Inspection Reports for
Commonwealth Senior Living at Kings Grant House
VA, 23452
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Inspection Reports Summary
Covers 15 inspections · Apr 2021 – Aug 2025Visit Reason
The page covers 15 inspections of Commonwealth Senior Living at King's Grant House from April 23, 2021 to August 22, 2025, including complaint and renewal inspections with detailed findings and violations.
Complaint Details
Six inspections were complaint surveys prompted by allegations in areas such as Resident Care and Related Services, Administration, and Buildings and Grounds. Investigations sometimes supported some allegations and resulted in violations; other times allegations were not supported.
Findings
Across that history VDSS cited 38 violations under 29 distinct standards. 13 of 15 visits ended with violations and 6 inspections were prompted by a complaint.
Violations (34)
22VAC40-73-680-D: Medications not administered per physician's instructions causing medication error and resident harm.
22VAC40-73-325-B: Fall risk rating not reviewed or updated after resident falls.
22VAC40-73-450-C: Comprehensive individualized service plan not completed within 30 days after admission.
22VAC40-73-320-B: Physical exam risk assessment for tuberculosis completed after admission dates.
22VAC40-73-720-A: Valid written Do Not Resuscitate order missing or inconsistent with service plan.
22VAC40-90-40-B: Criminal history record report not obtained on or before 30th day of employment.
22VAC40-73-460-A: Facility failed to assume general responsibility for residents' health, safety, and well-being.
22VAC40-73-450-C: Individualized service plan missing fall risk description and date identified.
22VAC40-73-240-G: Volunteers not supervised by designated staff when residents present.
22VAC40-73-460-D: Failed to provide supervision of residents including those at risk of wandering.
22VAC40-90-40-H: Employed person convicted of barrier crime not removed from schedule.
22VAC40-73-310-H: Admitted and retained individuals with prohibited conditions or care needs.
22VAC40-73-325-A: Fall risk rating not completed for residents meeting assisted living criteria.
22VAC40-73-440-A: Uniform Assessment Instrument not completed prior to admission or annually.
22VAC40-73-470-F: Failed to secure immediate medical attention and notify responsible parties after serious incident.
22VAC40-73-1100-A: Failed to obtain written approval for placement in safe, secure environment.
22VAC40-73-1110-A: Failed to determine appropriateness of placement in special care unit for resident.
22VAC40-73-440-A: Failed to complete Uniform Assessment Instrument for significant change in condition.
22VAC40-73-70-A: Failed to report major incident to regional licensing office within 24 hours.
22VAC40-73-450-F: Failed to review and update individualized service plans for significant resident changes.
22VAC40-73-450-E: Individualized service plan not signed and dated by licensee or resident/legal representative.
22VAC40-73-980-H: Emergency drinking water supply insufficient and expired.
22VAC40-73-640-A: Failed to prevent use of outdated medications and plan for proper disposal.
22VAC40-73-490-A: Failed to retain licensed health care professional with required experience for oversight.
22VAC40-73-980-C: First aid kits not checked monthly or items expired.
22VAC40-73-560-E: Resident records not kept in locked area; narcotic count book accessible.
22VAC40-73-320-A: Admitting physical exam risk assessment for tuberculosis incomplete or missing.
22VAC40-90-40-B: Criminal history record reports missing for employees.
22VAC40-73-460-B: Failed to provide resident-centered care and prompt response to resident needs.
22VAC40-73-460-H: Failed to provide personal assistance and care to meet resident needs.
22VAC40-73-325-C: Failed to document analysis of falls and interventions to prevent future falls.
22VAC40-73-70-A: Failed to report major incidents threatening resident health or safety within 24 hours.
22VAC40-73-1090-A: Resident placed in safe, secure environment without proper assessment of cognitive impairment.
22VAC40-73-450-F: Individualized Service Plan not updated to reflect changes in resident condition and needs.
Report Facts
Violations cited: 38
Distinct standards: 29
Inspections on page: 15
Inspections with violations: 13
Complaint visits: 6
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