Inspection Reports for
Reflections-A Senior Living Community
246 West Market Street, LEESBURG, VA, 20176
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Inspection Reports Summary
Covers 11 inspections · Dec 2020 – Feb 2026Visit Reason
This report covers 11 inspections of Reflections - A Senior Living Community from December 7, 2020 to February 26, 2026, including routine, complaint, renewal, and monitoring inspections.
Complaint Details
Three inspections were complaint surveys. Two complaint investigations found no violations after review and investigation. One complaint investigation cited 2 violations related to ISP signatures and window screening.
Findings
Across that history VDSS cited 13 violations under 11 distinct standards. 5 of the 11 inspections cited violations and 6 had none. 3 inspections were prompted by a complaint.
Violations (13)
22VAC40-73-320-A: Resident physical examination not completed within 30 days preceding admission.
22VAC40-73-40-A: Licensee did not ensure compliance with all regulations and facility policies.
22VAC40-73-860-D: Operable window in stairwell lacked effective screening.
22VAC40-73-680-D: Medications not administered per physician's instructions for insulin sliding scale.
22VAC40-73-320-B: Tuberculosis risk assessment not completed annually for resident.
22VAC40-73-450-E: ISP updates not signed and dated by licensee/administrator/designee and resident/legal representative.
22VAC40-73-860-D: Operable windows in dining area and room #23 lacked effective screening.
22VAC40-73-680-M: PRN medications not available or properly stored; expired medications found.
22VAC40-73-450-A: Preliminary plan of care not signed by licensee/administrator or resident/legal representative.
22VAC40-73-660-B: Medication storage in resident room visible and not limited to out-of-sight places.
22VAC40-73-880-B: Portable heating unit used without power failure or emergency.
22VAC40-73-680-I: MARs lacked initials of staff administering medications and documentation of errors or omissions.
22VAC40-73-680-I: MARs lacked diagnosis, condition, or specific indications for administering drugs.
Report Facts
Violations cited: 13
Distinct standards: 11
Inspections on page: 11
Inspections with violations: 5
Complaint visits: 3
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