Inspection Reports for
Cardinal Senior Communities
1350 Longwood Avenue, BEDFORD, VA, 24523
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Inspection Reports Summary
Covers 31 inspections · Nov 2020 – Feb 2026Visit Reason
This report covers 31 inspections of Cardinal Senior Communities from November 9, 2020 to February 19, 2026 by the Virginia Department of Social Services, including complaint and routine inspections.
Complaint Details
Multiple complaint surveys were conducted, investigating allegations in areas such as resident care, personnel, admission, retention and discharge of residents, and additional requirements for facilities caring for adults with serious cognitive impairments. Many complaints were not supported by evidence, but violations unrelated to complaints were cited. The facility was given opportunities to submit plans of correction and contest findings.
Findings
Across that history VDSS cited 63 violations under 46 distinct standards. 21 of 31 inspections cited violations and 23 were complaint visits.
Violations (60)
22VAC40-73-440-D: Failed to ensure UAI completed as required for private pay individuals.
22VAC40-73-325-B: Fall risk rating not reviewed and updated after a fall.
22VAC40-73-70-C: Failed to submit written incident report within seven days with required details.
22VAC40-73-70-A: Failed to report major incident to licensing office within 24 hours.
22VAC40-73-325-C: Failed to document analysis and interventions after resident falls.
22VAC40-73-560-A: Failed to implement policy ensuring resident records are accurate and clear.
22VAC40-73-450-F: ISP not reviewed and updated at least annually and as needed for changes.
22VAC40-73-70-C: Failed to submit written incident report within seven days with required details.
22VAC40-73-560-F: Failed to make part of resident record available for inspection.
22VAC40-73-390-A: Failed to include visitation policy in written agreement at or prior to admission.
22VAC40-73-390-B: Failed to provide copies of signed agreement to resident and legal representative.
22VAC40-73-640-A: Failed to implement medication management plan to ensure timely refill and accurate MAR.
22VAC40-73-440-A: Failed to ensure UAI completed prior to admission, annually, and with significant changes.
22VAC40-73-680-A: Staff license expired but administered medications requiring license.
22VAC40-73-450-E: ISP not signed and dated by licensee/administrator and resident or legal representative.
22VAC40-73-70-C: Failed to submit written incident report within seven days with required details.
22VAC40-73-450-H: Failed to provide care and services specified in ISP to each resident.
22VAC40-73-560-A: Failed to implement policy ensuring resident records are accurate and clear.
22VAC40-73-450-F: ISP not reviewed and updated at least annually and as needed for changes.
22VAC40-73-70-C: Failed to submit written incident report within seven days with required details.
22VAC40-73-640-A: Failed to implement medication management plan to prevent outdated or contaminated meds and ensure accurate controlled substance counts.
22VAC40-73-130-A: Failed to report suspected abuse, neglect, or exploitation as mandated reporters.
22VAC40-73-450-H: Failed to provide care and services specified in ISP to each resident.
22VAC40-73-440-A: Failed to ensure UAI completed prior to admission, annually, and with significant changes.
22VAC40-73-680-D: Failed to administer medications in accordance with physician’s instructions.
22VAC40-73-450-C: ISP did not address all identified needs.
22VAC40-73-550-G: Failed to ensure annual review of resident rights completed with all staff.
22VAC40-73-440-D: Failed to ensure UAI completed as required for private pay individuals.
22VAC40-73-450-C: ISP did not address all identified needs.
22VAC40-73-70-C: Failed to submit written incident report within seven days with required details.
22VAC40-73-650-C: Failed to ensure physician’s oral orders reviewed and signed within 14 days.
22VAC40-73-640-A: Failed to implement medication management plan.
22VAC40-73-320-A: Failed to ensure physical examination reports contained all required components.
22VAC40-73-700-1: Failed to ensure physician’s order for oxygen therapy contained all required components.
22VAC40-73-930-D: Failed to document rounds for residents unable to use signaling device.
22VAC40-90-30-B: Failed to ensure sworn statement or affirmation completed for all employees.
22VAC40-73-1110-D: Failed to ensure review of appropriateness of continued residence in special care unit.
22VAC40-73-1130-C: Failed to ensure at least two awake direct care staff on duty during night hours in special care unit.
22VAC40-73-450-C: ISP did not include all required components.
22VAC40-73-450-F: ISP not reviewed and updated as resident condition changes.
22VAC40-73-640-A: Medication management policy lacked required components.
22VAC40-73-700-1: Failed to ensure valid physician’s order for oxygen contained all required components.
22VAC40-73-680-M: Failed to ensure PRN medications were available.
22VAC40-73-100-C-2: Failed to follow infection control policies consistent with CDC recommendations.
22VAC40-73-50-A: Disclosure statement lacked required components and initials.
22VAC40-73-310-D: Failed to review UAI prior to providing written assurance and provide signed copy to resident/legal representative.
22VAC40-73-325-C: Failed to document interventions to prevent or reduce risk of subsequent falls.
22VAC40-73-380-A: Failed to obtain all required personal and social information at or prior to admission.
22VAC40-73-390-A: Written agreement/acknowledgment lacked required components at or prior to admission.
22VAC40-73-390-B: Failed to provide copies of signed agreement to resident and legal representative.
22VAC40-73-400: Failed to provide monthly statement itemizing charges and payments to resident or legal representative.
22VAC40-73-430-H-1: Failed to provide discharge statement at time of resident discharge.
22VAC40-73-450-C: ISP did not address all identified needs.
22VAC40-73-680-D: Failed to administer medications in accordance with physician’s instructions.
22VAC40-73-100-A: Infection control policy not consistent with CDC COVID-19 guidelines and failed to implement policy.
22VAC40-73-100-C-2: Infection control policy lacked required sections.
22VAC40-73-100-C-4: Infection control policy lacked product specific instructions for cleaning agents.
22VAC40-73-40-A: Failed to ensure compliance with relevant state laws for written certification records.
22VAC40-73-70-C: Incident report lacked required information.
22VAC40-73-460-D: Failed to provide supervision to prevent wandering off premises.
Report Facts
Violations cited: 63
Distinct standards: 46
Inspections on page: 31
Inspections with violations: 21
Complaint visits: 23
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