1 Inspection Summary
Inspection Reports Summary
Covers 16 inspections · Feb 2021 – Jun 2026Visit Reason
This report covers 16 inspections of Emily Green Shores from February 4, 2021 to June 1, 2026, including routine, complaint, monitoring, and renewal inspections.
Complaint Details
Nine inspections were complaint surveys. Some complaint investigations found no violations, while others supported some allegations resulting in violations issued. Complaints covered areas including Admission, Retention and Discharge of Residents, Resident Care and Related Services, Buildings and Grounds, and Personnel.
Findings
Across that history VDSS cited 27 violations under 25 distinct standards. 12 of 16 visits ended with violations and 4 with none. Nine inspections were complaint prompted.
Violations (27)
22VAC40-73-440-A: Facility did not ensure UAI was completed at least annually for residents.
22VAC40-73-450-F: Individualized service plan was not reviewed and updated at least annually.
22VAC40-73-150-B: Facility failed to employ or appoint an administrator immediately when one was absent.
22VAC40-73-550-G: Resident rights reviews were not completed annually for residents and staff.
22VAC40-90-40-B: Criminal history record report was not obtained within 30 days of employment for staff.
22VAC40-73-680-D: Medications were not administered according to physician’s instructions.
22VAC40-73-250-D: Staff did not submit required tuberculosis risk assessment documentation timely.
22VAC40-90-40-B: Criminal history record report was not obtained on or prior to 30th day of employment.
22VAC40-73-870-D: Buildings and grounds were not kept free of infestations of insects and vermin.
22VAC40-73-310-H: Facility admitted or retained individuals on psychotropic meds without treatment plans.
22VAC40-73-640-A: Facility failed to implement written medication management plan to prevent outdated meds.
22VAC40-73-490-A-2: Health care oversight was not provided at least every three months for residents.
22VAC40-73-380-B: Personal and social info including allergies and DNR orders were not current in records.
22VAC40-73-460-A: Facility did not assume responsibility for health, safety, and well-being of resident.
22VAC40-73-680-E: Medical procedures ordered by physician were not provided or documented as required.
22VAC40-73-200-B: Direct care staff provided services outside scope of their practice and training.
22VAC40-73-470-F: Facility failed to document serious incidents and notify next of kin within 24 hours.
22VAC40-73-325-B: Fall Risk Rating was not reviewed and updated after resident condition changes or falls.
22VAC40-73-680-I: Medication Administration Record lacked required documentation for medications and blood sugar.
22VAC40-73-490-A: Health care oversight was not provided at least every six months as required.
22VAC40-73-940-A: Annual fire inspection was not conducted by appropriate fire official.
22VAC40-73-620-A: Dietary oversight for special diets was not conducted every six months.
22VAC40-73-610-B: Menu substitutions were not recorded on the posted menu as required.
22VAC40-73-290-A: Facility failed to maintain written work schedule with names and job classifications.
22VAC40-73-680-I: MAR did not include diagnosis or indications for administering certain drugs.
22VAC40-90-40-C: Staff employed despite criminal history report containing barrier crimes.
22VAC40-73-570-C: Facility released resident information without written permission of resident or representative.
Report Facts
Violations cited: 27
Distinct standards: 25
Inspections on page: 16
Inspections with violations: 12
Complaint visits: 9
Loading inspection reports...
