Inspection Reports for
Journeys Crossing
102 N. Stuart Avenue, ELKTON, VA, 22827
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Inspection Reports Summary
Covers 12 inspections · Apr 2021 – Dec 2025Visit Reason
This report covers 12 inspections of Journeys Crossing Assisted Living from April 16, 2021 to December 17, 2025, including routine, renewal, complaint, and monitoring inspections.
Complaint Details
Three complaint surveys were conducted. One on December 17, 2025 cited one violation related to staffing plan deficiencies. Two other complaint surveys on July 17, 2025 found no violations after investigation of allegations.
Findings
Across that history VDSS cited 29 violations under 26 distinct standards. 8 of the 12 visits ended with violations cited and 4 with none. 3 inspections were prompted by a complaint.
Violations (28)
22VAC40-73-290-B: Facility failed to post current on-site person in charge conspicuously.
22VAC40-90-40-B: Facility failed to obtain original criminal history reports within 30 days of employment.
22VAC40-90-30-B: Facility failed to obtain sworn statements disclosing criminal convictions prior to employment.
22VAC40-73-470-D: Facility lacked written policy to inform staff of resident allergies and life-threatening conditions.
22VAC40-73-310-B: Facility failed to document interview between administrator and resident or legal representative.
22VAC40-73-260-A: Staff did not complete first aid certification within 60 days of hire.
22VAC40-73-640-A: Facility failed to prevent use of outdated medications per medication management plan.
22VAC40-73-325-C: Facility failed to document analysis and interventions after resident falls.
22VAC40-73-680-K: PRN medication orders lacked physician instructions for persistent symptoms.
22VAC40-73-350-B: Facility failed to ascertain and document registered sex offender status prior to admission.
22VAC40-73-325-B: Fall risk assessments were not reviewed and updated after every fall.
22VAC40-73-650-A: Medical procedures started or changed without valid physician orders.
22VAC40-73-440-F: Uniform Assessment Instrument was not completed within 90 days prior to admission.
22VAC40-73-280-B: Facility failed to maintain a written staffing plan based on resident acuity and care needs.
22VAC40-73-660-A-1: Medication storage area was not kept locked.
22VAC40-73-560-A: Resident records were not kept in a locked area.
22VAC40-73-250-C: Staff did not verify receipt of job descriptions.
22VAC40-73-620-A: No documentation of dietician oversight at least every six months.
22VAC40-73-680-D: Medications not administered according to physician instructions and standards.
22VAC40-73-970-A: Fire drills not completed in accordance with Virginia Statewide Fire Prevention Code.
22VAC40-73-250-C: Staff records lacked required documentation including sworn statements and job descriptions.
22VAC40-73-450-C: Individualized Service Plans lacked required components for residents.
22VAC40-73-640-D: Drug reference guide for medication staff was outdated (dated 2016).
22VAC40-73-280-B: Facility failed to implement and maintain a written staffing plan based on acuity levels.
22VAC40-73-460-B: Facility failed to ensure prompt response by staff to resident needs as required.
22VAC40-73-680-D: Medications not administered per physician instructions; hospice not notified as required.
22VAC40-73-680-I: Medication Administration Record lacked documentation of effectiveness of PRN medications.
22VAC40-90-40-B: Criminal history reports not obtained on or prior to 30th day of employment.
Report Facts
Violations cited: 29
Distinct standards: 26
Inspections on page: 12
Inspections with violations: 8
Complaint visits: 3
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