Inspection Reports for
Runk and Pratt Willow Ridge
1213 Long Meadows Drive, LYNCHBURG, VA, 24502
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Inspection Reports Summary
Covers 16 inspections · May 2024 – Mar 2026Visit Reason
This report covers 16 inspections of Runk and Pratt Willow Ridge by the Virginia Department of Social Services between May 13, 2024 and March 6, 2026, including routine, complaint, monitoring, and renewal inspections.
Complaint Details
Five inspections were prompted by complaints alleging issues primarily in resident care and related services. Investigations supported some allegations resulting in violations issued; others were not supported.
Findings
Across that history VDSS cited 38 violations under 28 distinct standards. 9 of the 16 visits ended with violations cited and 7 with none. 5 inspections were prompted by a complaint.
Violations (35)
22VAC40-73-100-C-2: Infection control program lacked procedures for sanitation of equipment including plastic urinals.
22VAC40-73-460-A: Failed to assume general responsibility for resident health and safety; resident fell with injury due to inadequate staff assistance.
22VAC40-73-450-F: Individualized service plans not updated to reflect use of urinal device for resident.
22VAC40-73-620-B: Failed to document action taken in response to dietitian recommendations in resident record.
22VAC40-73-950-E: Semi-annual review of emergency preparedness plan lacked dates of review signatures.
22VAC40-73-870-A: Interior building carpet had multiple large stained areas, not maintained in good repair.
22VAC40-73-640-A: Medication management plan not implemented to ensure accurate controlled substance counts on staff changes.
22VAC40-90-40-B: Criminal history record report not obtained on or prior to 30th day of employment for staff person 1.
22VAC40-73-470-A: Failed to meet health care service needs; resident not fitted with prescribed compression glove.
22VAC40-73-680-I: Medication administration record lacked dates medications were discontinued or changed.
22VAC40-73-300-B: Failed to keep written communication records informing direct care staff of significant resident happenings.
22VAC40-73-680-D: Medications not administered per physician orders; ciprofloxacin omitted and prednisone dose incorrect.
22VAC40-73-650-F: Failed to obtain new medication orders and notify physician upon resident hospital return.
22VAC40-73-560-E: Resident records not kept current or retained at facility; hospital and ER notes missing onsite.
22VAC40-73-650-B: Physician orders lacked route, dosage, frequency, and indication for nutritional supplement.
22VAC40-73-680-D: Medications not administered per physician orders; PRN glucose orders not followed for low blood sugar.
22VAC40-73-680-I: Medication administration record lacked documentation of medication errors or omissions including insulin doses.
22VAC40-73-580-F: Failed to implement nutritional interventions and notify physician for significant weight loss.
22VAC40-73-680-E: Medical procedures and treatments not provided or documented per physician orders; blood sugar and blood pressure monitoring incomplete.
22VAC40-73-460-F: Failed to notify next of kin or responsible party within 24 hours of resident fall incident.
22VAC40-90-40-B: Criminal history record report not obtained on or prior to 30th day of employment for staff person 8.
22VAC40-73-200-C: Direct care staff training not completed by registered or licensed practical nurse within two months of employment.
22VAC40-73-150-C: Administrator failed to oversee training and supervision of staff; unqualified staff worked independently.
22VAC40-73-200-E: No written plan for supervision of direct care staff pending training completion.
22VAC40-73-640-A: Medication management plan not implemented; insulin pen undated and narcotic log signatures missing.
22VAC40-73-660-A: Medication storage not locked during administration; keys left in lock and cart unattended.
22VAC40-73-680-M: PRN medications not available, properly labeled, or stored for specific resident.
22VAC40-73-680-D: Medications not administered per physician orders; ointment applied three times daily instead of two.
22VAC40-73-450-C: Individualized service plans lacked accurate description of identified resident needs.
22VAC40-73-680-B: Medications removed from pharmacy containers and pre-poured into unlabeled cups.
22VAC40-73-660-B: Resident permitted to keep medication without physician order authorizing self-administration.
22VAC40-90-40-B: Criminal history record report not obtained on or prior to 30th day of employment for staff person 1 (repeat).
22VAC40-73-450-C: Individualized service plan inaccurately identified need for two-hour safety checks for resident who can use call bell.
22VAC40-73-680-I: Medication administration record lacked initials of staff administering medications on multiple dates.
22VAC40-73-680-D: Medications not administered per physician orders; medications unavailable causing missed doses.
Report Facts
Violations cited: 38
Distinct standards: 28
Inspections on page: 16
Inspections with violations: 9
Complaint visits: 5
Employees mentioned
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