Inspection Reports for
The Crossings at Ironbridge
6701 Ironbridge Pkwy, Chester, VA 23831, United States, VA, 23831
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Inspection Reports Summary
Covers 30 inspections · Jun 2021 – May 2026Visit Reason
This report covers 30 inspections of The Crossings at Ironbridge from June 11, 2021 to May 12, 2026 by the Virginia Department of Social Services, including routine, complaint, monitoring, and renewal inspections.
Complaint Details
Twelve inspections were prompted by complaints alleging issues in resident care, staffing, administration, and other areas. Investigations supported some but not all allegations, resulting in violations issued in some complaint surveys. Several complaint inspections found no violations.
Findings
Across that history VDSS cited 55 violations under 37 distinct standards. 18 of the 30 inspections cited violations and 12 inspections were prompted by a complaint.
Violations (52)
22VAC40-73-950-E: Facility failed to ensure emergency preparedness plan review included residents, only staff were reviewed.
22VAC40-73-720-A: Written Do Not Resuscitate orders not included in individualized service plans for residents.
22VAC40-73-610-B: Menus for meals and snacks for the current week were not dated and posted conspicuously.
22VAC40-73-250-C: Staff records lacked verification that staff received current job descriptions.
22VAC40-73-325-A: Fall risk ratings were not completed for residents meeting assisted living care criteria by ISP completion.
22VAC40-73-970-A: Fire and emergency evacuation drills were not documented for March 2026.
22VAC40-73-680-D: Medications were not administered according to physician's instructions; medication given at wrong time.
22VAC40-73-680-D: Medications were not administered according to physician's instructions; medication administered to wrong resident.
22VAC40-73-1150-A: Doors to unprotected areas were not secured or monitored as required by building and fire codes.
22VAC40-73-930-D: Facility failed to document required rounds for residents unable to use signaling devices.
22VAC40-73-70-A: Facility failed to report major incident affecting resident to licensing office within 24 hours.
22VAC40-73-70-A: Facility failed to report major incident affecting resident to licensing office within 24 hours.
22VAC40-73-450-F: Individualized service plans were not reviewed and updated for significant changes in resident condition.
22VAC40-73-460-E: Facility failed to document notable changes in resident condition and corresponding actions.
22VAC40-73-440-A: Uniform Assessment Instrument was not completed annually or after significant resident condition changes.
22VAC40-73-460-E: Facility failed to document notable changes in resident condition and corresponding actions.
22VAC40-73-325-B: Fall risk ratings were not reviewed and updated after falls or condition changes.
22VAC40-73-110-1: Staff were not considerate and respectful of resident rights and dignity; hair pulling incident.
22VAC40-73-460-E: Facility failed to document notable changes in resident condition and corresponding actions.
22VAC40-73-320-B: Risk assessment for tuberculosis was completed by unlicensed provider, not licensed healthcare provider.
22VAC40-73-870-B: Buildings were not well-ventilated and free from foul odors; foul and urine odors observed.
22VAC40-73-1110-B: Reviews of appropriateness of continued residence in special care unit were not timely.
22VAC40-73-610-B: Menus were not posted in the memory care unit.
22VAC40-73-620-A: Oversight of special diets by dietitian or nutritionist was not conducted at least every six months.
22VAC40-73-350-B: Facility failed to ascertain and document sex offender status prior to admission for residents.
22VAC40-73-380-A: Resident personal/social data forms were incomplete and did not address all required items.
22VAC40-73-460-B: Staff response to resident call bell was not prompt; response time was 11 minutes 17 seconds.
22VAC40-73-450-E: Individualized service plans were not signed and dated by licensee and resident or representative.
22VAC40-73-260-A: Staff records lacked documentation of current first aid certification.
22VAC40-73-680-D: Medications were not administered according to physician's instructions; medication given to wrong resident.
22VAC40-73-680-H: Medication administration records did not document all medications administered including over-the-counter.
22VAC40-73-650-E: Resident records lacked signed or dated physician's orders for medications.
22VAC40-73-1150-A: Doors to unprotected areas were not secured or monitored as required by building and fire codes.
22VAC40-73-430-H-2: Facility failed to retain a copy of the written discharge statement in resident records.
22VAC40-73-460-E: Facility failed to document notable changes in resident condition and corresponding actions.
22VAC40-73-70-A: Facility failed to report major incident affecting resident to licensing office within 24 hours.
22VAC40-73-460-H: Facility failed to provide personal assistance and care including bathing at least twice weekly.
22VAC40-73-680-D: Medications were not administered according to physician's instructions; discontinued medication given.
22VAC40-73-980-H: Facility failed to maintain a 96-hour emergency food and water supply with 48 hours onsite.
22VAC40-73-940-A: Facility failed to comply with Virginia Statewide Fire Prevention Code; last fire inspection outdated.
22VAC40-73-950-E: Facility failed to ensure semi-annual review of emergency preparedness plan with all staff, residents, volunteers.
22VAC40-73-970-A: Fire and emergency evacuation drills were not documented from 12-30-22 to 4-20-23.
22VAC40-73-260-A: Staff records lacked first aid certification within 60 days of employment.
22VAC40-90-40-B: Criminal history record reports were not obtained from Virginia State Police or missing for staff.
22VAC40-73-430-H-2: Facility failed to retain a copy of the written discharge statement in resident records.
22VAC40-73-70-A: Facility failed to report major incident affecting resident to licensing office within 24 hours.
22VAC40-73-430-H-2: Facility failed to retain a copy of the written discharge statement in resident records.
22VAC40-73-70-A: Facility failed to report major incident affecting resident to licensing office within 24 hours.
22VAC40-73-460-I: Residents were not dressed in clean clothing and free of hygiene-related odors.
22VAC40-73-460-H: Facility failed to provide bathing and hygiene care as needed per resident care plans.
22VAC40-73-680-D: Medications were not administered according to physician's instructions; discontinued medication given.
22VAC40-73-550-G: Rights and responsibilities of residents were not reviewed annually with residents or representatives.
Report Facts
Violations cited: 55
Distinct standards: 37
Inspections on page: 30
Inspections with violations: 18
Complaint visits: 12
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