Inspection Reports for
Bickford of Spotsylvania
5000 Spotsylvania County Pkwy, Fredericksburg, VA 22407, United States, VA, 22407
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Inspection Reports Summary
Covers 19 inspections · Mar 2021 – Dec 2025Visit Reason
This report covers 19 inspections of Bickford of Spotsylvania from March 19, 2021 to December 11, 2025, including routine, complaint, monitoring, and renewal inspections.
Complaint Details
Eleven inspections were complaint surveys. Some complaint inspections found violations unrelated to the complaint allegations; others found no violations. Complaints covered resident care, staffing, building and grounds, and resident records.
Findings
Across that history VDSS cited 44 violations under 31 distinct standards. 14 of 19 visits ended with violations and 5 with none. 11 inspections were complaint prompted.
Violations (36)
22VAC40-73-670-1: Staff administered medications without required Virginia license or registration.
22VAC40-73-640-A: Failed to have and implement a current written medication management plan.
22VAC40-73-280-B: Failed to maintain a written staffing plan specifying number and type of direct care staff.
22VAC40-73-280-A: Staffing inadequate in knowledge, skills, and numbers to meet resident needs.
22VAC40-73-290-A: Failed to maintain written work schedules with staff names, job classifications, and charge indication.
22VAC40-73-870-E: Furnishings not clean and in good repair in memory care area.
22VAC40-73-450-C: Failed to develop comprehensive ISP including UAI and admission physical needs.
22VAC40-73-930-D: Failed to document rounds with required details for residents unable to use signaling device.
22VAC40-73-440-A: UAI not completed prior to admission.
22VAC40-73-990-C: Failed to conduct and document resident emergency exercises every six months.
22VAC40-73-450-A: Failed to develop preliminary or comprehensive ISP addressing basic resident needs timely.
22VAC40-73-460-D: Failed to provide supervision including for wandering and exit seeking behaviors.
22VAC40-73-1150-A: Doors to unprotected areas not monitored or secured per building and fire codes.
22VAC40-73-150-B-9: Facility operated under acting administrator more than twice in two years without authorization.
22VAC40-73-950-E: Failed to implement orientation and semi-annual review of emergency preparedness plan.
22VAC40-73-40-A: Failed to follow own policies and procedures regarding medication reviews.
22VAC40-73-260-C: Failed to post current list of staff with first aid and CPR certification.
22VAC40-73-390-A: Resident agreement lacked policy on weapons and resident council information.
22VAC40-73-690-F: Medication review lacked required pharmacist certification.
22VAC40-73-990-B: Failed to review resident emergencies with all staff every six months with documentation.
22VAC40-73-960-A: Emergency evacuation plan not approved by appropriate fire official.
22VAC40-73-960-B: Emergency evacuation drawing lacked telephone location.
22VAC40-73-970-A: Fire drills not completed for each shift quarterly and not conducted in different months.
22VAC40-73-640-A: Failed to implement written medication management plan during complaint inspection.
22VAC40-73-930-D: Failed to document rounds with required details for residents with signaling device inability.
22VAC40-73-70-A: Failed to notify Regional Licensing Office within 24 hours of major incident threatening resident.
22VAC40-73-440-A: Failed to complete UAI prior to admission.
22VAC40-73-460-D: Failed to provide supervision including for wandering and exit seeking behaviors.
22VAC40-73-450-F: Failed to update ISP for significant change in resident condition.
22VAC40-73-325-B: Failed to update fall risk rating after resident falls.
22VAC40-73-990-B: Failed to review and document resident emergency plan with all staff every six months.
22VAC40-73-250-D: Staff record missing current TB test or screening.
22VAC40-73-490-A-2: Failed to ensure quarterly Health Care Oversight was completed.
22VAC40-73-450-D: Failed to have coordinated plan of care on ISP for resident receiving hospice services.
22VAC40-73-870-E: Facility did not have equipment in good repair at time of inspection.
22VAC40-73-520-I: Failed to have schedule of activities posted as required.
Report Facts
Violations cited: 44
Distinct standards: 31
Inspections on page: 19
Inspections with violations: 14
Complaint visits: 11
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