1 Inspection Summary
Inspection Reports Summary
Covers 7 inspections · Apr 2021 – Aug 2025Visit Reason
This report covers 7 inspections of Emilia Assisted Living Of Ashlawn Court from April 7, 2021 to August 20, 2025, including one complaint visit.
Complaint Details
One complaint visit was conducted on August 21, 2024 regarding physical grounds and resident supervision. The investigation found no violations of standards.
Findings
Across that history VDSS cited 28 violations under 27 distinct standards. 4 visits ended with violations and 3 with none.
Violations (28)
22VAC40-73-925-B: Facility failed to ensure common sinks have paper towels or air dryer and liquid soap.
22VAC40-73-680-I: MAR lacked diagnosis, medication discontinuation dates, administration date/time, and staff initials.
22VAC40-73-870-E: Furnishings and equipment were not clean or in good repair; HVAC vents covered in dust.
22VAC40-73-450-C: ISP did not include services provided or responsible persons for resident needs.
22VAC40-73-960-C: Telephone numbers for emergency services not posted by telephones on fire plan.
22VAC40-73-960-B: Fire evacuation plans missing secondary escape routes, refuge areas, and fire alarm boxes.
22VAC40-73-250-D: Facility failed to ensure annual tuberculosis evaluations for staff.
22VAC40-73-410-A: Resident orientation to emergency procedures and call system not documented upon admission.
22VAC40-73-490-D: Health care oversight did not identify specific residents reviewed.
22VAC40-73-980-C: First aid kits not checked monthly; no documentation of monthly checks.
22VAC40-73-550-G: Resident rights and responsibilities not reviewed annually with residents or representatives.
22VAC40-73-950-E: Semi-annual emergency preparedness review not conducted with staff and residents.
22VAC40-80-120-E-1: Facility failed to post the most recently issued license on premises.
22VAC40-73-980-A: First aid kit incomplete and contained expired items.
22VAC40-73-970-A: Fire drills not completed on each shift quarterly; no drills in June, July, August.
22VAC40-73-100-A: Administrator did not complete annual review of infection prevention policies.
22VAC40-73-350-C: Residents not informed of sex offender information with written acknowledgement.
22VAC40-73-310-M: No written agreement between facility and hospice provider.
22VAC40-73-350-B: Sex offender search completed 5 days late after resident admission.
22VAC40-73-550-F: Resident rights posting had outdated contact information.
22VAC40-73-950-F: Annual emergency preparedness plan review not documented by signature and date.
22VAC40-73-680-H: Medication administration not properly documented on MAR at time given.
22VAC40-73-40-B-3: Criminal history report not obtained by 30th day of employment for staff.
22VAC40-73-520-I: Activity calendar not updated when activities were substituted.
22VAC40-73-950-E: Semi-annual emergency preparedness review not conducted with staff, residents, volunteers.
22VAC40-73-670-2: Medication aide acted provisionally longer than 120 days without registration.
22VAC40-73-450-A: Preliminary plan of care not developed within seven days prior to admission.
22VAC40-73-450-D: Comprehensive ISP did not include description of assessed resident needs.
Report Facts
Violations cited: 28
Distinct standards: 27
Inspections on page: 7
Inspections with violations: 4
Complaint visits: 1
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