1 Inspection Summary
Inspection Reports Summary
Covers 43 inspections · Nov 2021 – Jul 2025Visit Reason
This report covers all inspections and complaint surveys conducted at Karolwood Gardens at Norfolk, including complaint investigations and routine monitoring.
Complaint Details
Multiple complaint surveys were conducted, investigating allegations in areas such as building and grounds, resident care, administration, staffing, and emergency preparedness. Some complaints were substantiated with violations issued, while others were not supported by evidence.
Findings
Across 43 inspections from November 18, 2021 to July 2, 2025, VDSS cited 202 violations under 105 distinct standards. 32 inspections cited violations and 11 had none. 28 inspections were prompted by complaints.
Violations (28)
22VAC40-73-880-C: Facility failed to ensure temperatures in all resident areas did not exceed 80°F.
22VAC40-73-100-C-2: Facility failed to ensure proper infection control procedures during medication cart audits.
22VAC40-73-450-C: Facility failed to ensure individualized service plans include all assessed resident needs.
22VAC40-73-640-A: Facility failed to follow medication management plan to ensure timely filling of medications.
22VAC40-73-750-E: Facility failed to ensure residents have sufficient bed and bath linens in good repair.
22VAC40-73-640-A: Facility failed to implement medication management plan for accurate controlled substance counts.
22VAC40-73-680-H: Facility failed to document all medications administered on medication administration records.
22VAC40-73-325-B: Facility failed to complete fall risk ratings when resident condition changes or after falls.
22VAC40-73-430-H-1: Facility failed to ensure discharge statement was completed and retained in resident record.
22VAC40-73-430-J: Facility failed to provide refunds due within 60 days of resident discharge.
22VAC40-73-440-A: Facility failed to complete resident Uniform Assessment Instrument prior to admission and after significant changes.
22VAC40-73-450-C: Facility failed to complete comprehensive individualized service plan within 30 days after admission.
22VAC40-73-450-F: Facility failed to review and update individualized service plans for significant resident condition changes.
22VAC40-73-460-F: Facility failed to notify next of kin or responsible parties of resident falls within 24 hours.
22VAC40-73-680-D: Facility failed to administer medications according to physician or prescriber instructions.
22VAC40-73-1140-B: Facility failed to ensure direct care staff received required cognitive impairment training within 4 months.
22VAC40-73-1150-B: Facility failed to ensure protective devices on windows to prevent resident egress in safe, secure environment.
22VAC40-73-210-B: Facility failed to ensure all direct care staff attend at least 18 hours of annual training.
22VAC40-73-460-D: Facility failed to provide supervision of residents including attention to specialized needs.
22VAC40-73-550-G: Facility failed to review resident rights and responsibilities annually with staff.
22VAC40-73-1110-A: Facility failed to determine appropriateness of placement in special care unit for residents with serious cognitive impairment.
22VAC40-73-260-A: Facility failed to ensure direct care staff maintain current first aid certification.
22VAC40-73-550-G: Facility failed to review resident rights and responsibilities annually with residents or representatives.
22VAC40-73-620-A: Facility failed to ensure dietary oversight conducted every six months for special diets.
22VAC40-73-680-D: Facility failed to administer medications according to physician instructions and medication aide curriculum standards.
22VAC40-73-690-G: Facility failed to act on pharmacy medication review recommendations.
22VAC40-73-940-A: Facility failed to comply with annual fire inspection requirements.
22VAC40-73-970-A: Facility failed to conduct fire and emergency evacuation drills quarterly on each shift as required.
Report Facts
Violations cited: 202
Distinct standards: 105
Inspections on page: 43
Inspections with violations: 32
Complaint visits: 28
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