Inspection Reports for
Blue Ridge Christian Homes – Raphine
85 Beulah Dr, Raphine, VA 24472 , VA, 24472
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Inspection Reports Summary
Covers 13 inspections · Nov 2020 – Jun 2026Visit Reason
This report covers 13 inspections of Blue Ridge Christian Home from November 19, 2020 to June 1, 2026 by the Virginia Department of Social Services, including complaint and routine inspections.
Complaint Details
Two inspections were prompted by complaints received by VDSS Division of Licensing on 05/22/2026 and 03/24/2025 regarding allegations in the area of resident care and related services. Investigations did not support the allegations of non-compliance but violations unrelated to the complaints were cited.
Findings
Across that history VDSS cited 59 violations under 39 distinct standards. 10 of the 13 visits ended with violations cited and 3 with none. Two inspections were prompted by a complaint.
Violations (59)
22VAC40-90-40-B: Criminal history record report not obtained on or prior to 30th day of employment for each employee.
22VAC40-73-1020-A: Failed to ensure at least two direct care staff awake and on duty at all times when residents present.
22VAC40-73-680-D: Medications not administered per physician’s instructions.
22VAC40-73-440-D: Uniform assessment instrument (UAI) incomplete for private pay individuals as required.
22VAC40-73-680-B: Medications removed and administered by unlicensed staff not authorized as medication aide.
22VAC40-73-670-1: Staff administering medications not authorized or licensed as required.
22VAC40-73-650-B: Physician orders missing required information including resident name, route, strength, or diagnosis.
22VAC40-73-680-I: Medication administration record (MAR) missing required components.
22VAC40-73-210-F: Training hours on infection control and mental impairments not completed as required.
22VAC40-73-210-B: Direct care staff did not attend at least 18 hours of annual training.
22VAC40-73-325-A: Fall risk rating not completed by time comprehensive individualized service plan is done.
22VAC40-73-620-A: Oversight of special diets by dietitian or nutritionist not conducted every six months.
22VAC40-73-260-A: Direct care staff did not receive first aid certification within 60 days of employment.
22VAC40-73-1030-B: Direct care staff did not attend six hours training on cognitive impairment within four months.
22VAC40-90-40-B: Criminal history record report not obtained on or prior to 30th day of employment for each employee.
22VAC40-73-440-D: Uniform assessment instrument (UAI) incomplete for private pay individuals as required.
22VAC40-73-350-B: Failed to ascertain prior to admission whether potential resident is a registered sex offender.
22VAC40-73-450-C: Individualized service plan (ISP) did not address all identified needs.
22VAC40-73-650-C: Physician’s oral orders not reviewed and signed within 14 days.
22VAC40-73-720-A: Do Not Resuscitate (DNR) order not included in individualized service plan (ISP).
22VAC40-73-150-B-6: Facility operated by acting administrator longer than 150 days.
22VAC40-73-150-A: Facility failed to have an administrator of record.
22VAC40-73-210-B: Direct care staff did not attend at least 18 hours of annual training.
22VAC40-73-260-A: Direct care staff did not obtain first aid certification within 60 days of employment.
22VAC40-73-1030-B: Direct care staff did not attend six hours training on cognitive impairment within four months.
22VAC40-90-40-B: Criminal history record report not obtained on or prior to 30th day of employment for each employee.
22VAC40-73-350-B: Failed to ascertain prior to admission whether potential resident is a registered sex offender.
22VAC40-73-200-D: Failed to obtain certification or documentation that staff met requirements for direct care employment.
22VAC40-73-450-E: Individualized service plan (ISP) not signed by resident or legal representative.
22VAC40-73-680-D: Medication administered not in accordance with physician’s instructions.
22VAC40-73-950-E: Semi-annual review of emergency preparedness and response plan not conducted with residents.
22VAC40-73-200-D: Failed to obtain certification or documentation that staff met requirements for direct care employment.
22VAC40-73-120-A: Orientation for new staff not completed within first 7 working days of employment.
22VAC40-73-680-D: Medication administered not in accordance with physician’s instructions.
22VAC40-73-210-B: Direct care staff did not attend at least 18 hours of annual training.
22VAC40-73-350-B: Failed to ascertain prior to admission whether potential resident is a registered sex offender.
22VAC40-73-860-I: Cleaning supplies and hazardous materials not stored in locked area.
22VAC40-73-250-D: Staff did not submit tuberculosis risk assessment results on or within seven days prior to first day of work.
22VAC40-73-450-F: Individualized service plans (ISPs) not updated to address all identified needs.
22VAC40-73-200-D: Failed to obtain certification or documentation that staff met requirements for direct care employment.
22VAC40-73-560-I: Resident record missing photo or current narrative description.
22VAC40-73-390-A: Resident agreements missing required information.
22VAC40-73-210-B: Direct care staff did not attend at least 18 hours of annual training.
22VAC40-90-40-B: Criminal history record report not obtained on or prior to 30th day of employment for each employee.
22VAC40-73-1030-B: Direct care staff did not attend six hours training on cognitive impairment within four months.
22VAC40-73-450-G: Master individualized service plan (ISP) not filed in resident records.
22VAC40-73-650-E: Physician orders not filed in resident records.
22VAC40-73-270-1: Training on dealing with aggressive behavior not completed annually by staff.
22VAC40-73-320-A: Physical examination not completed as required prior to resident admission.
22VAC40-73-320-B: Tuberculosis testing not completed annually for residents.
22VAC40-73-440-D: Uniform assessment instrument (UAI) incomplete regarding resident assistance needs.
22VAC40-73-450-C: Individualized service plan (ISP) did not address all identified needs.
22VAC40-73-690-B: Six month medication reviews not conducted by licensed health care professional.
22VAC40-90-30-B: Sworn statement or affirmation not completed for all applicants for employment.
22VAC40-73-260-A: Direct care staff did not receive first aid certification within 60 days of employment.
22VAC40-73-680-D: Medications not administered per physician instructions.
22VAC40-80-120-E-2: Findings of most recent inspection not posted in facility.
22VAC40-73-700-2: 'No Smoking-Oxygen in Use' signs not posted when oxygen therapy provided.
22VAC40-73-350-B: Failed to ascertain prior to admission whether potential resident is a registered sex offender.
Report Facts
Violations cited: 59
Distinct standards: 39
Inspections on page: 13
Inspections with violations: 10
Complaint visits: 2
Employees mentioned
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