Inspection Reports for
Morningside House of Fredericksburg
3020 Gordon W. Shelton Boulevard, FREDERICKSBURG, VA, 22401
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Inspection Reports Summary
Covers 9 inspections · Jan 2024 – Mar 2026Visit Reason
This report covers 9 inspections of Morningside House of Fredericksburg from January 29, 2024 to March 23, 2026, including complaint and monitoring visits.
Complaint Details
Four inspections were complaint surveys. Some complaints were substantiated with violations issued, others were not supported by evidence.
Findings
Across that history VDSS cited 23 violations under 21 distinct standards. Four inspections were prompted by a complaint.
Deficiencies (23)
22VAC40-73-530-C: Facility failed to provide freedom of movement; resident bedroom doors were locked.
22VAC40-73-640-A: Failed to implement medication management plan ensuring supervision of medication administration staff.
22VAC40-73-70-A: Failed to report major incident to regional licensing office within 24 hours.
22VAC40-73-680-D: Medications not administered according to prescriber’s instructions; wrong resident received meds.
22VAC40-73-470-C: Failed to provide services to prevent clinically avoidable complications.
22VAC40-73-580-F: Failed to implement interventions promptly when nutritional problem suspected.
22VAC40-73-680-E: Failed to document and provide treatments ordered by physician as instructed.
22VAC40-73-440-F: Uniform Assessment Instrument not completed within 90 days of admission.
22VAC40-73-450-F: Failed to update Individualized Service Plan for significant change in resident’s condition.
22VAC40-73-40-A: Failed to ensure compliance with facility’s own policies and procedures for skin assessments.
22VAC40-73-70-A: Failed to report major incident threatening resident’s life, health, safety, or welfare within 24 hours.
22VAC40-73-980-A: First aid kits not checked monthly; missing items found.
22VAC40-73-610-B: Menu substitutions or additions not recorded on posted menu.
22VAC40-73-1120-B: Failed to ensure at least 21 hours of scheduled activities available weekly.
22VAC40-73-680-M: PRN medications not available, properly labeled, or properly stored.
22VAC40-73-980-H: Failed to ensure 96-hour supply of emergency food and water with 48 hours onsite.
22VAC40-73-1110-A: Failed to document written determination for placement in special care unit.
22VAC40-73-680-K: PRN medication orders lacked directions if symptoms persisted.
22VAC40-73-530-C: Residents locked out of rooms; rooms locked requiring staff assistance.
22VAC40-73-970-E: Fire and emergency evacuation drill records missing required data elements.
22VAC40-73-1090-A: Failed to ensure resident assessed by licensed psychologist or physician for serious cognitive impairment.
22VAC40-73-1140-B: Direct care staff lacked required 10 hours cognitive impairment training within 4 months.
22VAC40-73-260-A: Direct care staff not first aid certified.
Report Facts
Violations cited: 23
Distinct standards: 21
Inspections on page: 9
Inspections with violations: 5
Complaint visits: 4
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