Inspection Reports for
Dominion Village at Poquoson
531 Wythe Creek Road, POQUOSON, VA, 23662
Back to Facility Profile1 Inspection Summary
Inspection Reports Summary
Covers 9 inspections · May 2021 – May 2025Visit Reason
This report covers all inspections on record for Dominion Village at Poquoson, including routine, renewal, complaint, and other inspection types conducted by VDSS between May 6, 2021 and May 7, 2025.
Complaint Details
Three complaint surveys were conducted on 1/10/2024 (two separate inspections) and 4/25/2023. Complaints involved staffing, resident care and related services, and buildings and grounds. Evidence supported allegations of non-compliance and violations were issued.
Findings
Across that history VDSS cited 55 violations under 41 distinct standards across 9 inspections, 3 of which were complaint visits.
Violations (49)
22VAC40-73-610-B: Menus for meals and snacks were not dated and posted on the memory care unit.
22VAC40-73-325-B: Fall risk assessments were not reviewed and updated after every fall.
22VAC40-73-680-I: Facility failed to document effectiveness of PRN medication on MAR.
22VAC40-73-680-I: MARs lacked required information including diagnosis and indications for medications.
22VAC40-73-450-F: ISPs were not signed and dated by required parties.
22VAC40-73-450-F: ISPs were not reviewed and updated at least annually or as needed.
22VAC40-73-550-F: Rights and responsibilities of residents were not posted conspicuously.
22VAC40-73-860-G: Hot water taps exceeded temperature range of 105-120 degrees Fahrenheit.
22VAC40-73-930-B: Signaling devices were missing or not working in resident bathrooms and bedrooms.
22VAC40-73-310-H: Facility admitted or retained individuals without required psychotropic treatment plans.
22VAC40-73-520-I: Current month's activity schedule was not posted in memory care unit.
22VAC40-73-460-D: Facility failed to provide supervision of resident schedules, care, and activities.
22VAC40-73-250-C: Staff failed to verify each staff person received a copy of current job description.
22VAC40-73-290-B: Posting of the name of the current on-site person in charge was not updated.
22VAC40-73-450-E: ISPs were not signed and dated by required parties.
22VAC40-73-940-A: Facility failed to comply with annual fire inspection requirements.
22VAC40-73-550-G: Resident rights were not reviewed annually with residents or legal representatives.
22VAC40-73-980-A: First aid kits were not checked monthly and contained expired items.
22VAC40-73-640-A: Facility failed to ensure accurate counts of controlled substances at shift changes.
22VAC40-73-350-B: Facility failed to ascertain sex offender status prior to admission.
22VAC40-73-640-D: Pharmacy reference book was older than two years.
22VAC40-73-1180-A: Harmful materials or objects were accessible to residents without staff supervision.
22VAC40-73-390-A: Resident agreement was not signed by resident or legal representative.
22VAC40-73-870-A: Interior of building was not maintained in good repair and was unclean.
22VAC40-73-560-F: Records were not made available for inspection by department representatives.
22VAC40-73-870-B: Building was not well-ventilated and had foul odors.
22VAC40-73-260-A: Direct care staff without current first aid certification did not receive certification within 60 days.
22VAC40-80-120-E-2: Facility failed to post findings of most recent inspection.
22VAC40-73-440-B: UAI forms were not approved and signed by administrator or designee.
22VAC40-73-870-A: Interior and exterior of building were not maintained in good repair and clean.
22VAC40-73-380-B: Personal and social information documents were not kept current.
22VAC40-73-450-E: ISPs were not signed by resident or legal representative.
22VAC40-73-450-F: ISPs were not reviewed at least annually or as needed for condition changes.
22VAC40-73-610-B: Menu for current week was not posted.
22VAC40-73-1110-A: Facility failed to document justification for placement in safe, secure environment.
22VAC40-73-1100-A: Facility failed to obtain prior written approval for placement in safe, secure environment.
22VAC40-73-880-B: Temperature below 72 degrees Fahrenheit in resident areas during awake hours.
22VAC40-73-410-A: Orientation was not provided to new residents and legal representatives upon admission.
22VAC40-73-310-H: Facility admitted or retained individuals with psychotropic medications without treatment plans.
22VAC40-73-50-B: Resident records lacked written disclosure signed by resident or legal representative.
22VAC40-73-290-B: Posting of current on-site person in charge was inaccurate.
22VAC40-73-460-D: Facility failed to provide supervision of resident schedules, care, and activities including wandering.
22VAC40-73-260-C: Listing of staff with current first aid and CPR certification was not posted.
22VAC40-73-870-A: Facility failed to maintain building in good repair; exposed wires and peeling flooring observed.
22VAC40-73-610-B: Menu substitutions were not documented on posted menu.
22VAC40-73-610-B: Menu for current week was not posted in a conspicuous place.
22VAC40-73-290-B: Posting of current on-site person in charge was blank or inaccurate.
22VAC40-73-40-B-4: Required license documents including inspection findings were not posted on premises.
22VAC40-73-680-I: Medication administration records lacked required documentation.
Report Facts
Violations cited: 55
Distinct standards: 41
Inspections on page: 9
Inspections with violations: 9
Complaint visits: 3
Loading inspection reports...
