1 Inspection Summary
Inspection Reports Summary
Covers 11 inspections · Jan 2021 – Jul 2025Visit Reason
This report covers 11 inspections of The Kensington Falls Church from January 28, 2021 to July 31, 2025, including complaint and monitoring inspections.
Complaint Details
Four inspections were complaint surveys prompted by allegations in areas including Personnel, Resident Care and Related Services, Administration and Administrative Services, Admissions and Discharges. Some complaints were substantiated with violations issued.
Findings
Across that history VDSS cited 13 violations under 13 distinct standards. Four inspections were prompted by a complaint.
Violations (13)
22VAC40-73-450-H: Facility did not ensure services in individualized service plan were provided to each resident.
22VAC40-73-680-M: Medications ordered for PRN administration were not available and properly stored.
22VAC40-73-120-A: Orientation and training not completed within first seven working days of employment.
22VAC40-73-260-A: Direct care staff did not maintain current first aid certification.
22VAC40-73-1140-B: Staff did not attend at least 10 hours of cognitive impairment training within four months.
22VAC40-73-680-C: Medications not administered within one hour before or after standard dosing schedule.
22VAC40-73-680-B: Medications not kept in pharmacy issued container until administered.
22VAC40-73-670-1: Staff administering medication not authorized by Virginia Drug Control Act.
22VAC40-73-210-B: Direct care staff failed to attend 12 hours of annual training.
22VAC40-73-650-B: Facility failed to have diagnoses and conditions for medications administered.
22VAC40-73-320-A: Physical examination missing documented reaction to known allergy.
22VAC40-73-450-A: Preliminary plan of care not developed on or within seven days prior to admission.
22VAC40-90-30-C: False statement made on sworn statement or affirmation by staff.
Report Facts
Violations cited: 13
Distinct standards: 13
Inspections on page: 11
Inspections with violations: 7
Complaint visits: 4
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