Inspection Reports for
Elancé at West End
5550 Cardinal Pl, Alexandria, VA 22304, United States, VA
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Inspection Reports Summary
Covers 11 inspections · Sep 2023 – Mar 2026Visit Reason
The page covers 11 inspections of Cogir of West End, Alexandria from September 5, 2023 to March 11, 2026, including complaint and routine inspections with detailed findings and violations.
Complaint Details
Six inspections were complaint surveys prompted by allegations in areas including Personnel, Staffing and Supervision, Resident Care and Related Services, and Complaint Investigation. Some complaints were substantiated with violations issued; others were not supported.
Findings
Across that history VDSS cited 36 violations under 29 distinct standards. 7 of 11 visits ended with violations and 6 were complaint prompted.
Violations (31)
63.2-1808-A-11: Residents were not treated with courtesy, respect, and dignity during transfer as shown by video.
22VAC40-73-450-F: Individualized service plans were not reviewed or updated at least annually or as needed for resident condition changes.
22VAC40-73-450-F: Individualized service plans lacked indication of one or two person assist with transfers.
22VAC40-73-550-G: Resident rights and responsibilities were not reviewed annually with staff person.
22VAC40-73-280-B: Facility failed to maintain a written staffing plan specifying number and type of direct care staff.
22VAC40-73-680-D: Medications were not administered according to physician or prescriber instructions.
22VAC40-73-390-A: Financial arrangements did not specify accurate charges and payment rules to resident.
22VAC40-73-650-A: Medications, treatments, or procedures were started, changed, or discontinued without valid physician orders.
22VAC40-73-100-A: Administrator failed to ensure annual review of infection prevention policies with documentation.
22VAC40-73-950-E: Facility failed to develop and document semi-annual review of emergency preparedness plan.
22VAC40-73-290-A: Facility failed to maintain written work schedules with staff names, job classifications, and supervisory indication.
22VAC40-73-990-B: Procedures for resident emergencies were not reviewed every six months with all staff with documentation.
22VAC40-73-150-B-2: Facility failed to notify licensing office in writing within 14 days of administrator change.
22VAC40-73-970-E: Fire and emergency evacuation drill records lacked date, time, number of participants, and weather conditions.
22VAC40-73-560-I: Resident file lacked current picture or narrative physical description for identification.
22VAC40-73-950-F: Facility failed to review emergency preparedness plan annually with documentation.
22VAC40-73-970-A: Fire drills were not conducted quarterly on each shift with required frequency and participation.
22VAC40-73-45-B: Facility failed to provide liability insurance statement form as required.
22VAC40-73-980-H: Facility lacked required 48-hour supply of emergency food on site.
22VAC40-73-50-A: Facility failed to provide disclosure statement to prospective resident and legal representative.
22VAC40-73-830-E: Facility failed to provide written response to resident council prior to next meeting on recommendations.
22VAC40-73-650-A: Medication started without valid physician order for Vitamin D2 5000U supplement.
22VAC40-73-680-I: Medication Administration Record lacked name, signature, and initials of staff administering medications.
22VAC40-73-680-D: Medications were not administered as prescribed; doses missed due to unavailability.
22VAC40-73-640-A: Medication management plan not implemented to ensure timely filling and refilling of prescriptions.
22VAC40-73-460-B: Staff failed to promptly respond to resident nurse call needs with multiple delays over 30 minutes.
22VAC40-73-620-B: Facility staff failed to follow-up on dietician recommendations to resident physicians.
22VAC40-73-680-D: Medications were not administered according to physician orders; missed doses documented.
22VAC40-73-40-A: Facility staff failed to follow weight tracking policy; weights missing or outdated for residents.
22VAC40-73-710-E: Facility staff failed to address use of bedrails on residents' Individualized Service Plans.
22VAC40-73-710-B: Facility staff failed to obtain physician orders for restraints (bedrails) before use.
Report Facts
Violations cited: 36
Distinct standards: 29
Inspections on page: 11
Inspections with violations: 7
Complaint visits: 6
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