Inspection Reports for
Birch Ridge Senior Living
54 Imperial Dr, Staunton, VA 24401, United States, VA, 24401
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Inspection Reports Summary
Covers 24 inspections · Nov 2020 – Mar 2026Visit Reason
The page covers the full inspection history of Birch Ridge (Augusta CO) including routine, complaint, renewal, and monitoring inspections.
Complaint Details
Multiple complaint surveys were conducted, investigating allegations related to resident care, staffing, supervision, medication administration, building and grounds, and incident reporting. Some complaints were supported with violations issued; others were found not valid.
Findings
Birch Ridge was inspected 24 times between November 6, 2020 and March 26, 2026. Across that history VDSS cited 89 violations under 58 distinct standards. 17 visits ended with violations and 7 with none. 12 inspections were prompted by a complaint.
Violations (48)
22VAC40-73-930-D: Facility failed to include inability to use signaling device in resident's individualized service plan.
22VAC40-73-460-I: Facility failed to ensure resident was dressed in clean clothing and free of hygiene odors.
22VAC40-73-870-A: Facility failed to maintain interior of building in good repair and clean.
22VAC40-73-860-I: Facility failed to store hazardous materials in a locked area.
22VAC40-73-70-A: Facility failed to report major incident within 24 hours to licensing office.
22VAC40-73-350-B: Facility failed to ascertain and document sex offender status prior to admission.
22VAC40-73-150-F: Facility failed to ensure full-time administrator was on-site and responsible for management.
22VAC40-73-450-F: Facility failed to update individualized service plan for significant resident condition change.
22VAC40-73-680-D: Facility failed to administer medications per physician's instructions.
22VAC40-73-990-C: Staff did not participate in resident emergency procedure exercises every six months.
22VAC40-73-450-A: Preliminary plan of care did not address basic resident needs to protect health and safety.
22VAC40-73-320-B: Facility failed to complete annual tuberculosis risk assessments.
22VAC40-73-950-E: Semiannual review of emergency preparedness plan was incomplete and undocumented.
22VAC40-73-980-A: First aid kit was incomplete and contained expired items.
22VAC40-73-350-B: Facility failed to ascertain and document sex offender status prior to admission.
22VAC40-73-860-I: Facility failed to store cleaning supplies in a locked area.
22VAC40-73-970-A: Fire drills were not completed on each shift quarterly.
22VAC40-73-320-A: Facility failed to obtain physical exam with medication recommendations within 30 days before admission.
22VAC40-73-250-D: Facility failed to ensure tuberculosis risk assessment was completed within seven days prior to first work day.
22VAC40-73-290-B: Facility failed to post current on-site person in charge conspicuously and timely.
22VAC40-73-440-A: Facility failed to complete Uniform Assessment Instrument prior to admission.
22VAC40-73-325-A: Facility failed to complete fall risk rating by time comprehensive ISP was completed.
22VAC40-73-870-B: Facility failed to ensure facility was free from foul odors.
22VAC40-73-860-H: Outdoor area accessible to residents was not equipped with seasonal furniture.
22VAC40-73-460-D: Facility failed to provide supervision to prevent resident falls and attend to specialized needs.
22VAC40-73-70-A: Facility failed to report major incidents affecting resident health or safety within 24 hours.
22VAC40-73-440-H: Annual reassessment using Uniform Assessment Instrument was not completed.
22VAC40-73-450-F: Individualized service plans were not reviewed and updated annually or as needed.
22VAC40-73-860-I: Facility failed to store cleaning supplies and hazardous materials in locked area.
22VAC40-73-150-B-6: Facility operated with acting administrator for more than 90 days.
22VAC40-73-860-I: Facility failed to store cleaning supplies and hazardous materials in locked area.
22VAC40-73-450-F: Facility failed to ensure individualized service plans were reviewed and updated annually.
22VAC40-73-260-A: Facility failed to ensure staff completed first aid certification within required timeframe.
22VAC40-73-260-B: Facility failed to ensure at least one staff person on duty had current CPR certification.
22VAC40-73-120-A: Facility failed to ensure staff completed orientation within first seven working days.
22VAC40-73-200-C: Facility failed to ensure staff completed direct care aide training within 60 days of hire.
22VAC40-73-680-D: Facility failed to ensure medications were administered as ordered by physician.
22VAC40-73-270-1: Facility failed to ensure direct care staff were trained in managing aggressive residents.
22VAC40-73-720-A: Facility failed to include DNR orders in individualized service plan.
22VAC40-73-290-B: Facility failed to post current on-site person in charge conspicuously.
22VAC40-73-860-I: Facility failed to store cleaning supplies and hazardous materials in locked area.
22VAC40-73-560-I: Facility failed to ensure current picture of each resident was available for identification.
22VAC40-73-970-A: Facility failed to ensure fire and emergency evacuation drills were completed as required.
22VAC40-73-960-B: Emergency fire and evacuation drawing lacked required information.
22VAC40-73-450-E: Individualized service plans were not signed and dated by required persons.
22VAC40-73-290-A: Facility failed to maintain written work schedule with names, job classifications, and charge person.
22VAC40-73-520-I: Facility failed to post current month's written schedule of activities conspicuously.
22VAC40-73-520-E: Facility failed to ensure at least 14 hours of scheduled activities weekly with no less than one hour daily.
Report Facts
Violations cited: 89
Distinct standards: 58
Inspections on page: 24
Inspections with violations: 17
Complaint visits: 12
Employees mentioned
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