Inspection Reports for
Premier Residential and Assisted Living

904 George Washington Hwy North, CHESAPEAKE, VA, 23323

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1 Inspection Summary

2023–2026 17 inspections covered

Inspection Reports Summary

Covers 17 inspections · May 2023 – Apr 2026

Visit Reason
The page covers all inspections on record for Premier Residential and Assisted Living, including complaint and routine inspections.

Complaint Details
Eleven inspections were complaint surveys prompted by allegations primarily in Resident Care and Related Services and Personnel. Some complaints were supported with violations issued; others were not supported but violations unrelated to complaints were cited.
Findings
Premier Residential and Assisted Living was inspected 17 times between May 1, 2023 and April 3, 2026. VDSS cited 41 violations under 26 distinct standards across 10 visits with violations; 7 visits had none. Eleven inspections were complaint prompted.

Violations (50)
22VAC40-73-930-B: Facility failed to ensure signaling device terminates at continuously staffed central location.
22VAC40-73-680-B: Medications removed and administered by unlicensed staff not authorized as medication aide.
22VAC40-73-440-A: Uniform Assessment Instrument (UAI) not completed at least annually.
22VAC40-73-450-F: Individualized service plans (ISP) not reviewed and updated annually or as needed.
22VAC40-73-440-D: UAI did not document if help needed in bathing, dressing, toileting, and mobility.
22VAC40-73-930-B: Facility failed to ensure signaling device terminates at continuously staffed central location.
22VAC40-73-660-A: Medications not stored locked as required by standards.
22VAC40-73-260-A: Direct care staff lacked current first aid certification within 60 days of employment.
22VAC40-73-450-C: Comprehensive ISP not completed within 30 days after admission including required elements.
22VAC40-73-320-A: Physical exam not completed within 30 days preceding admission as required.
22VAC40-73-210-B: Direct care staff failed to attend at least 18 hours of annual training.
22VAC40-73-250-D: Staff record lacked timely tuberculosis risk assessment within 30 days prior to first work day.
22VAC40-73-260-A: Direct care staff failed to maintain current certification in first aid.
22VAC40-73-450-F: ISP not reviewed and updated at least annually or as needed for significant change.
22VAC40-73-970-E: Fire drill records lacked required details including time, participants, and weather.
22VAC40-73-640-A: Medication management plan failed to prevent use of outdated medications.
22VAC40-73-260-A: Direct care staff lacked current first aid certification within 60 days of employment.
22VAC40-73-450-F: ISP not reviewed and updated at least annually or as needed for significant change.
22VAC40-73-970-A: Fire drills not completed quarterly on each shift as required by code.
22VAC40-73-990-C: Staff participation in emergency procedure exercises not documented every six months.
22VAC40-73-640-A: Failed to implement written medication management plan including controlled substances count.
22VAC40-73-670-1: Staff administering medications not authorized or licensed as required by law.
22VAC40-73-450-C: ISP not completed within 30 days after admission including description of needs and date.
22VAC40-73-950-F: Facility failed to review emergency preparedness plan annually.
22VAC40-73-970-A: Fire and emergency drill frequency and participation not in accordance with code.
22VAC40-73-990-C: Staff emergency procedure exercises not documented every six months as required.
22VAC40-73-640-A: Medication management plan failed to prevent use of outdated, damaged, or contaminated meds.
22VAC40-73-260-A: Direct care staff lacked current certification in first aid within 60 days of employment.
22VAC40-73-450-F: ISP not reviewed and updated annually or as needed for significant change.
22VAC40-73-970-E: Fire drill records missing time, participant numbers, and weather conditions.
22VAC40-73-320-A: Physical exam within 30 days preceding admission missing required statements and signatures.
22VAC40-73-250-D: Staff record lacked tuberculosis risk assessment within 30 days prior to first work day.
22VAC40-73-210-B: Direct care staff failed to attend required 18 hours of annual training.
22VAC40-73-250-D: Staff record lacked required health information including tuberculosis risk assessment.
22VAC40-73-260-A: Direct care staff failed to maintain current certification in first aid.
22VAC40-73-310-A: Resident admitted or retained requiring level of care not licensed for by facility.
22VAC40-73-40-B: Criminal history report not obtained within 30 days of employment for staff.
22VAC40-73-440-A: Uniform Assessment Instrument (UAI) not completed prior to admission or annually.
22VAC40-73-320-A: Physical exam and tuberculosis risk assessment not completed timely prior to admission.
22VAC40-73-450-C: Comprehensive ISP not completed within 30 days after admission including required elements.
22VAC40-73-250-D: Staff tuberculosis risk assessment not completed within 30 days prior to first work day.
22VAC40-73-120-A: Orientation and training not completed within first seven working days of employment.
22VAC40-73-960-B: Fire and emergency evacuation drawing missing required details including escape routes.
22VAC40-73-350-B: Sex offender screening not completed or documented prior to admission as required.
22VAC40-73-450-C: Comprehensive ISP not completed within 30 days after admission.
22VAC40-73-320-A: Physical exam and tuberculosis test completed after admission date.
22VAC40-73-410-A: Orientation for new residents and legal guardians not documented upon admission.
22VAC40-73-960-B: Fire and emergency evacuation drawing missing primary and secondary escape routes and other details.
22VAC40-73-860-G: Hot water temperature at taps available to residents below required 105°F minimum.
22VAC40-73-460-A: Facility failed to assume general responsibility for health, safety, and well-being of residents.
Report Facts
Violations cited: 41 Distinct standards: 26 Inspections on page: 17 Inspections with violations: 10 Complaint visits: 11

Employees mentioned
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