC40-73-680-I: Medication Administration Records lacked documentation of errors or omissions.
22VAC40-73-120-B: Failed to provide orientation and training within first seven working days.
22VAC40-73-40-B-6: Licensee failed to exercise general supervision and establish policies.
22VAC40-73-680-K: Use of PRN medications not properly authorized or documented.
22VAC40-73-40-A: Failed to ensure compliance with regulations, laws, and facility policies.
22VAC40-73-650-E: Resident records lacked signed or dated physician orders organized chronologically.
22VAC40-73-1180-A: Failed to take special environmental precautions to eliminate hazards.
22VAC40-73-150-B-2: Failed to immediately notify Board and licensing office of administrator changes.
22VAC40-73-40-B-12: Failed to afford reasonable opportunity for inspection and interviews.
22VAC40-73-640-A: Failed to implement a written plan for medication management.
22VAC40-73-650-B: Physician orders lacked required details for medication administration.
22VAC40-73-680-D: Medications not administered per physician instructions and standards.
22VAC40-73-680-K: Use of PRN medications not properly authorized or documented.
22VAC40-73-710-A: Use of chemical restraints prohibited but occurred without proper documentation.
Report Facts
Violations cited: 40
Distinct standards: 36
Inspections on page: 14
Inspections with violations: 8
Complaint visits: 7
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