1 Inspection Summary
Inspection Reports Summary
Covers 17 inspections · Aug 2020 – Nov 2025Visit Reason
This report covers 17 inspections of Sunrise at Mount Vernon from August 21, 2020 to November 18, 2025, including routine, renewal, complaint, and monitoring inspections.
Complaint Details
Nine inspections were prompted by complaints. Investigations supported some allegations resulting in violations; others found no non-compliance.
Findings
Across that history VDSS cited 41 violations under 30 distinct standards. 14 of 17 visits ended with violations and 3 with none. Nine inspections were prompted by a complaint.
Violations (65)
22VAC40-73-40-A: Facility failed to ensure compliance with its own policies and procedures.
22VAC40-73-70-C: Facility failed to submit a written incident report within seven days of the incident.
22VAC40-73-640-A: Facility failed to have and implement a current written medication management plan.
22VAC40-73-50-A: Facility failed to provide disclosure statement on a form developed by the department.
22VAC40-73-1110-A: Facility failed to document determination and justification for placement in special care unit.
22VAC40-73-990-B: Facility failed to document semiannual review of resident emergencies with staff.
22VAC40-73-680-D: Facility failed to administer medications according to physician's instructions.
22VAC40-73-990-B: Facility failed to document semiannual review of resident emergencies with staff.
22VAC40-73-610-E: Facility failed to keep a current diet manual readily available to food preparation personnel.
22VAC40-73-950-E: Facility failed to document semiannual review of emergency preparedness plan with staff, residents, and volunteers.
22VAC40-73-640-A: Facility failed to have and implement a current written medication management plan.
22VAC40-73-50-A: Facility failed to ensure disclosure statement included current licensee name.
22VAC40-73-950-F: Facility failed to review emergency preparedness plan annually and document the review.
22VAC40-73-980-H: Facility failed to ensure availability of a 96-hour supply of emergency drinking water.
22VAC40-73-610-E: Facility failed to keep a current diet manual readily available to food preparation personnel.
22VAC40-73-310-M: Facility failed to have a written agreement between the facility and hospice program.
22VAC40-73-290-B: Facility failed to post name of current on-site person in charge conspicuously.
22VAC40-73-70-A: Facility failed to report major incident to regional licensing office within 24 hours.
22VAC40-73-130-A: Facility failed to ensure mandated reporters reported suspected abuse or neglect.
22VAC40-73-680-D: Facility failed to administer medications according to physician's instructions.
22VAC40-73-220-B: Facility failed to obtain and review written information on private duty personnel services.
22VAC40-73-680-K: Facility failed to ensure PRN medication orders included symptoms, time frames, and directions.
22VAC40-73-250-D: Facility failed to ensure private duty personnel submitted tuberculosis risk assessments timely.
22VAC40-73-220-A: Facility failed to provide orientation and training to private duty personnel on policies.
22VAC40-73-950-E: Facility failed to develop and implement orientation and semiannual review of emergency preparedness plan.
22VAC40-73-50-A: Facility failed to ensure disclosure statement included current licensee name.
22VAC40-73-950-F: Facility failed to review emergency preparedness plan annually and document the review.
22VAC40-73-980-H: Facility failed to ensure availability of a 96-hour supply of emergency drinking water.
22VAC40-73-610-E: Facility failed to keep a current diet manual readily available to food preparation personnel.
22VAC40-73-310-M: Facility failed to have a written agreement between the facility and hospice program.
22VAC40-73-290-B: Facility failed to post name of current on-site person in charge conspicuously.
22VAC40-73-660-A-1: Facility failed to ensure medication storage area remains locked.
22VAC40-73-680-D: Facility failed to administer medications according to physician's instructions.
22VAC40-73-220-B: Facility failed to obtain and review written information on private duty personnel services.
22VAC40-73-680-K: Facility failed to ensure PRN medication orders included symptoms, time frames, and directions.
22VAC40-73-250-D: Facility failed to ensure private duty personnel submitted tuberculosis risk assessments timely.
22VAC40-73-220-A: Facility failed to provide orientation and training to private duty personnel on policies.
63.2-1808-A-11: Facility failed to ensure residents are treated with courtesy, respect, and dignity.
22VAC40-73-460-B: Facility failed to ensure prompt response by staff to resident needs.
22VAC40-73-680-D: Facility failed to administer medications according to physician's instructions.
22VAC40-73-950-E: Facility failed to develop and implement orientation and semiannual review of emergency preparedness plan.
22VAC40-73-50-A: Facility failed to ensure disclosure statement included current licensee name.
22VAC40-73-950-F: Facility failed to review emergency preparedness plan annually and document the review.
22VAC40-73-980-H: Facility failed to ensure availability of a 96-hour supply of emergency drinking water.
22VAC40-73-610-E: Facility failed to keep a current diet manual readily available to food preparation personnel.
22VAC40-73-310-M: Facility failed to have a written agreement between the facility and hospice program.
22VAC40-73-290-B: Facility failed to post name of current on-site person in charge conspicuously.
22VAC40-73-660-A-1: Facility failed to ensure medication storage area remains locked.
22VAC40-73-260-A: Facility failed to ensure direct care staff maintain current first aid certification.
22VAC40-73-1090-A: Facility failed to ensure residents assessed by licensed clinical psychologist or physician before admission to safe, secure environment.
22VAC40-73-450-E: Facility failed to ensure individualized service plans are signed and dated by required parties.
22VAC40-73-660-B: Facility failed to limit medication storage to out-of-sight place for self-administering residents.
22VAC40-73-580-E: Facility failed to ensure medical procedures ordered by physician were provided and documented.
63.2-1808-A-11: Facility failed to ensure residents are treated with courtesy, respect, and dignity.
22VAC40-73-460-B: Facility failed to ensure prompt response by staff to resident needs.
22VAC40-73-680-D: Facility failed to administer medications according to physician's instructions.
22VAC40-73-250-D: Facility failed to ensure tuberculosis risk assessments were completed and documented.
22VAC40-73-680-D: Facility failed to administer medications according to physician's instructions.
22VAC40-73-470-C: Facility failed to ensure services prevent clinically avoidable complications.
22VAC40-73-1090-A: Facility failed to ensure residents assessed by licensed clinical psychologist or physician before admission to safe, secure environment.
22VAC40-73-720-A: Facility failed to include Do Not Resuscitate orders in individualized service plans.
22VAC40-73-680-D: Facility failed to administer medications according to physician's instructions.
22VAC40-73-860-I: Facility failed to store cleaning supplies and hazardous materials in locked area.
22VAC40-73-250-D: Facility failed to ensure tuberculosis risk assessments were completed and documented.
22VAC40-73-680-D: Facility failed to administer medications according to physician's instructions.
Report Facts
Violations cited: 41
Distinct standards: 30
Inspections on page: 17
Inspections with violations: 14
Complaint visits: 9
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