1 Inspection Summary
Inspection Reports Summary
Covers 9 inspections · Apr 2021 – Mar 2026Visit Reason
This report covers 9 inspections of Our Lady of Perpetual Help Health Center from April 7, 2021 to March 26, 2026 by the Virginia Department of Social Services, including 2 complaint surveys.
Complaint Details
Two complaint surveys were conducted on 06/16/2022 and 06/18/2025. Both inspections found no violations after investigation and review of allegations related to resident care, building and grounds, and complaint investigation.
Findings
Across that history VDSS cited 17 violations under 15 distinct standards. 3 of 9 visits ended with violations cited and 6 with none.
Violations (17)
22VAC40-73-680-D: Medication not administered per physician's instructions; MAR errors for Resident #6.
22VAC40-73-260-A: Direct care staff member lacks current first aid certification.
22VAC40-73-640-A: Failed to implement medication management plan; expired meds found in carts.
22VAC40-73-450-E: Individualized service plans not signed and dated upon update for Residents #5 and #6.
22VAC40-73-940-A: Failed to comply with annual fire inspection requirement; last done 04/22/2021.
22VAC40-73-700-3: Oxygen use outside rooms not from portable source; Resident #14 had tether line.
22VAC40-73-325-B: Fall risk rating not completed annually or after condition change for Resident #1.
22VAC40-73-440-L: UAI incomplete in resident record; missing assistance and orientation details for Resident #7.
22VAC40-73-320-B: Annual tuberculosis risk assessment not completed for Residents #6 and #7 since 3/11/2022.
22VAC40-73-660-A-3: Medication cart keys not kept on person responsible during medication administration.
22VAC40-73-640-A: Failed to implement medication management plan; expired medication found for Resident #13.
22VAC40-73-680-D: Medication not administered per physician's instructions; MAR errors for Resident #2.
22VAC40-73-210-G: Staff records lack documentation of medication administration training for Staff #3 and #5.
22VAC40-73-325-A: Fall risk rating not completed by time of comprehensive ISP for Resident #2.
22VAC40-73-350-B: Failed to document sex offender screening prior to admission for Resident #3.
22VAC40-73-870-A: Interior and exterior buildings not maintained; hole in shower wall and stained ceiling tile noted.
22VAC40-73-260-C: Listing of staff with current first aid or CPR certification not posted in facility.
Report Facts
Violations cited: 17
Distinct standards: 15
Inspections on page: 9
Inspections with violations: 3
Complaint visits: 2
Employees mentioned
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