Inspection Reports for
Dominion Village at Williamsburg
4132 Longhill Rd, Williamsburg, VA 23188, United States, VA, 23188
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Inspection Reports Summary
Covers 15 inspections · Apr 2021 – Jun 2025Visit Reason
This report covers 15 inspections of Dominion Village at Williamsburg from April 13, 2021 to June 5, 2025, including routine, renewal, monitoring, and complaint investigations.
Complaint Details
Five inspections were prompted by complaints. Investigations included allegations in Resident Care and Related Services and Personnel. Some complaints were supported with violations issued; others were not supported but violations unrelated to complaints were cited.
Findings
Across that history VDSS cited 64 violations under 38 distinct standards. 14 of 15 visits cited violations and 5 inspections were prompted by a complaint.
Deficiencies (74)
22VAC40-73-450-A: Failed to ensure preliminary plan of care developed within seven days of admission.
22VAC40-73-310-H: Failed to admit or retain individuals with prohibitive conditions without required documentation.
22VAC40-73-450-F: ISP not signed and dated by resident or legal representative.
22VAC40-73-940-A: Failed to ensure annual fire inspection by appropriate fire official.
22VAC40-73-610-B: Menus not dated and posted conspicuously with substitutions recorded.
22VAC40-73-260-A: Direct care staff lacked current first aid certification within 60 days of employment.
22VAC40-73-40-A: Failed to ensure compliance with all regulations and facility policies.
22VAC40-73-450-A: Preliminary ISP not signed and dated by resident or legal representative prior to finalization.
22VAC40-73-440-B: UAI not completed and signed by qualified assessor and administrator or designee.
22VAC40-73-325-B: Fall risk assessment not reviewed and updated after falls.
22VAC40-73-450-E: ISP lacked signature and date of resident or legal representative.
22VAC40-73-450-C: Comprehensive ISP not completed within 30 days after admission including needs description.
22VAC40-73-440-B: UAI not signed by assessor.
22VAC40-73-200-C: Direct care staff lacked documentation of required qualifications.
22VAC40-73-460-D: Failed to provide supervision of resident schedules including fall and wandering prevention.
22VAC40-73-880-C: Failed to provide air conditioning in resident areas with temperature not exceeding 80°F.
22VAC40-73-460-D: Failed to provide supervision of resident schedules and wandering needs.
22VAC40-73-1110-A: Failed to document justification for placement in special care unit.
22VAC40-73-660-A-1: Medications and supplements not stored consistent with standards of practice.
22VAC40-80-120-E-1: Failed to post required license documents on premises.
22VAC40-73-580-A: Failed to comply with Virginia Department of Health inspection regulations.
22VAC40-73-450-F: ISP not updated at least annually or as needed for significant change.
22VAC40-73-250-D: Staff failed to submit annual tuberculosis risk assessment results.
22VAC40-73-970-A: Fire and emergency drills not conducted quarterly on each shift as required.
22VAC40-73-440-D: UAI incomplete, missing functional status details.
22VAC40-73-50-A: Failed to provide disclosure statement to prospective resident and legal representative.
22VAC40-73-450-E: ISP not signed and dated by resident or legal representative.
22VAC40-73-450-C: Comprehensive ISP missing assessed needs.
22VAC40-73-350-B: Failed to ascertain if potential resident is a registered sex offender prior to admission.
22VAC40-73-440-B: UAI not completed and signed by qualified assessor and administrator or designee.
22VAC40-73-40-B: Criminal history record report not obtained within 30 days of employment.
22VAC40-73-550-G: Failed to review rights and responsibilities of residents annually with residents and staff.
22VAC40-73-310-H: Admitted or retained individuals with prohibitive conditions without required documentation.
22VAC40-73-450-C: Comprehensive ISP not completed within 30 days after admission including needs description.
22VAC40-73-440-B: UAI not signed by assessor.
22VAC40-73-460-D: Failed to provide supervision of resident schedules including fall and wandering prevention.
22VAC40-73-880-C: Failed to provide air conditioning in resident areas with temperature not exceeding 80°F.
22VAC40-73-460-D: Failed to provide supervision of resident schedules and wandering needs.
22VAC40-73-1110-A: Failed to document justification for placement in special care unit.
22VAC40-73-660-A-1: Medications and supplements not stored consistent with standards of practice.
22VAC40-80-120-E-1: Failed to post required license documents on premises.
22VAC40-73-580-A: Failed to comply with Virginia Department of Health inspection regulations.
22VAC40-73-450-F: ISP not updated at least annually or as needed for significant change.
22VAC40-73-250-D: Staff failed to submit annual tuberculosis risk assessment results.
22VAC40-73-970-A: Fire and emergency drills not conducted quarterly on each shift as required.
22VAC40-73-440-D: UAI incomplete, missing functional status details.
22VAC40-73-50-A: Failed to provide disclosure statement to prospective resident and legal representative.
22VAC40-73-450-E: ISP not signed and dated by resident or legal representative.
22VAC40-73-450-C: Comprehensive ISP missing assessed needs.
22VAC40-73-350-B: Failed to ascertain if potential resident is a registered sex offender prior to admission.
22VAC40-73-440-B: UAI not completed and signed by qualified assessor and administrator or designee.
22VAC40-73-40-B: Criminal history record report not obtained within 30 days of employment.
22VAC40-73-550-G: Failed to review rights and responsibilities of residents annually with residents and staff.
22VAC40-73-310-H: Admitted or retained individuals with prohibitive conditions without required documentation.
22VAC40-73-460-D: Failed to provide supervision of resident schedules including fall and wandering prevention.
22VAC40-73-880-C: Failed to provide air conditioning in resident areas with temperature not exceeding 80°F.
22VAC40-73-460-D: Failed to provide supervision of resident schedules and wandering needs.
22VAC40-73-1110-A: Failed to document justification for placement in special care unit.
22VAC40-73-660-A-1: Medications and supplements not stored consistent with standards of practice.
22VAC40-80-120-E-1: Failed to post required license documents on premises.
22VAC40-73-580-A: Failed to comply with Virginia Department of Health inspection regulations.
22VAC40-73-450-F: ISP not updated at least annually or as needed for significant change.
22VAC40-73-250-D: Staff failed to submit annual tuberculosis risk assessment results.
22VAC40-73-970-A: Fire and emergency drills not conducted quarterly on each shift as required.
22VAC40-73-440-D: UAI incomplete, missing functional status details.
22VAC40-73-50-A: Failed to provide disclosure statement to prospective resident and legal representative.
22VAC40-73-450-E: ISP not signed and dated by resident or legal representative.
22VAC40-73-450-C: Comprehensive ISP missing assessed needs.
22VAC40-73-350-B: Failed to ascertain if potential resident is a registered sex offender prior to admission.
22VAC40-73-440-B: UAI not completed and signed by qualified assessor and administrator or designee.
22VAC40-73-40-B: Criminal history record report not obtained within 30 days of employment.
22VAC40-73-550-G: Failed to review rights and responsibilities of residents annually with residents and staff.
22VAC40-73-310-H: Admitted or retained individuals with prohibitive conditions without required documentation.
22VAC40-73-640-A: Failed to implement written medication management plan to ensure timely refills.
Report Facts
Violations cited: 64
Distinct standards: 38
Inspections on page: 15
Inspections with violations: 14
Complaint visits: 5
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