Inspection Reports for
Morningside House of Leesburg, LLC
316 Harrison Street, SE, LEESBURG, VA, 20175
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Inspection Reports Summary
Covers 24 inspections · Feb 2021 – Mar 2026Visit Reason
This report covers 24 inspections of Morningside House of Leesburg, LLC from February 24, 2021 to March 4, 2026, including routine and complaint investigations.
Complaint Details
Multiple complaint surveys were conducted, with 14 complaint visits in total. Complaints involved resident care, medication administration, incident reporting, abuse allegations, and staffing. Some complaints were substantiated with violations issued; others found no violations.
Findings
Across that history VDSS cited 82 violations under 59 distinct standards. 20 of 24 inspections cited violations and 14 were complaint visits.
Violations (65)
22VAC40-73-680-H: Medication administrations not documented on MAR at time of administration.
22VAC40-73-680-D: Medication not administered per prescriber instructions and standards of practice.
22VAC40-73-680-M: PRN medication expired and not available as needed.
22VAC40-73-640-A: Medication management plan not current, implemented, or addressing required procedures.
22VAC40-73-70-A: Major incident not reported to licensing office within 24 hours.
22VAC40-73-460-D: Failed to ensure supervision including prevention of falls and wandering.
22VAC40-73-450-F: ISP not reviewed and updated at least annually or as needed.
22VAC40-73-860-D: Operable windows not screened.
22VAC40-73-680-H: Medication administration not documented on MAR at time of administration.
22VAC40-73-970-A: Fire drills not conducted on each shift quarterly.
22VAC40-73-50-A: Disclosure statement not on department-developed form.
22VAC40-73-680-B: Medications not kept in pharmacy issued container with label until administered.
22VAC40-90-40-B: Criminal record report not obtained on or prior to 30th day of employment.
22VAC40-73-490-A-3: Not all residents included annually in health care oversight.
22VAC40-73-640-A: Medication management plan not implemented.
22VAC40-73-70-A: Incident not reported to licensing office within 24 hours.
22VAC40-73-640-A: Medication management plan not implemented.
22VAC40-73-70-A: Incident not reported to licensing office within 24 hours.
22VAC40-73-460-D: Failed to ensure supervision including prevention of falls and wandering.
22VAC40-73-450-F: ISP not reviewed and updated with resident involvement.
63.2-1606-A: Failed to report suspected abuse, neglect, or exploitation immediately to APS.
22VAC40-73-830-E: Facility did not provide written response to resident council prior to next meeting.
22VAC40-73-130-B: Resident contact or legal representative not notified when report made relating to resident.
22VAC40-73-460-D: Failed to ensure supervision including attention to specialized needs was provided.
22VAC40-73-950-B: Emergency preparedness plan lacked generator capacity description for power to critical systems.
22VAC40-73-950-H: Failed to notify families and licensing office after emergency was stabilized.
22VAC40-73-620-B: Special diets oversight lacked certification that requirements were met.
22VAC40-73-260-C: Staff certification in first aid or CPR list not posted and readily available.
22VAC40-73-980-H: Emergency water supply less than required 48 hours of 96 hour supply on site.
22VAC40-73-550-G: Written acknowledgment of review of resident rights and responsibilities missing.
22VAC40-73-610-B: Menus for meals and snacks not posted conspicuously to residents.
22VAC40-73-980-A: First aid kit contained expired items.
22VAC40-73-220-A: Facility failed to maintain documentation for private duty personnel providing care.
22VAC40-73-860-I: Cleaning supplies and hazardous materials not stored in locked area.
22VAC40-73-210-G: Training documentation lacked type, provider, hours, and dates of training.
63.2-1808-A-10: Failed to ensure residents free from abuse, neglect, exploitation, and degrading acts.
22VAC40-73-830-E: Facility did not provide written response to resident council prior to next meeting.
22VAC40-73-130-B: Resident contact or legal representative not notified when report made relating to resident.
22VAC40-73-460-D: Failed to ensure supervision including attention to specialized needs was provided.
22VAC40-73-950-B: Emergency preparedness plan lacked generator capacity description for power to critical systems.
22VAC40-73-950-H: Failed to notify families and licensing office after emergency was stabilized.
22VAC40-73-660-A: Medication storage area not locked.
22VAC40-73-680-D: Medications not administered per prescriber instructions and standards of practice.
22VAC40-73-680-C: Medications not administered within one hour of facility standard dosing schedule.
22VAC40-73-650-A: Medications started, changed, or discontinued without valid order.
22VAC40-73-470-B: Resident's need for skilled nursing treatment not met by licensed nurse.
22VAC40-73-470-C: Failed to prevent clinically avoidable complications including pressure ulcers.
22VAC40-73-460-B: Failed to ensure prompt response by staff to resident needs.
22VAC40-73-430-H-1: Discharge statement not provided to resident or legal representative at discharge.
22VAC40-73-660-A-1: Medication storage area not locked.
22VAC40-73-710-B: Physical restraints used without physician order or resident/legal consent.
22VAC40-73-260-A: Direct care staff lacked current certification in first aid within 60 days of employment.
22VAC40-73-720-A: DNR orders not included in individualized service plans.
22VAC40-73-450-C: ISP not based upon uniform assessment instrument.
22VAC40-73-660-A: Medication storage area not locked.
22VAC40-73-680-D: Medications not administered per prescriber instructions and standards of practice.
22VAC40-73-260-A: Direct care staff lacked certification in first aid within 60 days of employment.
22VAC40-73-680-D: Medications not administered per prescriber instructions and standards of practice.
22VAC40-73-680-B: Medications not kept in pharmacy issued container with label until administered.
22VAC40-73-320-A: Physical exam within 30 days preceding admission lacked required information.
22VAC40-73-870-A: Furnishings and equipment not kept clean and in good repair.
22VAC40-73-860-I: Cleaning supplies and hazardous materials not stored in locked area.
22VAC40-80-120-E-2: Findings of most recent inspection not posted at facility.
22VAC40-73-680-I: MAR did not include all required information.
22VAC40-73-680-D: Medications not administered per prescriber instructions and standards of practice.
Report Facts
Violations cited: 82
Distinct standards: 59
Inspections on page: 24
Inspections with violations: 20
Complaint visits: 14
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