1 Inspection Summary
Inspection Reports Summary
Covers 11 inspections · Jun 2021 – May 2025Visit Reason
The page covers 11 inspections of The Hidenwood Retirement Community from June 25, 2021 to May 20, 2025, including routine, renewal, monitoring, and complaint investigations.
Complaint Details
Four inspections were prompted by complaints regarding resident care, medication storage, and infection control. Investigations resulted in violations except for one complaint inspection with no violations.
Findings
Across that history VDSS cited 24 violations under 19 distinct standards. 8 of 11 visits ended with violations and 3 with none. 4 inspections were prompted by a complaint.
Violations (24)
22VAC40-73-310-H: Facility failed to ensure required documentation for admitting individuals with prohibitive conditions.
22VAC40-73-460-A: Facility failed to assume general responsibility for residents' health, safety, and well-being.
22VAC40-73-110-1: Staff failed to be considerate and respectful of residents' rights and dignity.
22VAC40-73-650-C: Physician's oral orders were not signed within 14 days.
22VAC40-73-450-D: Individualized service plans were not reviewed and updated at least annually and as needed.
22VAC40-73-720-A: Do Not Resuscitate Order was not included in the individualized service plan.
22VAC40-73-680-M: Medications ordered for PRN administration were not available to be administered.
22VAC40-73-650-E: Resident's record lacked signed or dated physician orders organized chronologically.
22VAC40-73-680-D: Medications were not administered according to prescriber's instructions.
22VAC40-73-680-C: Medications were administered outside the allowed one hour before or after dosing schedule.
22VAC40-73-350-B: Facility failed to ascertain prior to admission if a potential resident is a registered sex offender.
22VAC40-73-640-A: Facility failed to ensure accurate counts of controlled substances during staff changes.
22VAC40-73-550-G: Rights and responsibilities of residents were not reviewed annually with residents or representatives.
22VAC40-73-450-F: Individualized service plans did not contain descriptions of all identified needs and services.
22VAC40-73-290-B: Facility failed to ensure posting of the name of the current on-site person in charge.
22VAC40-73-210-B: Direct care staff did not attend required annual training hours.
22VAC40-73-660-A: Medication was not stored consistent with current standards of practice.
22VAC40-73-640-A: Facility failed to ensure accurate count of controlled substances during medication cart audit.
22VAC40-73-680-C: Medications were administered outside the allowed one hour before or after dosing schedule.
22VAC40-73-640-A: Medication was not available in a timely manner to avoid missed dosages.
22VAC40-73-640-A: Facility failed to ensure accurate count of controlled substances during medication cart audit.
22VAC40-73-680-C: Medications were administered outside the allowed one hour before or after dosing schedule.
22VAC40-73-680-H: Facility failed to document all medications administered on the medication administration record.
22VAC40-73-100-A: Facility failed to implement infection control policy during medication administration.
Report Facts
Violations cited: 24
Distinct standards: 19
Inspections on page: 11
Inspections with violations: 8
Complaint visits: 4
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