Inspection Reports for
Brookdale Danville Piedmont

149 Executive Court, Danville, VA 24541, Danville, VA

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1 Inspection Summary

2020–2025 8 inspections covered

Inspection Reports Summary

Covers 8 inspections · Dec 2020 – Dec 2025

Visit Reason
This report covers 8 inspections of Brookdale Danville Piedmont from December 11, 2020 to December 11, 2025 by the Virginia Department of Social Services.

Findings
Across that history VDSS cited 41 violations under 26 distinct standards. 7 of 8 visits ended with violations and 1 with none.

Violations (41)
22VAC40-73-250-D: Staff failed to submit tuberculosis risk assessment results within seven days prior to first work day.
22VAC40-73-320-A: Resident physical examinations were not completed within 30 days preceding admission.
22VAC40-73-640-A: Medication management plan not implemented for accurate controlled substance counts at shift changes.
22VAC40-73-450-F: Resident individualized service plans were not updated to reflect condition changes.
22VAC40-73-980-A: First aid kit contained items with expired dates.
22VAC40-73-610-B: Current week’s menu was not posted in a conspicuous area to residents.
22VAC40-73-660-B: Residents kept medications without physician orders or self-administration capability.
22VAC40-73-970-E: Fire drill logs lacked required information on notification, conditions, weather, and problems.
22VAC40-73-860-I: Cleaning supplies were not stored in a locked area.
22VAC40-73-680-C: Medications were administered later than one hour after scheduled dosing time.
22VAC40-73-450-F: Individualized service plans were not reviewed or updated after resident condition changes.
22VAC40-73-260-A: Direct care staff did not receive first aid certification within 60 days of employment.
22VAC40-73-640-A: Medication management plan not implemented regarding expired or discontinued medications.
22VAC40-73-610-D: Special diets ordered by physician were not prepared and served accordingly.
22VAC40-73-450-F: Individualized service plans were not updated when significant resident changes occurred.
22VAC40-73-680-C: Medications were administered later than one hour after scheduled dosing time.
22VAC40-73-640-A: Medication management plan not followed for ordering medications and pharmacy notification.
22VAC40-73-700-2: No Smoking-Oxygen in Use signs were not posted where oxygen was in use.
22VAC40-73-325-B: Fall risk ratings were not updated after resident falls.
22VAC40-73-870-A: Interior of buildings was not maintained in good repair.
22VAC40-73-640-A: Medication management plan not implemented; expired meds and missing signatures on controlled substance counts.
22VAC40-73-450-C: Individualized service plans did not address all identified resident needs.
22VAC40-73-440-D: Uniform assessment instrument was incomplete for private pay individuals.
22VAC40-73-680-B: Medications were not kept in pharmacy issued container with prescription label until administration.
22VAC40-73-610-B: Menus for meals and snacks were not dated and posted conspicuously for current week.
22VAC40-73-320-A: Physical examination prior to admission lacked required components and timeliness.
22VAC40-73-680-M: Medications ordered for as needed use were not available at the facility.
22VAC40-73-380-A: Required personal and social information was not obtained prior to or at admission.
22VAC40-73-650-E: Physician orders were not maintained in resident records.
22VAC40-73-100-C-1: Blood glucose monitoring practices were not consistent with CDC recommendations.
22VAC40-73-320-A: Physical examinations were not completed within 30 days preceding admission and incomplete.
22VAC40-73-450-E: Individualized service plans were not signed by resident or legal representative.
22VAC40-73-450-F: Individualized service plans were not updated to reflect changes in resident condition.
22VAC40-73-870-A: Facility interior was not maintained in good repair.
22VAC40-73-700-2: No Smoking-Oxygen in Use signs were not posted in rooms where oxygen is used.
22VAC40-73-640-A: Procedures for accurate counts of controlled substances at shift changes were not followed.
22VAC40-73-250-D: Tuberculosis risk assessments were not submitted within seven days prior to first work day.
22VAC40-73-550-C: Resident rights were not ensured; staff used cell phone to voice record and made threatening statements.
22VAC40-73-450-C: Individualized service plans did not address all identified needs on ISPs.
22VAC40-73-450-D: Services provided by facility and hospice were not included on individualized service plans.
22VAC40-73-470-F: Documentation of accidents, injuries, or medical conditions was incomplete or missing.
Report Facts
Violations cited: 41 Distinct standards: 26 Inspections on page: 8 Inspections with violations: 7 Complaint visits: 0

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