Inspection Reports for
Edgeworth Park at New Town

5501 Discovery Park Boulevard, WILLIAMSBURG, VA, 23188

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1 Inspection Summary

2021–2026 18 inspections covered

Inspection Reports Summary

Covers 18 inspections · Oct 2021 – May 2026

Visit Reason
This report covers 18 inspections of Edgeworth Park at New Town from October 28, 2021 to May 13, 2026, including routine, complaint, monitoring, and renewal inspections.

Complaint Details
Twelve inspections were prompted by complaints alleging issues in areas such as Resident Care and Related Services, Personnel, Staffing and Supervision, and Discharge. Some complaints were supported with violations issued, while others found no violations.
Findings
Across that history VDSS cited 34 violations under 20 distinct standards. 12 inspections were prompted by a complaint.

Violations (34)
22VAC40-73-460-D: Failed to provide supervision of resident schedules and specialized needs including wandering.
22VAC40-73-680-C: Medications administered outside the standard dosing schedule.
22VAC40-73-450-F: ISPs not reviewed and updated for significant resident condition changes.
22VAC40-73-220-A: Failed to obtain proper documentation for private duty personnel.
22VAC40-73-460-D: Failed to provide supervision of resident schedule and specialized needs.
22VAC40-73-680-C: Medications administered not earlier than one hour before and not later than one hour after standard dosing schedule.
22VAC40-73-450-C: ISPs missing required elements per 22VAC40-73-450-C.
22VAC40-73-680-D: Failed to administer medications according to prescriber’s instructions.
22VAC40-73-440-B: UAIs not completed or signed by qualified assessors or designees.
22VAC40-73-450-E: ISPs not signed and dated by licensee, administrator, or resident/legal representative.
22VAC40-73-450-F: ISPs missing description of all identified needs/services.
22VAC40-73-640-A: Failed to ensure medications and dietary supplements stored per standards.
22VAC40-73-660-A-7: Failed to properly label single-use and dedicated medical supplies.
22VAC40-73-640-A: Failed to implement plan ensuring timely filling and refilling of medications.
22VAC40-73-680-I: MARs missing required items including diagnosis and medication effectiveness documentation.
22VAC40-73-640-A: Failed to implement methods to prevent use of outdated, damaged, or contaminated medications.
22VAC40-73-260-C: Failed to post listing of staff with current first aid or CPR certification.
22VAC40-73-450-E: ISPs not signed by resident or legal representative.
22VAC40-73-450-F: ISPs missing description of all needs/services identified.
22VAC40-73-325-B: Failed to update fall risk assessment after every fall.
22VAC40-73-550-G: Failed to ensure annual review of resident rights and responsibilities filed in record.
22VAC40-73-640-A: Failed to implement written medication management plan.
22VAC40-73-320-B: Failed to complete annual TB risk assessment for residents.
22VAC40-73-640-A: Failed to provide supervision of resident schedule and specialized needs.
22VAC40-73-640-A: Failed to implement methods to prevent use of outdated, damaged, or contaminated medications.
22VAC40-73-260-C: Failed to post listing of staff with current first aid or CPR certification.
22VAC40-73-450-E: ISPs not signed by resident or legal representative.
22VAC40-73-450-F: ISPs missing description of all needs/services identified.
22VAC40-73-325-B: Failed to update fall risk assessment after every fall.
22VAC40-73-550-G: Failed to ensure annual review of resident rights and responsibilities filed in record.
22VAC40-73-640-A: Failed to implement written medication management plan.
22VAC40-73-320-B: Failed to complete annual TB risk assessment for residents.
22VAC40-73-640-A: Failed to implement methods to prevent use of outdated, damaged, or contaminated medications.
22VAC40-73-260-C: Failed to post listing of staff with current first aid or CPR certification.
Report Facts
Violations cited: 34 Distinct standards: 20 Inspections on page: 18 Inspections with violations: 11 Complaint visits: 12

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