1 Inspection Summary
Inspection Reports Summary
Covers 26 inspections · Jan 2021 – Sep 2025Visit Reason
This report covers 26 inspections of Indian River Assisted Living from January 27, 2021 to September 29, 2025, including complaint and routine inspections.
Complaint Details
Multiple complaint inspections were conducted regarding allegations in areas such as Resident Care, Staffing and Supervision, Buildings and Grounds, Emergency Preparedness, and Reports of abuse, neglect, or exploitation. Some complaints were found not valid; others resulted in violations issued.
Findings
Across that history VDSS cited 75 violations under 51 distinct standards. 17 of 26 visits ended with violations and 9 with none. 16 inspections were prompted by a complaint.
Violations (39)
22VAC40-73-450-E: ISP not signed by resident's guardian.
22VAC40-73-680-C: Medications administered outside one hour window of scheduled time.
22VAC40-73-450-C: Comprehensive ISP not completed within 30 days after admission.
22VAC40-73-440-A: UAI not completed annually or with significant change.
22VAC40-73-550-G: Resident rights review not signed by resident's guardian.
22VAC40-73-680-H: MAR missing documentation if medication administered or omitted.
22VAC40-73-325-B: Fall risk rating not reviewed and updated annually.
22VAC40-73-450-F: ISP not reviewed and updated annually or as needed.
22VAC40-73-470-G: Facility failed to assess if it can meet needs after resident refuses medical attention.
22VAC40-73-680-E: Medical procedures or treatments ordered by physician not documented.
22VAC40-73-640-A: Medication management plan not implemented or kept current.
22VAC40-73-550-B: Resident rights to voice grievances not ensured; staff coercion alleged.
22VAC40-73-880-C: No plan to protect residents from heat/cold illnesses during HVAC failure.
22VAC40-73-150-A: Facility lacked an administrator of record over 90 days.
22VAC40-73-70-A: Facility failed to report major incident within 24 hours.
22VAC40-73-870-D: Facility failed to keep buildings free of insect and vermin infestations.
22VAC40-90-40-B: Criminal history record report not obtained timely for employees.
22VAC40-73-550-G: Rights and responsibilities not reviewed annually with residents and staff.
22VAC40-73-250-D: TB risk assessment not submitted within required timeframe for staff.
22VAC40-73-130-A: Mandated reporters failed to report suspected abuse as required.
22VAC40-73-280-E: Employee worked without completed background check or direct supervision.
22VAC40-73-350-B: Sex offender registry check not completed prior to admission.
22VAC40-73-980-C: First aid kits not checked monthly or missing items.
22VAC40-73-980-A: First aid kits lacked required items in all buildings.
22VAC40-73-870-A: Buildings not maintained in good repair; broken tiles and fixtures.
22VAC40-73-550-F: Rights and responsibilities of residents not posted completely.
22VAC40-73-610-B: Menus for current week not dated or posted conspicuously.
22VAC40-90-40-H: Employee with felony barrier crime conviction employed.
22VAC40-73-450-C: ISP did not include description of identified resident needs.
22VAC40-73-830-E: No written response to resident council recommendations.
22VAC40-73-610-E: Facility lacked current diet manual for food preparation personnel.
22VAC40-73-260-C: Listing of staff with current first aid or CPR certification not posted.
22VAC40-73-890-B: Interior and exterior areas not adequately lighted for safety.
22VAC40-73-1180-B: Harmful materials accessible to residents without staff supervision.
22VAC40-73-290-B: Name of current on-site person in charge not posted as required.
22VAC40-73-480-C: Failed to arrange specialized rehabilitative services as needed.
22VAC40-73-650-B: Physician orders lacked diagnosis or specific indications for drugs.
22VAC40-73-610-B: Menus failed to document substitutions or additions.
22VAC40-90-30-C: Staff made materially false statements on sworn statements or affirmations.
Report Facts
Violations cited: 75
Distinct standards: 51
Inspections on page: 26
Inspections with violations: 17
Complaint visits: 16
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