Inspection Reports for
Pinecrest Assisted Living Facility, LLC
709 River Ridge Road, DANVILLE, VA, 24541
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Inspection Reports Summary
Covers 13 inspections · Sep 2022 – Dec 2025Visit Reason
This report covers 13 inspections of Pinecrest Assisted Living Facility, LLC from September 19, 2022 to December 11, 2025, including routine, renewal, complaint, and monitoring inspections.
Complaint Details
Six inspections were prompted by complaints. Some complaint investigations found violations unrelated to the complaint, while others found no violations. Complaints covered areas including resident care, admission, discharge, buildings and grounds, and personnel.
Findings
Across that history VDSS cited 37 violations under 27 distinct standards. 7 of 13 visits ended with violations and 6 with none. 6 inspections were prompted by a complaint.
Violations (39)
22VAC40-73-430-J: Facility failed to ensure final statement and refunds were given within 60 days of discharge.
22VAC40-73-430-H-2: Facility failed to retain a copy of the written discharge statement in resident's record.
22VAC40-73-930-D: ISP did not include inability to use signaling device for resident with memory loss.
22VAC40-73-680-M: Medications ordered for PRN were not available, labeled, or properly stored.
22VAC40-73-250-D: Staff failed to submit a TB risk assessment no older than 30 days prior to first work day.
22VAC40-73-870-A: Interior and exterior of buildings not maintained in good repair and clean.
22VAC40-73-520-I: Current month's schedule was not posted in a conspicuous location.
22VAC40-73-720-A: DNR orders not included in resident's individualized service plan.
22VAC40-73-680-D: Medications not administered according to physician's instructions.
22VAC40-73-310-A: Resident admitted who requires care or service not provided or licensed for.
22VAC40-73-400: Residents' monthly statements included charges not made by the facility.
22VAC40-73-390-A: Facility agreement lacked all required rules on resident conduct and restrictions.
22VAC40-73-190-C: Staff placed in charge lacked written documentation of duties and responsibilities.
22VAC40-73-320-A: Physical examination lacked all required information within 30 days preceding admission.
22VAC40-73-270-1: Direct care staff not trained in dealing with residents with aggressive behavior prior to care.
22VAC40-73-400: Residents' monthly statements included charges not made by the facility.
22VAC40-73-390-A: Facility agreement lacked all required rules on resident conduct and restrictions.
22VAC40-73-100-C-1: Failed to implement infection control policy for blood glucose monitoring practices.
22VAC40-73-520-I: Failed to post monthly activity schedule.
22VAC40-73-650-E: Signed physicians orders not maintained in resident records.
22VAC40-73-440-A: Uniform assessment instruments were incomplete or not properly completed.
22VAC40-73-320-A: Physical examination form incomplete for resident.
22VAC40-73-450-F: ISPs lacked required information when reviewed and updated.
22VAC40-73-250-D: Staff failed to submit TB screening on or within seven days prior to first work day.
22VAC40-73-870-A: Facility interior not maintained in good repair and clean; carpets heavily stained.
22VAC40-73-640-A: Failed to implement medication management plan to prevent outdated meds and ensure accurate counts.
22VAC40-73-860-I: Cleaning supplies not stored in locked area.
22VAC40-73-640-A: Failed to implement medication management plan to prevent outdated meds and ensure accurate counts.
22VAC40-73-360-A: Emergency placement not documented and approved by adult protective services or physician.
22VAC40-73-860-I: Cleaning supplies not stored in locked area.
22VAC40-73-250-D: Failed to ensure TB screening completed on or within seven days prior to first work day.
22VAC40-73-120-A: Orientation and initial training not completed within first seven working days.
22VAC40-73-450-C: Comprehensive ISP did not include all required information.
22VAC40-73-360-B: Required information not obtained within 7 days of admission for emergency placement.
22VAC40-73-440-A: Uniform assessment instruments for public pay individuals not completed as required.
22VAC40-90-40-B: Criminal history record review not completed prior to 30th day of employment.
22VAC40-73-750-E: Resident bed sheets were not clean.
22VAC40-73-270-1: Direct care staff not trained in dealing with residents with aggressive behavior prior to care.
22VAC40-73-870-A: Facility not maintained in clean and good repair; exposed insulation and scuffed paint.
Report Facts
Violations cited: 37
Distinct standards: 27
Inspections on page: 13
Inspections with violations: 7
Complaint visits: 6
Employees mentioned
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