Inspection Reports for
Brookdale Bristol
375 Liberty Pl, Bristol, VA 24201, United States, VA, 24201
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Inspection Reports Summary
Covers 16 inspections · Mar 2021 – Mar 2026Visit Reason
This report covers 16 inspections of Brookdale Bristol from March 21, 2021 to March 26, 2026, including routine, renewal, monitoring, and complaint investigations.
Complaint Details
Two complaint surveys were conducted. One on March 10, 2026 found non-compliance with building and grounds standards related to cleanliness and repair. Another on November 3, 2021 found no violations and the complaint was determined not valid.
Findings
Across that history VDSS cited 36 violations under 25 distinct standards. 9 of the 16 visits ended with violations cited and 7 with none. 2 inspections were prompted by a complaint.
Deficiencies (33)
22VAC40-73-450-F: Updated individualized service plan (ISP) lacked all required information.
22VAC40-73-520-I: Facility failed to have a written schedule of activities including the hour of the activity.
22VAC40-73-870-C: Facility failed to have adequate provision for garbage and waste collection.
22VAC40-73-680-D: Medication not administered per physician’s orders during noon medication pass.
22VAC40-73-750-B: Bedrooms lacked required items such as operable bed lamps in rooms #321 and #315.
22VAC40-73-380-A: Required personal and social information not obtained prior to or at admission.
22VAC40-73-610-E: Diet manual not readily available to personnel responsible for food preparation.
22VAC40-73-320-A: Physical examination by independent physician within 30 days preceding admission not on file.
22VAC40-73-210-F: Staff training log lacked documentation of at least two hours infection control training for one staff.
22VAC40-73-870-A: Interior and exterior of buildings not maintained in good repair and clean; stains and debris observed.
22VAC40-73-870-A: Interior and exterior of buildings not maintained in good repair and clean; stains and water leak observed.
22VAC40-73-450-C: Comprehensive individualized service plan (ISP) missing required information for residents.
22VAC40-73-610-D: Diet prescribed by physician not prepared and served according to orders.
22VAC40-73-920-C: Bathroom exhaust fan in resident room #131 not working to eliminate odors.
22VAC40-73-380-A: Required personal and social information not obtained prior to or at admission.
22VAC40-73-700-1: Oxygen therapy orders lacked all required information including oxygen source.
22VAC40-73-870-B: Buildings not well-ventilated; foul odors in resident rooms #306 and #313.
22VAC40-73-350-B: Failed to ascertain if resident #4 is a registered sex offender prior to admission.
22VAC40-73-450-H: Care and services specified in ISP not provided to residents #12 and #13.
22VAC40-73-440-D: Private pay Uniform Assessment Instruments (UAIs) not completed as required.
22VAC40-73-210-D: Medication aides failed to complete required continuing education.
22VAC40-73-325-B: Fall risk rating not reviewed and updated at least annually for residents.
22VAC40-73-310-B: Verification of documented interview for admission and retention decisions missing.
22VAC40-73-680-D: Medications not administered in accordance with physician’s instructions; morphine overdosing.
22VAC40-73-680-B: Medications not kept in pharmacy issued container with label until administered.
22VAC40-73-870-A: Interior areas not kept in good repair and clean; stains and debris observed.
22VAC40-73-450-C: ISP failed to address all identified needs for residents #2, #6, #7, and #9.
22VAC40-73-870-A: Interior building areas not kept in good repair and clean; trip hazards and stains noted.
22VAC40-73-325-A: Written fall risk rating not completed by time comprehensive ISP completed for resident #3.
22VAC40-73-440-D: UAIs incorrectly indicated medications administered by professional nursing staff instead of laypersons.
22VAC40-73-100-C-2: Medication cart infection control policy not followed; unlabeled glucometers observed.
22VAC40-73-680-D: Medications not administered per physician’s instructions; wrong eye drops used causing injury.
22VAC40-73-680-D: Medication error; Lorazepam overdose administered due to misunderstanding of order.
Report Facts
Violations cited: 36
Distinct standards: 25
Inspections on page: 16
Inspections with violations: 9
Complaint visits: 2
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