Inspection Reports for
The Legacy at North Augusta, Inc.
1410 A N. Augusta Street, STAUNTON, VA, 24401
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Inspection Reports Summary
Covers 20 inspections · Aug 2021 – May 2026Visit Reason
The page covers 20 inspections of The Legacy at North Augusta, Inc. from August 31, 2021 to May 4, 2026, including routine, renewal, monitoring, and complaint investigations.
Complaint Details
Eight inspections were complaint surveys prompted by allegations in areas such as Resident Care and Related Services, Buildings and Grounds, and Additional Requirements for Facilities That Care For Adults With Serious Cognitive Impairments. Some complaints were substantiated with violations issued; others were not supported.
Findings
Across that history VDSS cited 35 violations under 25 distinct standards. 16 of 20 visits ended with violations and 8 were complaint prompted.
Violations (28)
22VAC40-73-680-D: Failed to administer medications per physician's or prescriber's instructions on 05/08/2023.
22VAC40-73-1130-C: Failed to ensure two staff remained on secured unit at all times on 05/08/2023.
22VAC40-73-870-B: Failed to ensure all areas remained free of foul odors on 05/08/2023.
22VAC40-73-680-K: Failed to ensure PRN orders included specific symptoms and instructions on 03/31/2023.
22VAC40-73-680-I: Failed to include all required information on medication administration records on 03/31/2023.
22VAC40-73-930-D: Failed to ensure rounds were documented on 01/10/2023.
22VAC40-73-680-D: Failed to administer medications per physician's or prescriber's instructions on 05/08/2023.
22VAC40-73-560-E: Failed to keep resident records in a locked area on 10/19/2022.
22VAC40-73-260-C: Failed to keep current posting of staff certified in first aid and CPR on 10/19/2022.
22VAC40-73-1140-B: Failed to ensure four of six staff completed 10 hours dementia training within four months of hire on 10/19/2022.
22VAC40-73-860-I: Failed to keep cleaning supplies in locked storage area on 10/19/2022.
22VAC40-73-720-A: Failed to include DNR orders on individualized service plans on 11/06/2024.
22VAC40-73-860-I: Failed to store cleaning supplies in locked area on 11/06/2024.
22VAC40-73-450-F: Failed to review or update ISP after significant resident condition change on 11/06/2024.
22VAC40-73-250-D: Failed to ensure annual tuberculosis risk assessment was completed for staff on 11/06/2024.
22VAC40-73-1110-A: Failed to provide written justification for placement in safe, secure environment on 11/06/2024.
22VAC40-73-700-1: Failed to obtain valid physician order for oxygen therapy on 11/06/2024.
22VAC40-73-680-D: Failed to administer medications per physician's or prescriber's instructions on 04/22/2025.
22VAC40-73-460-D: Failed to provide supervision including wandering prevention on 06/17/2025.
22VAC40-73-450-C: Failed to include all identified needs in comprehensive ISP on 06/17/2025.
22VAC40-73-680-E: Failed to provide treatments as ordered by physician or prescriber on 09/23/2025.
22VAC40-73-680-D: Failed to administer medications per physician's or prescriber's instructions on 09/23/2025.
22VAC40-73-720-A: Failed to include DNR orders on individualized service plans on 09/23/2025.
22VAC40-73-560-E: Failed to keep resident records in locked area on 09/23/2025.
22VAC40-73-680-H: Failed to document medication administration on MAR at time of administration on 09/23/2025.
22VAC40-73-1110-A: Failed to provide written justification for placement in safe, secure environment on 09/23/2025.
22VAC40-73-860-I: Failed to store cleaning supplies in locked area on 09/23/2025.
22VAC40-73-680-D: Failed to administer medications per physician's or prescriber's instructions on 12/03/2025.
Report Facts
Violations cited: 35
Distinct standards: 25
Inspections on page: 20
Inspections with violations: 16
Complaint visits: 8
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