Inspection Reports for
Commonwealth Senior Living at Georgian Manor
VA, 23320
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Inspection Reports Summary
Covers 17 inspections · Nov 2020 – Apr 2026Visit Reason
This report covers 17 inspections of Commonwealth Senior Living at Georgian Manor from November 30, 2020 to April 29, 2026, including routine, complaint, monitoring, and renewal inspections.
Complaint Details
Nine inspections were prompted by complaints regarding resident care, staffing, and call bell response times. Investigations found some allegations supported with violations issued, while others were not substantiated.
Findings
Across that history VDSS cited 31 violations under 27 distinct standards. 10 of the 17 inspections cited violations and 9 inspections were prompted by a complaint.
Violations (32)
22VAC40-73-110-1: Facility failed to ensure all staff are considerate and respectful of residents' rights and dignity.
22VAC40-73-110-1: Facility failed to ensure all staff be considerate and respectful of the rights, dignity, and sensitivities of persons who are aged, infirmed, or disabled.
22VAC40-73-300-B: Facility did not maintain written communications for direct care staff on all shifts for at least two years.
22VAC40-73-450-F: Facility failed to ensure ISPs were reviewed and updated as needed with resident condition changes.
22VAC40-73-460-B: Facility failed to ensure prompt response by staff to resident needs.
22VAC40-73-680-I: Facility failed to ensure MAR included diagnosis or indications for administering each drug or supplement.
22VAC40-73-870-E: Facility failed to ensure all equipment was kept in good repair and condition.
22VAC40-73-70-A: Facility failed to report major incidents affecting resident health or safety to licensing office within 24 hours.
22VAC40-73-320-B: Facility failed to ensure annual tuberculosis risk assessments were completed for residents.
22VAC40-73-450-C: Facility failed to ensure ISPs were completed within 30 days after admission and included needs based on UAI.
22VAC40-73-310-H: Facility failed to ensure residents with psychotropic medications had appropriate diagnosis and treatment plans.
22VAC40-73-450-H: Facility failed to ensure care and services specified in ISP were provided to each resident.
22VAC40-73-640-A: Facility failed to have and implement a current written medication management plan including proper disposal.
22VAC40-73-940-A: Facility failed to comply with Virginia Statewide Fire Prevention Code by annual fire inspection.
22VAC40-73-1100-A: Facility failed to document approval for placement of resident with serious cognitive impairment in safe, secure environment.
22VAC40-90-30-B: Facility failed to ensure sworn statement or affirmation was completed for all employment applicants.
22VAC40-73-870-A: Facility failed to maintain interior and exterior of buildings in good repair and free of rubbish.
22VAC40-73-260-A: Facility failed to ensure direct care staff maintained current first aid certification.
22VAC40-73-250-D: Facility failed to ensure staff submitted tuberculosis risk assessment results prior to work.
22VAC40-73-450-E: Facility failed to ensure ISPs were signed by licensee, administrator, or designee and resident.
22VAC40-73-440-A: Facility failed to ensure UAI was completed prior to admission.
22VAC40-73-250-C: Facility failed to maintain personal and social data on staff including job description receipt verification.
22VAC40-73-950-F: Facility failed to review emergency preparedness plan annually and document review.
22VAC40-73-325-A: Facility failed to ensure written fall risk rating was completed for residents meeting assisted living criteria.
22VAC40-73-310-D: Facility failed to provide written assurance of appropriate license to resident or legal representative.
22VAC40-73-290-A: Facility failed to post name of current on-site person in charge conspicuously.
22VAC40-73-950-F: Facility failed to review emergency preparedness plan annually and document review.
22VAC40-73-110-1: Facility failed to ensure all staff are considerate and respectful of residents' rights and dignity.
22VAC40-73-320-B: Facility failed to ensure annual tuberculosis risk assessments were completed for residents.
22VAC40-73-640-A: Facility failed to have and implement a current written medication management plan including proper disposal.
22VAC40-73-450-H: Facility failed to ensure care and services specified in ISP were provided to each resident.
22VAC40-73-110-1: Facility failed to ensure all staff be considerate and respectful of the rights, dignity, and sensitivities of persons who are aged, infirmed, or disabled.
Report Facts
Violations cited: 31
Distinct standards: 27
Inspections on page: 17
Inspections with violations: 10
Complaint visits: 9
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