1 Inspection Summary
Inspection Reports Summary
Covers 34 inspections · Mar 2021 – Sep 2025Visit Reason
This report covers 34 inspections of Chesapeake Place from March 23, 2021 to September 9, 2025, including routine and complaint investigations.
Complaint Details
Multiple complaint investigations were conducted, with 24 complaint visits in total. Complaints involved resident care, staffing, buildings and grounds, and safe secure environment. Evidence supported some allegations and violations were issued accordingly.
Findings
Across that history VDSS cited 143 violations under 68 distinct standards. 32 of 34 visits ended with violations cited and 24 inspections were prompted by a complaint.
Violations (51)
22VAC40-73-640-A: Facility failed to have and implement a current written medication management plan including disposal procedures.
22VAC40-73-260-A: Facility did not ensure direct care staff maintained current first aid certification.
22VAC40-73-320-A: Facility did not ensure physical exams contained required statements on medication self-administration and TB risk assessment.
22VAC40-73-440-A: Facility did not ensure uniform assessment instrument (UAI) was completed prior to admission and annually.
22VAC40-73-450-A: Facility did not ensure preliminary plan of care was developed on or before admission.
22VAC40-73-450-C: Facility did not ensure individualized service plan (ISP) was completed within 30 days after admission.
22VAC40-73-450-E: Facility did not ensure ISPs were reviewed, updated, and signed annually and as needed.
22VAC40-73-460-A: Facility failed to assume general responsibility for resident health, safety, and well-being.
22VAC40-73-460-E: Facility failed to regularly observe and document changes in resident condition and provide assistance.
22VAC40-73-550-F: Facility did not ensure postings included current licensing administrator contact information.
22VAC40-73-550-G: Facility did not ensure rights and responsibilities of residents and staff were reviewed annually.
22VAC40-73-640-A: Facility medication plan not followed; expired medications found on medication carts.
22VAC40-73-670-2: Staff administering medication were not authorized under Virginia Drug Control Act.
22VAC40-73-880-B: Facility did not ensure heat was supplied per Virginia Uniform Statewide Building Code.
22VAC40-73-930-D: Facility failed to document two-hour rounds for residents unable to use signaling device.
22VAC40-73-950-F: Facility did not review emergency preparedness plan annually or document review.
22VAC40-73-970-A: Facility failed to conduct fire and emergency evacuation drills as required.
22VAC40-73-1110-B: Facility did not perform required six-month and annual reviews for residents in special care unit.
22VAC40-73-310-D: Facility did not provide written assurance of appropriate license to residents at admission.
22VAC40-73-320-B: Facility failed to complete annual tuberculosis risk assessments for residents.
22VAC40-73-350-B: Facility did not ascertain prior to admission if potential resident was a registered sex offender.
22VAC40-73-440-B: Facility did not ensure UAIs for private pay individuals were completed by qualified assessors and signed.
22VAC40-73-450-F: Facility failed to review and update ISP annually for resident #6.
22VAC40-73-990-C: Facility did not ensure staff participated in emergency procedure exercises every six months.
22VAC40-73-250-D: Facility failed to ensure staff submitted tuberculosis risk assessments prior to first day of work.
22VAC40-73-150-B: Facility failed to immediately employ or appoint qualified administrator to avoid lapse in coverage.
22VAC40-73-210-B: Facility failed to ensure direct care staff attended required annual training hours.
22VAC40-73-290-B: Facility failed to post current on-site person in charge conspicuously.
22VAC40-73-870-A: Facility failed to maintain building and furnishings in good repair and clean condition.
22VAC40-73-680-D: Facility failed to administer medications in accordance with physician's instructions.
22VAC40-73-680-I: Medication administration records did not include initials of administering staff.
22VAC40-73-450-D: Facility failed to coordinate care plans with licensed hospice organization.
22VAC40-73-650-A: Facility failed to ensure medications were not discontinued without valid physician order.
22VAC40-73-1130-A: Facility failed to ensure adequate awake direct care staff in special care unit during day shifts.
22VAC40-73-1130-C: Facility failed to ensure adequate awake direct care staff in special care unit during night shifts.
22VAC40-73-40-B: Facility failed to post current license conspicuously.
22VAC40-73-460-D: Facility failed to provide supervision to prevent resident elopement from safe, secure unit.
22VAC40-73-1150-A: Facility failed to secure doors leading to unprotected areas in safe, secure environment.
22VAC40-73-1150-B: Facility failed to install protective devices on windows accessible to residents.
22VAC40-73-250-C: Facility failed to maintain sworn disclosure statements in staff records.
22VAC40-73-210-F: Facility failed to ensure staff received required infection control and mental health training hours.
22VAC40-73-280-A: Facility failed to have adequate staff with knowledge and numbers to meet resident needs.
22VAC40-73-290-A: Facility failed to maintain written work schedule with names, job classifications, and person in charge.
22VAC40-73-310-H: Facility admitted or retained individuals with psychotropic medications without treatment plans.
22VAC40-73-440-H: Facility failed to complete annual reassessment using UAI for residents.
22VAC40-73-450-H: Facility failed to provide personal assistance with activities of daily living as needed.
22VAC40-73-490-A: Facility failed to provide health care oversight at least every six months.
22VAC40-73-650-B: Physician orders for medications and supplements lacked required information.
22VAC40-73-680-C: Facility failed to administer medications within one hour before or after scheduled time.
22VAC40-73-680-I: Medication administration records lacked initials of administering staff.
22VAC40-73-710-B: Facility used physical restraints without physician order and resident consent.
Report Facts
Violations cited: 143
Distinct standards: 68
Inspections on page: 34
Inspections with violations: 32
Complaint visits: 24
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