1 Inspection Summary
Inspection Reports Summary
Covers 46 inspections · Dec 2022 – Jan 2026Visit Reason
The page covers all inspections and complaint surveys for Spring Oak Bedford from December 22, 2022 to January 30, 2026.
Complaint Details
There were 24 complaint visits. Several complaint investigations did not support allegations of non-compliance. Some complaint investigations resulted in violations issued related to buildings and grounds, resident care, and medication administration.
Findings
Spring Oak Bedford was inspected 46 times with 16 visits citing violations and 30 clean visits. Across that history, VDSS cited 48 violations under 30 distinct standards. 24 inspections were prompted by a complaint.
Violations (46)
22VAC40-73-550-C: Facility failed to ensure resident rights regarding economic abuse were protected.
22VAC40-73-680-D: Medications not administered per physician’s or prescriber’s instructions.
22VAC40-73-680-M: PRN medications not available, properly labeled, or stored.
22VAC40-73-560-F: Records not treated confidentially; medication cart left unattended with confidential info.
22VAC40-73-950-E: Semi-annual emergency preparedness review not documented by signing and dating.
22VAC40-73-860-G: Hot water taps not maintained within 105 to 120 degrees Fahrenheit.
22VAC40-73-870-A: Interior of buildings not maintained in good repair and kept clean.
22VAC40-73-640-A: Failed to ensure accurate counts of controlled substances at shift changes.
22VAC40-73-880-C: Temperatures in resident areas exceeded 80 degrees Fahrenheit.
22VAC40-73-680-D: Medications not administered per physician’s or prescriber’s instructions.
22VAC40-73-680-I: Medication administration record lacked documentation of errors or omissions.
22VAC40-73-460-H: Personal care, including bathing, not provided as necessary to meet resident needs.
22VAC40-73-880-B: Failed to maintain temperature of at least 72 degrees Fahrenheit during awake hours.
22VAC40-73-680-D: Medications not administered per physician’s or prescriber’s instructions.
22VAC40-73-950-E: Semi-annual emergency preparedness review not documented by signing and dating.
22VAC40-73-880-C: Temperatures in resident areas exceeded 80 degrees Fahrenheit.
22VAC40-73-870-A: Interior and exterior of buildings not maintained in good repair and clean.
22VAC40-73-280-C: Inadequate number of staff to implement fire and emergency evacuation plan.
22VAC40-73-680-D: Medications not administered per physician’s or prescriber’s instructions.
22VAC40-73-880-B: Failed to maintain temperature of at least 72 degrees Fahrenheit during awake hours.
22VAC40-73-880-B: Unapproved use of space heaters in resident rooms.
22VAC40-73-680-K: PRN medication orders lacked required detailed instructions and symptoms.
22VAC40-73-680-D: Medications not administered per physician’s or prescriber’s instructions.
22VAC40-73-680-D: Medications not administered per physician’s or prescriber’s instructions.
22VAC40-73-870-A: Facility interior and exterior not maintained in good repair and clean.
22VAC40-73-640-A: Failed to ensure accurate counts of controlled substances at shift changes.
22VAC40-73-860-I: Cleaning supplies and hazardous materials not stored in locked areas.
22VAC40-73-70-A: Failed to report major incident affecting resident to licensing office within 24 hours.
22VAC40-73-880-C: Temperatures in resident areas exceeded 80 degrees Fahrenheit.
22VAC40-73-450-F: Individualized service plans not updated for significant resident condition changes.
22VAC40-73-660-A-1: Medication storage areas not locked.
22VAC40-73-660-B: Medications in resident rooms not stored out of sight or without physician orders.
22VAC40-73-1040-B: Protective devices missing on bedroom windows to prevent resident egress.
22VAC40-73-860-J: Residents’ cleaning supplies not stored out of sight to prevent access by others.
22VAC40-73-680-D: Medications not administered per physician’s or prescriber’s instructions.
22VAC40-73-870-A: Facility interior not maintained in good repair and clean.
22VAC40-73-700-2: Missing 'No Smoking-Oxygen in Use' signs in rooms where oxygen is used.
22VAC40-73-450-C: Individualized service plans not completed as required.
22VAC40-73-860-I: Cleaning supplies and hazardous materials not stored in locked areas.
22VAC40-73-250-D: TB risk assessments not completed within 7 days of hire for staff.
22VAC40-73-290-B: Person in charge posting not updated daily.
22VAC40-90-40-B: Criminal history reports not obtained within 30 days of employment.
22VAC40-73-680-D: Medications not administered per physician’s or prescriber’s instructions.
22VAC40-73-870-A: Facility interior and exterior not maintained in good repair and clean.
22VAC40-73-960-A: Fire and emergency evacuation plan not approved by appropriate fire official.
22VAC40-73-950-A: No documentation of initial contact with local emergency coordinator.
Report Facts
Violations cited: 48
Distinct standards: 30
Inspections on page: 46
Inspections with violations: 16
Complaint visits: 24
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