Inspection Reports for
Living Waters Senior Care
379 North Main Street, TIMBERVILLE, VA, 22853
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Inspection Reports Summary
Covers 11 inspections · Jul 2021 – Sep 2025Visit Reason
This report covers 11 inspections of Living Waters Senior Care from July 13, 2021 to September 12, 2025, including routine, renewal, monitoring, and complaint investigations.
Complaint Details
Five inspections were complaint investigations prompted by complaints regarding resident care, staffing, buildings and grounds, and reporting. Investigations found some violations unrelated to complaints but issued violation notices accordingly.
Findings
Across that history VDSS cited 55 violations under 43 distinct standards. All 11 inspections cited violations, including 5 complaint visits.
Violations (78)
22VAC40-73-680-C: Physician's or prescriber's oral orders not reviewed and signed within 14 days.
22VAC40-73-350-B: Failed to ascertain prior to admission if potential resident was a registered sex offender.
22VAC40-73-970-A: Fire and emergency evacuation drills not completed as required by Virginia Statewide Fire Prevention Code.
22VAC40-73-320-A: Admission physical exam and report missing required information.
63.2-1720-E: Criminal history record reports not obtained on or prior to 30th day of employment.
22VAC40-73-250-D: Staff failed to submit tuberculosis risk assessment results prior to first day of work.
22VAC40-73-670-1: Staff administering medication not licensed or registered as required.
22VAC40-73-390-A: Resident agreement not dated and signed at or prior to admission.
22VAC40-73-450-C: Individualized Service Plans missing assessed needs.
22VAC40-73-310-D: Written assurance of appropriate license not provided at admission.
22VAC40-73-950-E: Failed to implement orientation and semi-annual review of emergency preparedness plan for all staff.
22VAC40-73-990-C: Staff did not participate in resident emergency procedure exercises every six months.
22VAC40-73-120-A: Required orientation and training not completed within first seven working days of employment.
22VAC40-73-980-A: First aid kit incomplete, missing required items.
22VAC40-73-350-B: Failed to ascertain prior to admission if potential resident was a registered sex offender.
22VAC40-73-450-F: Individualized service plans not updated and reviewed at least annually and as needed.
22VAC40-73-70-A: Failed to report major incidents to regional licensing office within 24 hours.
22VAC40-73-870-A: Interior of buildings not maintained in good repair and kept clean.
22VAC40-73-860-I: Cleaning supplies and hazardous materials not stored in locked area.
22VAC40-73-860-D: Doors did not close effectively and operable windows not effectively screened.
22VAC40-73-350-B: Failed to ascertain prior to admission if potential resident was a registered sex offender.
22VAC40-73-450-F: Individualized service plans not reviewed and updated annually or as needed.
22VAC40-73-70-A: Failed to report major incidents to regional licensing office within 24 hours.
22VAC40-73-870-A: Interior and exterior of buildings not maintained in good repair and clean.
22VAC40-73-150-B-1: Failed to notify licensing office in writing within 14 days of administrator change.
22VAC40-73-280-B: Failed to maintain written staffing plan specifying direct care staff needed.
22VAC40-73-350-B: Failed to ascertain prior to admission if potential resident was a registered sex offender.
22VAC40-73-970-A: Fire drills not completed quarterly on each shift as required.
22VAC40-73-680-M: PRN medications not available, properly labeled, or properly stored.
22VAC40-73-950-E: Semi-annual review of emergency preparedness plan not completed for staff and residents.
22VAC40-73-350-C: Failed to inform residents or representatives annually about sex offender information rights.
22VAC40-90-40-B: Criminal history report not obtained prior to 30th day of employment for staff.
22VAC40-73-450-F: Individualized service plans not reviewed and updated annually or as needed.
22VAC40-73-210-A: Direct care staff failed to attend at least 14 hours of annual training.
22VAC40-73-640-A: Failed to implement written medication management plan to ensure timely refills.
22VAC40-73-870-A: Interior and exterior of buildings not maintained in good repair and clean.
22VAC40-73-290-B: Failed to post name of current on-site person in charge conspicuously.
22VAC40-73-980-A: Facility first aid kit missing multiple required items.
22VAC40-73-550-G: Failed to review rights and responsibilities of residents annually with staff.
22VAC40-73-560-E: Resident records not kept current, retained at facility, or kept locked.
22VAC40-73-260-C: List of staff with current CPR certifications not kept up to date.
22VAC40-73-410-A: Orientation acknowledgment not signed and dated by resident or representative.
22VAC40-73-610-B: Weekly menu not posted in area conspicuous to residents.
22VAC40-73-350-B: Failed to ascertain prior to admission if potential resident was a registered sex offender.
22VAC40-73-970-A: Fire drills not completed quarterly on each shift as required.
22VAC40-73-870-A: Interior and exterior of buildings not maintained in good repair and clean.
22VAC40-73-880-B: Facility failed to maintain temperature of at least 72 degrees in resident areas.
22VAC40-73-925-A: Inadequate supply of toilet tissue accessible to each commode.
22VAC40-73-925-B: Common hand washing sinks lacked paper towels or air dryers.
22VAC40-73-450-C: Service plans missing items matching current identified needs.
22VAC40-73-870-A: Interior and exterior of buildings not maintained in good repair and clean.
22VAC40-73-610-B: Daily menu failed to include snacks based on USDA guidance.
22VAC40-73-450-F: Individualized service plans not reviewed and updated annually or as needed.
22VAC40-73-870-A: Interior and exterior of buildings not maintained in good repair and clean.
22VAC40-73-290-A: Failed to maintain written work schedule indicating person in charge.
22VAC40-73-530-B: Doors to outside locked from inside, restricting resident exit.
22VAC40-73-680-C: Medications administered outside one hour before or after scheduled time.
22VAC40-73-870-E: Furnishings, fixtures, and equipment not kept clean and in good repair.
22VAC40-73-150-B-1: Failed to notify licensing office in writing within 14 days of administrator change.
22VAC40-73-280-B: Failed to maintain written staffing plan specifying direct care staff needed.
22VAC40-73-290-A: Failed to maintain written work schedule indicating person in charge.
22VAC40-73-530-B: Doors to outside locked from inside, restricting resident exit.
22VAC40-73-680-C: Medications administered outside one hour before or after scheduled time.
22VAC40-73-870-E: Furnishings, fixtures, and equipment not kept clean and in good repair.
22VAC40-73-150-B-1: Failed to notify licensing office in writing within 14 days of administrator change.
22VAC40-73-280-B: Failed to maintain written staffing plan specifying direct care staff needed.
22VAC40-73-290-A: Failed to maintain written work schedule indicating person in charge.
22VAC40-73-530-B: Doors to outside locked from inside, restricting resident exit.
22VAC40-73-680-C: Medications administered outside one hour before or after scheduled time.
22VAC40-73-870-E: Furnishings, fixtures, and equipment not kept clean and in good repair.
22VAC40-73-150-B-1: Failed to notify licensing office in writing within 14 days of administrator change.
22VAC40-73-280-B: Failed to maintain written staffing plan specifying direct care staff needed.
22VAC40-73-290-A: Failed to maintain written work schedule indicating person in charge.
22VAC40-73-530-B: Doors to outside locked from inside, restricting resident exit.
22VAC40-73-680-C: Medications administered outside one hour before or after scheduled time.
22VAC40-73-870-E: Furnishings, fixtures, and equipment not kept clean and in good repair.
22VAC40-73-150-B-1: Failed to notify licensing office in writing within 14 days of administrator change.
22VAC40-73-280-B: Failed to maintain written staffing plan specifying direct care staff needed.
Report Facts
Violations cited: 55
Distinct standards: 43
Inspections on page: 11
Inspections with violations: 11
Complaint visits: 5
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