Inspection Reports for
Commonwealth Senior Living at Charlottesville

VA

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1 Inspection Summary

2021–2025 21 inspections covered

Inspection Reports Summary

Covers 21 inspections · May 2021 – Nov 2025

Visit Reason
This report covers 21 inspections of Commonwealth Senior Living At Charlottesville from May 4, 2021 to November 18, 2025, including complaint and routine inspections.

Complaint Details
Twelve inspections were prompted by complaints alleging issues in personnel, resident care, staffing, background checks, and other areas. Some complaints were substantiated with violations issued; others were not supported by evidence.
Findings
Across that history VDSS cited 28 violations under 24 distinct standards. 12 inspections were prompted by a complaint.

Violations (28)
22VAC40-73-580-A: Violation cited on March 6, 2025 renewal inspection.
22VAC40-90-40-C: Facility employed person with barrier crime conviction, March 25, 2024 complaint survey.
22VAC40-73-680-D: Medications not administered per prescriber instructions, March 25, 2024 inspection.
22VAC40-73-680-I: Medication administration errors not documented on MAR, March 25, 2024 inspection.
22VAC40-73-110-1: Staff used profanity and derogatory language to resident, March 25, 2024 inspection.
22VAC40-73-330-B: Plan of correction for resident chart audits and TB screening, February 23, 2024 inspection.
22VAC40-73-320-A: Plan of correction for resident chart audits and TB screening, February 23, 2024 inspection.
22VAC40-73-720-A: Plan of correction for ISP updates including DNR orders, February 23, 2024 inspection.
22VAC40-90-40-C: Facility failed to ensure no continued employment of person with barrier crime conviction, March 7, 2023 inspection.
22VAC40-73-700-1: Oxygen order lacked source and delivery device, March 7, 2023 inspection.
22VAC40-73-290-A: Facility failed to maintain written work schedule, November 4, 2022 complaint survey.
22VAC40-73-560-F: Facility failed to make information available for inspection, November 4, 2022 complaint survey.
22VAC40-73-70-A: Facility failed to report major incident within 24 hours, November 4, 2022 complaint survey.
22VAC40-73-100-A: Facility failed to implement infection control program consistent with CDC and OSHA, November 4, 2022 complaint survey.
22VAC40-73-460-B: Facility failed to ensure prompt staff response to resident needs, September 9, 2022 inspection.
22VAC40-73-40-A: Facility failed to ensure compliance with policy on staff rounds in memory care unit, September 9, 2022 inspection.
22VAC40-73-450-H: Facility failed to provide care and services specified in ISP, September 9, 2022 inspection.
22VAC40-73-450-C: ISP failed to include needs based on UAI and physical exam, April 26, 2022 inspection.
22VAC40-73-560-F: Facility failed to ensure records were accessible for inspection, April 26, 2022 inspection.
22VAC40-90-50-B: Criminal history report not verified for name accuracy, April 26, 2022 inspection.
22VAC40-73-320-A: Physical exam failed to describe reactions to allergies, April 26, 2022 inspection.
22VAC40-73-490-D: Health care oversight did not identify specific residents, April 26, 2022 inspection.
22VAC40-73-450-D: Hospice and facility failed to coordinate plan of care, March 16, 2022 complaint survey.
22VAC40-73-650-B: Physician orders lacked diagnosis or indications for drugs, March 16, 2022 complaint survey.
22VAC40-73-440-A: UAI not completed after significant resident condition change, March 16, 2022 complaint survey.
22VAC40-73-1090-A: Resident admitted to safe, secure environment without required assessment, March 16, 2022 complaint survey.
22VAC40-73-450-F: ISPs not reviewed and updated annually, March 16, 2022 complaint survey.
22VAC40-73-320-A: Physical exam report lacked statement on self-administering medication capability, May 4, 2021 inspection.
Report Facts
Violations cited: 28 Distinct standards: 24 Inspections on page: 21 Inspections with violations: 11 Complaint visits: 12

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