Inspection Reports for
Brookdale Chambrel Williamsburg
3800 Treyburn Drive, Williamsburg, VA 23188, Williamsburg, VA
Back to Facility Profile1 Inspection Summary
Inspection Reports Summary
Covers 19 inspections · Nov 2020 – Oct 2025Visit Reason
This report covers 19 inspections of Brookdale Chambrel Williamsburg from November 2, 2020 to October 6, 2025, including routine, renewal, complaint, and monitoring inspections.
Complaint Details
Nine inspections were prompted by complaints. Investigations included allegations in areas such as personnel, resident care and related services, buildings and grounds, and administration. Some complaints were not supported by evidence, while others resulted in violations issued. Complaint inspections involved resident and staff interviews, record reviews, and observations.
Findings
Across that history VDSS cited 72 violations under 38 distinct standards. 14 of 19 visits ended with violations and 5 with none. Nine inspections were prompted by a complaint.
Violations (87)
22VAC40-90-40-B: Failed to obtain criminal history record report on or prior to 30th day of employment for each employee.
22VAC40-73-450-C: ISP missing description of identified needs and date identified based on UAI, physical exam, and other sources.
22VAC40-73-990-C: Failed to document all staff participate in emergency procedure exercises at least every six months.
22VAC40-73-930-D: Failed to ensure two-hour rounds for residents unable to use signaling device during sleep hours.
22VAC40-73-450-C: ISP missing description of identified needs and date identified based on UAI and admission physical exam.
22VAC40-73-930-D: Failed to ensure two-hour rounds documented for resident after fall incident.
22VAC40-73-930-D: Failed to ensure two-hour rounds documented for resident with inability to use signaling device.
22VAC40-73-70-A: Failed to report major incident to licensing office within 24 hours.
22VAC40-73-680-D: Medications not administered in accordance with physician’s order or prescriber’s instructions.
22VAC40-73-310-H: Admitted or retained individuals with prohibitive conditions or care needs.
22VAC40-73-450-C: ISP missing all assessed needs for one of three records reviewed.
22VAC40-73-450-F: ISP not reviewed and updated at least once every 12 months or as needed for significant change.
22VAC40-73-380-B: Personal and social information not kept current for one of three records reviewed.
22VAC40-73-320-B: Risk assessment for tuberculosis not completed annually for one of three records reviewed.
22VAC40-73-650-A: Medications started, changed, or discontinued without valid physician or prescriber order.
22VAC40-73-450-C: ISP missing all assessed needs for five of ten records reviewed.
22VAC40-73-980-A: First aid kit missing items or contained expired items.
22VAC40-73-380-B: Personal and social information form not kept current.
22VAC40-73-930-B: Staff unable to determine origin of call system signal.
22VAC40-73-450-F: ISP not reviewed and updated at least once every 12 months or as needed for significant change.
22VAC40-73-860-G: Hot water temperature not maintained within required range of 105°F to 120°F.
22VAC40-73-650-B: Physician or prescriber orders missing required information including diagnosis or indication.
22VAC40-73-310-H: Admitted or retained individuals with prohibitive conditions or care needs.
22VAC40-73-610-B: Menus for meals and snacks not dated and posted conspicuously.
22VAC40-73-450-C: ISP missing all assessed needs for two of four records reviewed.
22VAC40-73-320-A: Admitting physical examination missing required information.
22VAC40-73-310-H: Admitted or retained individuals with prohibitive conditions or care needs.
22VAC40-73-640-A: Resident’s prescription medication not ordered or refilled timely to avoid missed dosages.
22VAC40-73-380-B: Social data of residents not updated as required.
22VAC40-73-650-C: Physician’s oral order not reviewed and signed within 14 days.
22VAC40-73-680-C: Medications not administered within one hour before or after scheduled dosing time.
22VAC40-73-380-B: Personal and social information form not kept current.
22VAC40-73-450-C: ISP missing all assessed needs for six of ten records reviewed.
22VAC40-73-260-A: Staff records missing documentation of current first aid certification.
22VAC40-73-380-B: Personal and social information form not kept current.
22VAC40-73-310-H: Admitted or retained individuals with prohibitive conditions or care needs for five of ten records reviewed.
22VAC40-73-220-A: Private duty personnel tuberculosis requirements not met.
22VAC40-73-310-H: Admitted or retained individuals with prohibitive conditions or care needs for three of five residents.
22VAC40-73-450-C: ISP missing all assessed needs for three of five residents.
22VAC40-73-650-A: Medications started, changed, or discontinued without valid physician or prescriber order.
22VAC40-73-680-I: Medication administration records missing required documentation for medications administered.
22VAC40-73-680-K: Physician orders for oxygen therapy did not document exact flow rate.
22VAC40-73-450-F: ISP not reviewed and updated at least once every 12 months or as needed for significant change for three of five residents.
22VAC40-73-290-A: Written work schedule did not indicate person in charge at any given time.
22VAC40-73-450-C: ISP missing all assessed needs for one of three records reviewed.
22VAC40-73-450-E: ISP not signed and dated by licensee, administrator, developer, resident, or legal representative.
22VAC40-73-40-A: Failed to comply with facility policies related to resident agreement for notification of rate increase.
22VAC40-73-450-C: ISP missing all assessed needs.
22VAC40-73-70-A: Failed to report major incident to licensing office within 24 hours.
22VAC40-73-680-D: Medications not administered in accordance with physician’s or prescriber’s instructions.
22VAC40-73-310-H: Admitted or retained individuals with prohibitive conditions or care needs.
22VAC40-73-450-C: ISP missing all assessed needs for five of ten records reviewed.
22VAC40-73-980-A: First aid kit missing items or contained expired items.
22VAC40-73-380-B: Personal and social information form not kept current.
22VAC40-73-930-B: Staff unable to determine origin of call system signal.
22VAC40-73-450-F: ISP not reviewed and updated at least once every 12 months or as needed for significant change.
22VAC40-73-860-G: Hot water temperature not maintained within required range of 105°F to 120°F.
22VAC40-73-650-B: Physician or prescriber orders missing required information including diagnosis or indication.
22VAC40-73-310-H: Admitted or retained individuals with prohibitive conditions or care needs.
22VAC40-73-610-B: Menus for meals and snacks not dated and posted conspicuously.
22VAC40-73-450-C: ISP missing all assessed needs for two of four records reviewed.
22VAC40-73-320-A: Admitting physical examination missing required information.
22VAC40-73-310-H: Admitted or retained individuals with prohibitive conditions or care needs.
22VAC40-73-640-A: Resident’s prescription medication not ordered or refilled timely to avoid missed dosages.
22VAC40-73-380-B: Social data of residents not updated as required.
22VAC40-73-650-C: Physician’s oral order not reviewed and signed within 14 days.
22VAC40-73-680-C: Medications not administered within one hour before or after scheduled dosing time.
22VAC40-73-380-B: Personal and social information form not kept current.
22VAC40-73-450-C: ISP missing all assessed needs for six of ten records reviewed.
22VAC40-73-260-A: Staff records missing documentation of current first aid certification.
22VAC40-73-380-B: Personal and social information form not kept current.
22VAC40-73-310-H: Admitted or retained individuals with prohibitive conditions or care needs for five of ten records reviewed.
22VAC40-73-220-A: Private duty personnel tuberculosis requirements not met.
22VAC40-73-310-H: Admitted or retained individuals with prohibitive conditions or care needs for three of five residents.
22VAC40-73-450-C: ISP missing all assessed needs for three of five residents.
22VAC40-73-650-A: Medications started, changed, or discontinued without valid physician or prescriber order.
22VAC40-73-680-I: Medication administration records missing required documentation for medications administered.
22VAC40-73-680-K: Physician orders for oxygen therapy did not document exact flow rate.
22VAC40-73-450-F: ISP not reviewed and updated at least once every 12 months or as needed for significant change for three of five residents.
22VAC40-73-290-A: Written work schedule did not indicate person in charge at any given time.
22VAC40-73-450-C: ISP missing all assessed needs for one of three records reviewed.
22VAC40-73-450-E: ISP not signed and dated by licensee, administrator, developer, resident, or legal representative.
22VAC40-73-40-A: Failed to comply with facility policies related to resident agreement for notification of rate increase.
22VAC40-73-450-C: ISP missing all assessed needs.
22VAC40-73-70-A: Failed to report major incident to licensing office within 24 hours.
22VAC40-73-680-D: Medications not administered in accordance with physician’s or prescriber’s instructions.
22VAC40-73-310-H: Admitted or retained individuals with prohibitive conditions or care needs.
Report Facts
Violations cited: 72
Distinct standards: 38
Inspections on page: 19
Inspections with violations: 14
Complaint visits: 9
Loading inspection reports...
