1 Inspection Summary
Inspection Reports Summary
Covers 25 inspections · Jun 2023 – Apr 2026Visit Reason
This report covers 25 inspections of The Blake at Charlottesville from June 23, 2023 to April 2, 2026, including routine, complaint, monitoring, and renewal inspections.
Complaint Details
14 inspections were prompted by complaints alleging issues in resident care, staffing, building and grounds, and medication administration. Investigations supported some allegations with violations issued; others were not supported.
Findings
Across that history VDSS cited 54 violations under 36 distinct standards. 20 of 25 visits ended with violations and 5 with none. 14 inspections were prompted by a complaint.
Violations (60)
22VAC40-73-100-E: Facility administrator failed to report outbreak to licensing representative as required.
22VAC40-73-460-A: Facility failed to assume general responsibility for residents' health and safety.
22VAC40-73-460-F: Facility failed to notify next of kin of resident fall incident within 24 hours.
22VAC40-73-1110-B: Failed to perform required six-month and annual review of appropriateness of residence in special care unit.
22VAC40-73-310-D: Written assurance not signed by resident or legal representative.
22VAC40-73-260-A: Direct care staff records lacked current first aid certification.
22VAC40-73-680-D: Medications not administered per physician's instructions (Fentanyl patch dosage error).
22VAC40-73-1130-A: Insufficient direct care staff on duty in special care unit for census size.
22VAC40-73-680-D: Medications not administered per physician's instructions (Gabapentin dosage error).
22VAC40-73-680-I: MAR lacked initials of staff administering medication.
22VAC40-73-450-E: ISP not signed and dated by licensee and resident or legal representative.
22VAC40-73-930-D: No documentation of two-hour rounds for resident with inability to use signaling device.
22VAC40-73-530-C: Locked resident rooms restricted freedom of movement.
22VAC40-73-220-B: Failed to obtain and maintain required documentation for private duty personnel.
22VAC40-73-680-D: Medications not administered per physician's instructions (Quetiapine MAR did not match orders).
22VAC40-73-460-H: Personal assistance and care not provided as necessary for activities of daily living.
22VAC40-73-650-A: Medication, diet, or treatment started or changed without valid physician order.
22VAC40-73-860-I: Cleaning supplies and hazardous materials not stored in locked area.
22VAC40-73-650-E: Resident record lacked physician's signed written order.
22VAC40-73-325-B: Fall risk rating not reviewed and updated after falls or condition changes.
22VAC40-73-470-F: Failed to secure medical attention and notify next of kin after serious incident.
22VAC40-73-450-E: ISP not signed and dated by licensee and resident or legal representative.
22VAC40-73-1130-A: Insufficient direct care staff on duty in special care unit for census size.
22VAC40-73-930-D: Failed to document rounds including resident name, date/time, and staff member.
22VAC40-73-460-F: Failed to notify next of kin of resident fall or wandering incident within 24 hours.
22VAC40-73-450-G: Rights and responsibilities of residents not reviewed annually with resident or legal representative.
22VAC40-73-450-H: Care and services specified in ISP not provided to resident as required.
22VAC40-73-590-A: Failed to provide three well-balanced meals daily or document meal intake as required.
22VAC40-73-460-B: Failed to provide prompt response to resident call bell needs.
22VAC40-73-450-C: ISP lacked date of identified need and written description of services to address needs.
22VAC40-73-710-C: Restraint used without physician's written order specifying conditions and duration.
22VAC40-73-450-E: ISP not signed and dated by licensee and resident or legal representative.
22VAC40-73-325-B: Fall risk rating not reviewed and updated after falls or condition changes.
22VAC40-73-460-H: Personal assistance and care not provided as necessary for activities of daily living.
22VAC40-73-450-H: Care and services specified in ISP not provided to resident as required.
22VAC40-73-930-D: Failed to document rounds including resident name, date/time, and staff member.
22VAC40-73-460-F: Failed to notify next of kin of resident fall or wandering incident within 24 hours.
22VAC40-73-450-E: ISP not signed and dated by licensee and resident or legal representative.
22VAC40-73-1130-A: Insufficient direct care staff on duty in special care unit for census size.
22VAC40-73-680-D: Medications not administered per physician's instructions (morphine dosage error).
22VAC40-73-930-D: Failed to make rounds every two hours for resident unable to use signaling device.
22VAC40-73-530-C: Locked resident rooms restricted freedom of movement.
22VAC40-73-220-B: Failed to obtain and maintain required documentation for private duty personnel.
22VAC40-73-680-D: Medications not administered per physician's instructions (Quetiapine MAR did not match orders).
22VAC40-73-450-E: ISP not signed and dated by licensee and resident or legal representative.
22VAC40-73-980-A: First aid kit lacked required items such as adhesive tape and antiseptic ointment.
22VAC40-90-30-B: Sworn statement or affirmation not completed for all employment applicants.
22VAC40-90-40-B: Criminal history record report not obtained within 30 days of employment for some staff.
22VAC40-73-1110-B: Failed to perform required six-month and annual review of appropriateness of residence in special care unit.
22VAC40-73-550-G: Rights and responsibilities of residents not reviewed annually with resident or legal representative.
22VAC40-73-980-C: First aid kits not checked monthly to ensure all items present and not expired.
22VAC40-73-950-E: No documentation of semi-annual review of emergency preparedness and response plan.
22VAC40-73-440-A: Uniform Assessment Instrument not completed prior to admission or annually.
22VAC40-73-520-I: Current month's activity schedule not posted in conspicuous location.
22VAC40-73-610-B: Menus for meals and snacks not dated or posted for current week.
22VAC40-73-250-D: Staff failed to annually submit tuberculosis screening results.
22VAC40-73-450-E: ISP not signed and dated by licensee and resident or legal representative.
22VAC40-73-460-H: Personal assistance and care not provided as necessary for activities of daily living.
22VAC40-73-450-H: Care and services specified in ISP not provided to resident as required.
22VAC40-73-460-B: Failed to provide prompt response to resident call bell needs.
Report Facts
Violations cited: 54
Distinct standards: 36
Inspections on page: 25
Inspections with violations: 20
Complaint visits: 14
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