Inspection Reports for
Oakmont at Gordon Park
401 Gordon Ave, BRISTOL, VA, 24201
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Inspection Reports Summary
Covers 16 inspections · Nov 2020 – Apr 2026Visit Reason
This report covers 16 inspections of Oakmont at Gordon Park from November 25, 2020 to April 8, 2026 by the Virginia Department of Social Services, including complaint and routine inspections.
Complaint Details
Five inspections were prompted by complaints regarding resident care and related services. Investigations found some supported allegations with violations issued, while others found no non-compliance.
Findings
Across that history VDSS cited 38 violations under 33 distinct standards. 7 of 16 visits ended with violations and 9 with none. 5 inspections were prompted by a complaint.
Violations (35)
22VAC40-73-930-D: Facility failed to include all required documentation on two-hour rounding charts for residents unable to use signaling device.
22VAC40-73-1090-A: Facility failed to have all required components on assessment before placing resident in safe, secure environment.
22VAC40-73-680-K: Facility failed to have all requirements for use of PRN medications including symptom details and directions.
22VAC40-73-870-E: Facility failed to keep furnishings, fixtures, and equipment clean and in good repair.
22VAC40-73-640-A: Facility failed to follow written plan for medication management during medication cart audit and observations.
22VAC40-73-960-B: Facility failed to include required items on fire and emergency evacuation drawing.
22VAC40-73-490-D: Facility failed to identify specific residents for whom health care oversight was provided.
22VAC40-73-660-A-1: Facility failed to keep medications in locked storage during medication pass.
22VAC40-73-1180-B: Facility failed to keep ordinary materials or objects harmful to resident inaccessible except under staff supervision.
22VAC40-73-700-1: Physician's orders for oxygen therapy failed to include oxygen source information.
22VAC40-73-870-A: Facility failed to maintain interior of all buildings in good repair.
22VAC40-90-40-B: Facility failed to obtain criminal history record report on or prior to 30th day of employment for staff.
22VAC40-73-460-D: Facility failed to provide supervision of resident schedules, care, and activities.
22VAC40-73-870-A: Facility failed to maintain interior and exterior of buildings in good repair and clean.
22VAC40-73-870-B: Facility failed to ensure buildings were well-ventilated and free from foul odors.
22VAC40-73-860-J: Facility failed to store cleaning supplies or hazardous materials inaccessible to residents with serious cognitive impairment.
22VAC40-73-40-B: Facility failed to keep and maintain required information for assisted living facilities.
22VAC40-73-680-H: Facility failed to document on MAR all medications administered including OTC and supplements for one resident.
22VAC40-73-710-C: Facility failed to ensure restraints used per physician’s written order specifying conditions and duration.
22VAC40-73-100-C-2: Facility failed to implement blood glucose monitoring consistent with CDC recommendations.
22VAC40-73-620-A: Facility failed to ensure oversight at least every six months of special diets by dietitian or nutritionist.
22VAC40-73-980-A: Facility failed to remove and replace expired items in first aid kit.
22VAC40-73-710-E: Facility failed to ensure required conditions were met when physical restraints were used.
22VAC40-73-860-I: Facility failed to store cleaning supplies in locked area.
22VAC40-73-680-D: Facility failed to administer medications consistent with registered medication aide curriculum standards.
22VAC40-73-660-B: Facility failed to ensure medications only kept in resident rooms when resident assessed able to self-administer.
22VAC40-73-680-M: Facility failed to have all PRN medications available, properly labeled, and stored.
22VAC40-73-660-A: Facility failed to store all medications administered in locked area.
22VAC40-73-860-G: Facility failed to maintain water temperature on taps between 105-120 degrees Fahrenheit.
22VAC40-73-650-A: Facility failed to have physician’s order for medication, supplement, diet, procedure, or treatment started, changed, or discontinued.
22VAC40-73-680-G: Facility failed to ensure OTC medications remain in original container labeled with resident’s name.
22VAC40-73-840-A: Facility failed to ensure all pets have required immunizations and certification free of disease transmittable to humans.
22VAC40-73-700-2: Facility failed to have 'No Smoking-Oxygen in Use' signs posted on every room where oxygen is used.
22VAC40-73-680-D: Facility failed to administer medications consistent with registered medication aide curriculum standards.
22VAC40-73-460-D: Facility failed to provide supervision of one resident’s schedule, care, and activities including specialized needs.
Report Facts
Violations cited: 38
Distinct standards: 33
Inspections on page: 16
Inspections with violations: 7
Complaint visits: 5
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