Inspection Reports for
Charter Senior Living of Williamsburg
440 McLaws Cir, Williamsburg, VA 23185, United States, VA
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Inspection Reports Summary
Covers 20 inspections · Jan 2021 – Jun 2026Visit Reason
This report covers 20 inspections of Charter Senior Living of Williamsburg from January 22, 2021 to June 12, 2026 by the Virginia Department of Social Services, including routine, renewal, monitoring, complaint, and other inspection types.
Complaint Details
Seven inspections were prompted by complaints alleging issues in resident care, staffing, buildings and grounds, and related provisions. Some complaints were supported with violations issued; others were not supported but violations unrelated to complaints were cited.
Findings
Across that history VDSS cited 55 violations under 38 distinct standards. 11 of 20 visits ended with violations cited and 9 with none. 7 inspections were prompted by a complaint.
Violations (49)
22VAC40-73-450-F: Facility failed to ensure residents' ISPs were reviewed and updated every 12 months or as needed.
22VAC40-73-250-D: Staff TB risk assessments were not completed properly or by authorized assessors.
22VAC40-73-680-I: MARs lacked required diagnosis, condition, or effectiveness documentation for PRN meds.
22VAC40-73-440-A: Facility failed to ensure all residents had face-to-face UAI assessments prior to admission.
22VAC40-73-320-A: Physical exams lacked documentation on medication self-administration and medical history.
22VAC40-73-1090-A: Assessment of serious cognitive impairment missing speech and language documentation.
22VAC40-73-260-A: Direct care staff lacked current first aid certification within 60 days of employment.
22VAC40-73-680-D: Medications not administered according to physician or prescriber instructions.
22VAC40-73-460-D: Failed to provide supervision for residents with wandering behavior in safe, secure unit.
22VAC40-73-440-A: UAIs not reviewed or completed when residents had changes in condition.
22VAC40-73-680-D: Medications not administered as prescribed, including timing of Omeprazole.
22VAC40-73-680-I: MARs lacked diagnosis or indication for several prescribed medications.
22VAC40-73-450-C: ISP did not include identified needs and dates identified for a resident.
22VAC40-73-450-F: ISPs not reviewed to include significant changes in residents' conditions.
22VAC40-73-450-E: ISPs lacked signatures and dates of residents or legal representatives.
22VAC40-73-310-H: Facility admitted or retained individuals with prohibitive conditions without required documentation.
22VAC40-73-110-1: Staff failed to be considerate and respectful of residents' rights and dignity.
22VAC40-73-640-A: Failed to ensure accurate counts of controlled substances during staff changes.
22VAC40-73-930-D: Failed to document rounds for residents unable to use signaling devices.
22VAC40-73-870-A: Interior of building not maintained in good repair; call bell system malfunctioning.
22VAC40-73-290-A: Failed to maintain current work schedule documenting absences and substitutions.
22VAC40-73-450-F: ISPs not reviewed and updated at least once every 12 months as needed.
22VAC40-73-450-E: ISPs lacked signatures and dates by licensee, administrator, or resident/legal representative.
22VAC40-73-310-D: Failed to provide written assurance of appropriate license to residents prior to admission.
22VAC40-73-580-A: Facility failed to maintain current annual health inspection by Virginia Department of Health.
22VAC40-73-210-B: Direct care staff did not attend required annual training hours.
22VAC40-73-410-A: Failed to document orientation provided to new residents and legal representatives.
22VAC40-73-640-B: Failed to ensure accurate counts of controlled substances during medication staff changes.
22VAC40-73-640-D: Pharmacy reference book was outdated beyond two years.
22VAC40-73-680-D: Medications not administered according to physician instructions; timing errors observed.
22VAC40-73-260-A: Staff maintained first aid certification from unapproved provider.
22VAC40-73-50-A: Failed to provide disclosure statement to prospective resident prior to admission.
22VAC40-73-250-D: Staff failed to submit timely and annual tuberculosis risk assessments.
22VAC40-73-980-A: First aid kits not checked monthly; contained expired items.
22VAC40-73-325-B: Fall risk assessments not reviewed and updated after every fall.
22VAC40-73-350-B: Failed to ascertain if potential residents were registered sex offenders prior to admission.
22VAC40-73-680-I: MARs lacked required documentation for medication administration initials.
22VAC40-73-550-G: Annual review of resident rights and responsibilities not filed in resident records.
22VAC40-73-650-C: Verbal orders lacked physician signatures.
22VAC40-73-40-B: Criminal history record report not obtained within 30 days of employment for staff.
22VAC40-73-490-D: Health care oversight did not include list of specific residents served.
22VAC40-73-390-B: Written resident agreement not signed by resident at or prior to admission.
22VAC40-73-310-B: No documented interview between administrator/designee and resident/legal representative.
22VAC40-73-410-A: Failed to provide orientation to new residents and legal representatives upon admission.
22VAC40-73-450-E: ISPs lacked signatures and dates by licensee, administrator, or resident/legal representative.
22VAC40-73-250-C: Listing of staff with current first aid/CPR certification not posted and readily available.
22VAC40-73-40-A: Failed to ensure compliance with relevant state laws; LLC entity inactive at renewal.
22VAC40-73-970-A: Fire drills not conducted on each shift quarterly and not spaced properly.
22VAC40-73-460-D: Failed to provide supervision of residents with wandering behavior including elopement risk.
Report Facts
Violations cited: 55
Distinct standards: 38
Inspections on page: 20
Inspections with violations: 11
Complaint visits: 7
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