Inspection Reports for
Greenbrier Assisted Living
8204 Madrillon Estates Dr, Vienna, VA 22182, United States, VA, 22182
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Inspection Reports Summary
Covers 10 inspections · Feb 2021 – Aug 2025Visit Reason
The page covers 10 inspections of Greenbrier Assisted Living from February 16, 2021 to August 27, 2025, including routine, renewal, complaint, and monitoring inspections.
Complaint Details
Three inspections were complaint surveys conducted on 07/29/2025 (16 violations), 07/29/2025 (0 violations), and 10/27/2021 (10 violations). Complaints involved physical plant, medication/medical issues, emotional and physical abuse/neglect, records, admissions/discharge, and health related services. Investigations supported some allegations and resulted in violation notices.
Findings
Across that history VDSS cited 122 violations under 94 distinct standards. 5 of 10 inspections cited violations and 3 were complaint visits.
Violations (52)
22VAC40-73-640-A: Facility failed to implement written medication management plan.
22VAC40-73-920-A: Toilets and bathing facilities not separated by gender where required.
22VAC40-73-100-A: Facility failed to implement infection control program.
22VAC40-73-290-A: Facility failed to maintain written work schedule including absences and changes.
22VAC40-73-210-B: Direct care staff did not attend at least 18 hours of annual training.
22VAC40-73-810-A: Facility failed to ensure at least one operable telephone accessible to staff.
22VAC40-73-520-F: Facility failed to have staff or volunteers lead and assist residents during activity.
22VAC40-73-710-B: Physical restraints used without physician order and resident consent.
22VAC40-73-660-A-3: Medication administrator did not keep keys to storage area on person.
22VAC40-73-550-F: Rights and responsibilities of residents not posted conspicuously in 14-point type.
22VAC40-73-1070-B: Harmful materials accessible to residents with serious cognitive impairments.
22VAC40-73-40-A: Failed to ensure compliance with all regulations, laws, and facility policies.
22VAC40-73-660-A-6: Medication stored in refrigerator not in locked container or defined area.
22VAC40-73-680-D: Medications not administered per physician or prescriber instructions.
22VAC40-73-650-A: Medication, diet, or treatment started or changed without valid physician order.
22VAC40-73-160-D: Administrator supervising medication aides not trained as required.
22VAC40-73-1040-B: Protective devices on windows not in place to prevent resident access.
22VAC40-73-870-I: Elevator not inspected annually per Virginia Uniform Statewide Building Code.
22VAC40-73-650-E: Resident records lacked signed or dated physician orders organized chronologically.
22VAC40-73-610-B: Menus for current week not dated and posted conspicuously.
22VAC40-73-250-B: Staff records not retained at facility, confidential, or kept locked.
22VAC40-73-250-C: Staff records lacked required personal and social data.
22VAC40-73-680-M: Medications ordered for PRN administration not available.
22VAC40-73-1020-A: Less than two direct care staff awake and on duty when residents present.
22VAC40-73-750-B: Bedrooms lacked window coverings for privacy.
22VAC40-73-680-C: Medications administered outside one hour before or after scheduled time.
63.2-1808-A-11: Residents not treated with courtesy, respect, and dignity during medication administration.
22VAC40-73-980-A: First aid kit incomplete and contained expired items.
22VAC40-73-250-D: Health information including TB risk assessments not maintained for all staff.
22VAC40-73-40-B-12: Facility failed to provide reasonable opportunity to inspect buildings, records, and interview staff.
22VAC40-73-610-E: Diet manual not current or readily available to food preparation personnel.
22VAC40-73-870-E: Furnishings and equipment not kept clean and in good repair.
22VAC40-73-870-F: Inside and outside steps, stairways, and ramps lacked nonslip surfaces.
22VAC40-73-860-J: Cleaning supplies and hazardous materials not stored locked and out of sight.
22VAC40-73-200-C: Direct care staff failed to complete approved personal care aide training program.
22VAC40-73-150-C: Administrator failed to oversee general administration and day-to-day operation.
22VAC40-73-490-D: Health care oversight documentation did not identify specific residents reviewed.
22VAC40-73-740-D: Facility lacked written policy for missing resident clothing or possessions.
22VAC40-73-540-B: Visiting hours were restricted contrary to resident choice.
22VAC40-73-470-F: Medical attention not secured or documented timely for serious illness or condition.
22VAC40-73-870-A: Interior and exterior of buildings not maintained in good repair and clean.
22VAC40-73-680-G: Over-the-counter medication not labeled with resident’s name or pharmacy container.
22VAC40-73-950-A: Emergency preparedness plan lacked documentation of annual contact with local emergency coordinator.
22VAC40-90-40-B: Criminal history record report not obtained within 30 days of employment for staff.
22VAC40-73-290-B: Procedure for posting current on-site person in charge not developed or implemented.
22VAC40-73-680-B: Medications removed or administered by unlicensed or unauthorized staff; medications not in pharmacy container.
22VAC40-73-70-C: Written incident reports not submitted within seven days of incidents.
22VAC40-73-260-C: Listing of staff with current first aid or CPR certification not posted.
22VAC40-73-670-1: Persons administering medications not authorized or licensed as required.
22VAC40-73-650-F: New medication orders not obtained or physician notified upon resident hospital return.
22VAC40-73-660-A-1: Medication storage areas not locked or secured as required.
22VAC40-73-660-A-2: Schedule II and other drugs subject to abuse not kept in separate locked compartment.
Report Facts
Violations cited: 122
Distinct standards: 94
Inspections on page: 10
Inspections with violations: 5
Complaint visits: 3
Employees mentioned
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