Inspection Reports for
Shenandoah Place, Inc.
50 Burkholder Lane, NEW MARKET, VA, 22844
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Inspection Reports Summary
Covers 16 inspections · Feb 2021 – Aug 2025Visit Reason
This report covers 16 inspections of Shenandoah Place, Inc. from February 16, 2021 to August 4, 2025, including complaint and routine inspections.
Complaint Details
Three inspections were prompted by complaints regarding resident care and administrator provisions. Investigations supported some allegations and violations were issued accordingly.
Findings
Across that history VDSS cited 45 violations under 30 distinct standards. Three inspections were prompted by a complaint.
Violations (33)
22VAC40-73-440-A: Facility failed to ensure annual Uniform Assessment Instrument (UAI) completion.
22VAC40-73-550-G: Facility failed to ensure annual review of resident rights.
22VAC40-73-450-F: Facility failed to update individualized service plan annually.
22VAC40-73-320-B: Facility failed to complete annual tuberculosis risk assessment.
22VAC40-73-950-E: Facility failed to implement semi-annual emergency preparedness plan review with staff and residents.
22VAC40-73-990-B: Facility failed to conduct biannual emergency procedure practice exercises for all staff on each shift.
22VAC40-73-950-F: Facility failed to ensure annual review of emergency preparedness plan.
22VAC40-73-410-A: Facility failed to document new resident orientation including emergency procedures and call system use.
22VAC40-73-310-D: Facility failed to provide written assurance of appropriate license at admission.
22VAC40-73-680-D: Facility failed to administer medications according to physician instructions and standards.
22VAC40-73-990-B: Facility failed to review resident emergency procedures every six months with all staff.
22VAC40-73-620-A: Facility failed to have dietician oversight of special diets every six months.
22VAC40-73-290-B: Facility failed to post current on-site person in charge conspicuously.
22VAC40-73-450-C: Facility failed to describe identified needs on individualized service plans.
22VAC40-90-40-B: Facility failed to obtain criminal history reports within 30 days of employment.
22VAC40-73-190-C: Facility failed to provide training and written documentation of duties to person in charge.
22VAC40-73-150-A: Facility failed to have an administrator of record.
22VAC40-73-220-A: Facility failed to provide orientation and training to private duty personnel.
22VAC40-73-640-A: Facility failed to maintain scheduled II-V medications per medication management plan.
22VAC40-73-860-I: Facility failed to store cleaning supplies and hazardous materials in locked area.
22VAC40-73-680-K: Facility failed to ensure PRN medication orders contain all required conditions.
22VAC40-73-70-A: Facility failed to report major incidents within 24 hours.
22VAC40-73-70-B: Facility failed to ensure incident reports contained all required information.
22VAC40-73-70-C: Facility failed to submit written incident reports within seven days.
22VAC40-73-325-C: Facility failed to document analysis and interventions after falls.
22VAC40-73-450-C: Facility failed to include assessed resident needs on individualized service plans.
22VAC40-73-450-D: Facility failed to include hospice services on individualized service plans.
22VAC40-73-470-F: Facility failed to ensure immediate medical attention after serious incidents and notify physician within 24 hours.
22VAC40-73-670-1: Facility failed to ensure medication staff are licensed or registered medication aides.
22VAC40-73-680-D: Facility failed to administer medications according to physician instructions and standards.
22VAC40-73-640-A: Facility failed to implement medication management plan to ensure timely medication refills.
22VAC40-73-680-D: Facility failed to administer medications according to physician or prescriber instructions.
22VAC40-73-950-E: Facility failed to develop and implement orientation and semi-annual emergency preparedness review.
Report Facts
Violations cited: 45
Distinct standards: 30
Inspections on page: 16
Inspections with violations: 14
Complaint visits: 3
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