Inspection Reports for
Brookdale Virginia Beach
937 Diamond Springs Rd, Virginia Beach, VA 23455, VA, 23455
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Inspection Reports Summary
Covers 28 inspections · Sep 2020 – Nov 2025Visit Reason
This report covers 28 inspections of Brookdale Virginia Beach from September 30, 2020 to November 14, 2025 by the Virginia Department of Social Services.
Complaint Details
Multiple complaint surveys were conducted during the period, with 16 complaint visits in total. Complaints involved resident care and related services, staffing and supervision, medication administration, and building and grounds. Investigations supported some allegations resulting in violations issued. Plans of correction were required for all complaint-related violations.
Findings
Across that history VDSS cited 94 violations under 49 distinct standards. 25 visits ended with violations cited and 3 with none. 16 inspections were prompted by a complaint.
Deficiencies (104)
22VAC40-73-450-E: ISP not signed and dated by licensee, administrator, or resident/legal guardian.
22VAC40-73-250-D: Staff did not submit annual TB risk assessment documentation.
22VAC40-73-550-G: Resident rights review not completed annually with resident or legal guardian.
22VAC40-73-1140-B: Direct care staff did not complete 10 hours cognitive impairment training within 4 months.
22VAC40-73-1140-B: Direct care staff did not complete 10 hours cognitive impairment training within 4 months.
22VAC40-73-1140-B: Direct care staff did not complete 10 hours cognitive impairment training within 4 months.
22VAC40-73-930-D: Rounds not made every two hours for residents unable to use signaling device.
22VAC40-73-530-C: Facility did not ensure freedom of movement; resident blocked from leaving room.
22VAC40-73-450-E: ISP not signed and dated by licensee, administrator, or resident/legal guardian.
22VAC40-73-680-B: Medication administration record missing signatures or documentation.
22VAC40-73-640-A: Medication management plan not implemented; controlled substance counts missing signatures.
22VAC40-73-640-A: Medication management plan not implemented; controlled substance counts missing signatures.
22VAC40-73-640-A: Medication management plan not implemented; controlled substance counts missing signatures.
22VAC40-73-640-A: Medication management plan not implemented; controlled substance counts missing signatures.
22VAC40-73-640-A: Medication management plan not implemented; controlled substance counts missing signatures.
22VAC40-73-640-M: PRN medications not available, properly labeled, or stored.
22VAC40-73-450-E: ISP not signed and dated by licensee, administrator, or resident/legal guardian.
22VAC40-73-325-B: Fall risk rating not reviewed and updated after a fall.
22VAC40-73-325-B: Fall risk rating not reviewed and updated after a fall.
22VAC40-73-410-A: Orientation for new residents and legal guardians not documented.
22VAC40-73-440-A: Uniform Assessment Instrument not completed prior to admission.
22VAC40-73-450-A: Preliminary plan of care not developed on or within 7 days prior to admission.
22VAC40-73-680-E: Medical procedures or treatments not provided or documented as ordered.
22VAC40-73-1110-A: Determination and justification for placement in special care unit not documented.
22VAC40-73-440-A: Uniform Assessment Instrument not completed prior to admission.
22VAC40-73-440-B: Uniform Assessment Instrument not signed by administrator or designee.
22VAC40-73-320-B: Annual TB risk assessment not completed on each resident.
22VAC40-73-930-D: Rounds not made every two hours for residents unable to use signaling device.
22VAC40-73-640-A: Medication management plan not implemented; controlled substance counts missing signatures.
22VAC40-73-680-I: MAR did not include medication errors or omissions.
22VAC40-73-325-B: Fall risk rating not reviewed and updated after a fall.
22VAC40-73-450-E: ISP not signed and dated by licensee, administrator, or resident/legal guardian.
22VAC40-73-930-D: Rounds not made every two hours for residents unable to use signaling device.
22VAC40-73-530-C: Facility did not ensure freedom of movement; resident blocked from leaving room.
22VAC40-73-640-A: Medication management plan not implemented; controlled substance counts missing signatures.
22VAC40-73-640-M: PRN medications not available, properly labeled, or stored.
22VAC40-73-720-D: DNR orders not included in individualized service plan.
22VAC40-73-640-A: Medication management plan not implemented; controlled substance counts missing signatures.
22VAC40-73-450-E: ISP not signed and dated by licensee, administrator, or resident/legal guardian.
22VAC40-73-680-I: MAR did not include medication errors or omissions.
22VAC40-73-325-B: Fall risk rating not reviewed and updated after a fall.
22VAC40-73-930-D: Rounds not made every two hours for residents unable to use signaling device.
22VAC40-73-410-A: Orientation for new residents and legal guardians not documented.
22VAC40-73-440-A: Uniform Assessment Instrument not completed prior to admission.
22VAC40-73-325-B: Fall risk rating not reviewed and updated after a fall.
22VAC40-73-50-A: Disclosure statement not signed by resident or legal representative.
22VAC40-73-440-B: Uniform Assessment Instrument not signed by administrator or designee.
22VAC40-73-320-B: Annual TB risk assessment not completed on each resident.
22VAC40-73-450-C: ISP did not include description of identified needs based on admission physical exam and other sources.
22VAC40-73-930-D: Rounds not documented every two hours for residents unable to use signaling device.
22VAC40-73-460-H: Personal assistance and care with bathing not provided as needed.
22VAC40-73-450-E: ISP not signed and dated by licensee, administrator, or resident/legal guardian.
22VAC40-73-450-C: ISP did not include all assessed needs for residents.
22VAC40-73-680-M: PRN medications not available, properly labeled, or stored.
22VAC40-73-260-A: Direct care staff did not maintain current first aid certification.
22VAC40-73-640-A: Medication management plan not implemented; outdated medications and transcription errors.
22VAC40-73-310-H: Admitted or retained individuals with psychotropic medications without treatment plans.
22VAC40-73-320-B: Fall risk rating not reviewed and updated after a fall.
22VAC40-73-450-E: ISP not signed and dated by resident or legal representative.
22VAC40-73-680-I: MAR did not include medication errors or omissions.
22VAC40-73-260-C: First aid/CPR listing not kept up to date.
22VAC40-73-325-B: Fall risk rating not reviewed and updated after a fall.
22VAC40-73-450-C: ISP did not include all assessed needs.
22VAC40-73-380-B: Resident personal and social data not kept current.
22VAC40-73-320-A: Physical examination not completed within 30 days preceding admission.
22VAC40-73-610-B: Menus for meals and snacks not dated and posted conspicuously.
22VAC40-73-680-N: Stat-drug used improperly by registered medication aide.
22VAC40-73-680-D: Medications not administered according to physician's instructions.
22VAC40-73-450-E: ISP not signed and dated by resident or legal representative.
22VAC40-73-450-F: ISP not reviewed and updated as needed for significant change in resident's condition.
22VAC40-73-680-E: Medical procedures or treatments not provided or documented as ordered.
22VAC40-73-450-E: ISP not signed and dated by licensee, administrator, or resident/legal guardian.
22VAC40-73-70-A: Failed to report major incidents to regional licensing office within 24 hours.
22VAC40-73-450-C: ISP did not include all assessed needs.
22VAC40-73-440-K: Uniform Assessment Instrument not signed by administrator or designee.
22VAC40-73-450-D: Hospice services not included in ISP and coordinated plan of care.
22VAC40-73-450-F: ISP not reviewed and updated at least once every 12 months and as needed.
22VAC40-73-680-E: Medical procedures or treatments not provided or documented as ordered.
22VAC40-73-450-E: ISP not signed and dated by licensee, administrator, or resident/legal guardian.
22VAC40-73-70-A: Failed to report major incidents to regional licensing office within 24 hours.
22VAC40-73-450-C: ISP did not include all assessed needs.
22VAC40-73-450-F: ISP not reviewed and updated as needed for significant change in resident's condition.
22VAC40-73-680-D: Medications not administered according to physician's instructions.
22VAC40-73-450-E: ISP not signed and dated by resident or legal guardian.
22VAC40-73-680-I: MAR did not include medication errors or omissions.
22VAC40-73-325-B: Fall risk rating not reviewed and updated after a fall.
22VAC40-73-450-C: ISP did not include all assessed needs.
22VAC40-73-380-A: Resident personal and social data not kept current.
22VAC40-73-450-C: ISP did not include all assessed needs.
22VAC40-73-1140-B: Direct care staff did not complete 10 hours cognitive impairment training within 4 months.
22VAC40-73-450-F: ISP not reviewed and updated as needed for significant change in resident's condition.
22VAC40-73-930-D: Rounds not made and documented every two hours for residents unable to use signaling device.
22VAC40-73-450-F: ISP not reviewed and updated as needed as resident's condition changed.
22VAC40-73-680-D: Medications not administered according to prescriber's instructions.
22VAC40-73-40-A: Staffing ratios not met in special care unit; insufficient awake direct care staff.
22VAC40-73-290-A: Work schedules did not include names, job classifications, or person in charge.
22VAC40-73-680-D: Medications not administered according to physician's instructions.
22VAC40-73-450-E: ISP not signed and dated by licensee, administrator, or resident/legal guardian.
22VAC40-73-450-C: ISP did not include all assessed needs.
22VAC40-73-450-C: ISP did not include all assessed needs.
22VAC40-73-450-C: ISP did not include all assessed needs.
22VAC40-73-450-C: ISP did not include all assessed needs.
22VAC40-73-450-C: ISP did not include all assessed needs.
22VAC40-73-450-C: ISP did not include all assessed needs.
Report Facts
Violations cited: 94
Distinct standards: 49
Inspections on page: 28
Inspections with violations: 25
Complaint visits: 16
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