Inspection Reports for
Colonial Manor
8679 Pocahontas Trail, WILLIAMSBURG, VA, 23185
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Inspection Reports Summary
Covers 48 inspections · Jan 2021 – Sep 2025Visit Reason
The page covers the full inspection history of Colonial Manor, including routine, monitoring, complaint, and renewal inspections from 2021 to 2025.
Complaint Details
The facility had 14 complaint inspections over the history. Complaints included allegations in resident care, staffing, supervision, buildings and grounds, and food. Some complaint inspections found violations; others found no violations. Complaint inspections were conducted unannounced by VDSS inspectors and included investigations of specific allegations.
Findings
Colonial Manor was inspected 48 times between January 31, 2021 and September 11, 2025. VDSS cited 288 violations under 98 distinct standards. 46 inspections cited violations and 2 had none. 14 inspections were complaint prompted.
Violations (81)
22VAC40-73-210-B: Facility failed to ensure direct care staff attended at least 18 hours of annual training.
22VAC40-73-210-F: Facility failed to ensure at least two hours of training focused on infection control and prevention.
22VAC40-73-250-D: Facility failed to ensure staff submitted current tuberculosis risk assessment.
22VAC40-73-260-A: Facility failed to ensure direct care staff maintained current first aid certification.
22VAC40-73-260-B: Facility failed to ensure staff CPR certification was current.
22VAC40-73-260-C: Facility failed to keep first aid and CPR staff listing up to date.
22VAC40-73-450-E: Facility failed to ensure individualized service plan review and updates were signed and dated by required parties.
22VAC40-73-450-F: Facility failed to ensure individualized service plan included all assessed needs.
22VAC40-73-550-G: Facility failed to ensure annual review of residents' rights and responsibilities with staff and residents.
22VAC40-73-860-G: Facility failed to ensure annual review of residents' rights and responsibilities with staff and residents.
22VAC40-73-860-G: Facility failed to maintain hot water temperature within required range.
22VAC40-73-870-D: Facility failed to keep building free of insect and vermin infestation.
22VAC40-73-680-D: Facility failed to ensure medication was administered according to physician's instructions.
22VAC40-73-870-E: Facility failed to keep furnishings, fixtures, and equipment clean and in good repair.
22VAC40-73-160-E: Administrator failed to have required annual medication administration training.
22VAC40-73-210-B: Facility failed to ensure licensed health care professionals attended at least 12 hours of annual training.
22VAC40-73-210-F: Facility failed to ensure staff training included infection control and prevention.
22VAC40-73-440-H: Facility failed to ensure annual reassessment using uniform assessment instrument.
22VAC40-73-450-F: Facility failed to ensure individualized service plan included all assessed information.
22VAC40-73-610-B: Facility failed to record menu substitutions or additions on posted menu.
22VAC40-73-950-A: Facility failed to document annual contact with local emergency coordinator's review of emergency preparedness plan.
22VAC40-73-990-C: Facility failed to document staff participation in emergency procedure exercises every six months.
22VAC40-73-460-A: Facility failed to provide for health, safety, and well-being of a resident.
22VAC40-73-460-D: Facility failed to provide supervision to prevent falls and wandering.
22VAC40-73-450-F: Facility failed to ensure individualized service plan included all assessed needs for a resident.
22VAC40-73-990-C: Facility failed to ensure staff participated in emergency procedure exercises every six months.
22VAC40-73-450-F: Facility failed to ensure individualized service plan included all assessed needs.
22VAC40-73-460-A: Facility failed to provide for health, safety, and well-being of a resident.
22VAC40-73-460-D: Facility failed to provide supervision to prevent falls and wandering.
22VAC40-73-870-D: Facility failed to keep building free of insect and vermin infestation.
22VAC40-73-870-E: Facility failed to keep furnishings, fixtures, and equipment clean and in good repair.
22VAC40-73-680-C: Facility failed to ensure medications administered within one hour before or after dosing schedule.
22VAC40-73-680-D: Facility failed to ensure medication administered according to physician's instructions.
22VAC40-73-680-E: Facility failed to ensure medical procedures or treatments ordered by physician were provided and documented.
22VAC40-73-680-I: Facility failed to ensure medication administration record included all requirements.
22VAC40-73-680-K: Facility failed to ensure PRN medication orders included all required information.
22VAC40-73-150-F: Administrator failed to serve full-time as on-site agent responsible for day-to-day management.
22VAC40-73-660-A-6: Facility failed to ensure medication for a resident was refrigerated as required.
22VAC40-73-680-C: Facility failed to ensure medications administered within one hour before or after dosing schedule.
22VAC40-73-680-D: Facility failed to ensure medication administered according to physician's instructions.
22VAC40-73-680-E: Facility failed to ensure medical procedures or treatments ordered by physician were provided and documented.
22VAC40-73-860-I: Facility failed to store cleaning supplies and hazardous materials in locked area.
22VAC40-73-870-E: Facility failed to keep furnishings, fixtures, and equipment clean and in good repair.
22VAC40-73-100-C-2: Facility failed to ensure blood glucose monitoring practices consistent with CDC recommendations.
22VAC40-73-610-C: Facility failed to ensure daily menu met USDA guidelines considering age, sex, and activity.
22VAC40-73-610-E: Facility failed to keep current diet manual readily available to food preparation personnel.
22VAC40-73-870-D: Facility failed to keep building free of infestation of insects and vermin.
22VAC40-73-870-E: Facility failed to keep furnishings, fixtures, and equipment clean and in good repair.
22VAC40-73-880-B: Facility failed to maintain heating system to keep temperature at least 72°F in resident areas.
22VAC40-73-150-F: Administrator failed to serve full-time as on-site agent responsible for day-to-day management.
22VAC40-73-660-A: Facility failed to ensure medication stored consistent with standards of practice.
22VAC40-73-680-C: Facility failed to ensure medications administered within one hour before or after dosing schedule.
22VAC40-73-680-D: Facility failed to ensure medication administered according to physician's instructions.
22VAC40-73-680-E: Facility failed to ensure medical procedures or treatments ordered by physician were provided and documented.
22VAC40-73-680-I: Facility failed to ensure medication administration record included all requirements.
22VAC40-73-680-K: Facility failed to ensure PRN medication orders included all required information.
22VAC40-73-450-F: Facility failed to ensure individualized service plan included all assessed needs.
22VAC40-73-990-C: Facility failed to ensure staff participated in emergency procedure exercises every six months.
22VAC40-73-450-F: Facility failed to ensure individualized service plan included all assessed needs.
22VAC40-73-460-A: Facility failed to provide for health, safety, and well-being of a resident.
22VAC40-73-460-D: Facility failed to provide supervision to prevent falls and wandering.
22VAC40-73-870-D: Facility failed to keep building free of insect and vermin infestation.
22VAC40-73-870-E: Facility failed to keep furnishings, fixtures, and equipment clean and in good repair.
22VAC40-73-680-C: Facility failed to ensure medications administered within one hour before or after dosing schedule.
22VAC40-73-680-D: Facility failed to ensure medication administered according to physician's instructions.
22VAC40-73-680-E: Facility failed to ensure medical procedures or treatments ordered by physician were provided and documented.
22VAC40-73-680-I: Facility failed to ensure medication administration record included all requirements.
22VAC40-73-680-K: Facility failed to ensure PRN medication orders included all required information.
22VAC40-73-150-F: Administrator failed to serve full-time as on-site agent responsible for day-to-day management.
22VAC40-73-660-A-6: Facility failed to ensure medication for a resident was refrigerated as required.
22VAC40-73-680-C: Facility failed to ensure medications administered within one hour before or after dosing schedule.
22VAC40-73-680-D: Facility failed to ensure medication administered according to physician's instructions.
22VAC40-73-680-E: Facility failed to ensure medical procedures or treatments ordered by physician were provided and documented.
22VAC40-73-860-I: Facility failed to store cleaning supplies and hazardous materials in locked area.
22VAC40-73-870-E: Facility failed to keep furnishings, fixtures, and equipment clean and in good repair.
22VAC40-73-100-C-2: Facility failed to ensure blood glucose monitoring practices consistent with CDC recommendations.
22VAC40-73-610-C: Facility failed to ensure daily menu met USDA guidelines considering age, sex, and activity.
22VAC40-73-610-E: Facility failed to keep current diet manual readily available to food preparation personnel.
22VAC40-73-870-D: Facility failed to keep building free of infestation of insects and vermin.
22VAC40-73-870-E: Facility failed to keep furnishings, fixtures, and equipment clean and in good repair.
22VAC40-73-880-B: Facility failed to maintain heating system to keep temperature at least 72°F in resident areas.
Report Facts
Violations cited: 288
Distinct standards: 98
Inspections on page: 48
Inspections with violations: 46
Complaint visits: 14
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