Inspection Reports for
Poet’s Walk Leesburg
102 Desmond Plz SE, Leesburg, VA 20175, VA, 20175
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Inspection Reports Summary
Covers 4 inspections · Aug 2025 – Jan 2026Visit Reason
The page covers four inspections of Poet's Walk Leesburg between August 7, 2025 and January 6, 2026, including one complaint survey.
Complaint Details
One inspection was prompted by a complaint received on 10/03/2025 regarding Resident Care and Related Services. The investigation supported the allegations and violations were issued.
Findings
Across that history VDSS cited 31 violations under 29 distinct standards. Three visits ended with violations cited and one with none.
Violations (31)
22VAC40-73-1140-B: Direct care staff failed to complete 10 hours cognitive impairment training within 4 months.
22VAC40-73-440-A: Residents and applicants were not assessed face to face using UAI at required times.
22VAC40-73-670-1: Staff responsible for medication administration were not properly licensed or registered.
22VAC40-73-640-A: Medication management plan was not current, implemented, or addressed required procedures.
22VAC40-90-30-B: Sworn statement or affirmation was not completed by all employment applicants.
22VAC40-90-40-B: Criminal history record reports were not obtained within 30 days of employment.
22VAC40-73-290-B: Procedure for posting current on-site person in charge was not developed or implemented.
22VAC40-73-200-C: Direct care staff did not meet employment requirements upon hire or within two months.
22VAC40-73-45-A: Liability insurance coverage was not maintained according to capacity tiers.
22VAC40-73-280-B: Written staffing plan specifying direct care staff numbers and types was not maintained.
22VAC40-73-520-I: Written schedule of activities was not developed monthly, complete, or posted conspicuously.
22VAC40-73-560-E: Resident records were not kept current, retained at facility, or kept locked.
22VAC40-73-240-F: Volunteers did not attend orientation or sign statement of understanding prior to service.
22VAC40-73-1180-B: Ordinary materials or objects harmful to residents were accessible despite indications.
22VAC40-73-40-B-9: Records, reports, plans, schedules, and other information were not maintained as required.
22VAC40-73-280-A: Staff were not adequate in knowledge, skills, abilities, or numbers to meet resident needs.
22VAC40-73-680-D: Medication was not administered per physician or prescriber instructions and standards.
22VAC40-73-610-B: Menus including substitutions were not dated or posted for the current week conspicuously.
22VAC40-73-680-H: Medication administrations were not documented on MAR at time of administration.
22VAC40-73-530-C: Freedom of movement was not ensured; residents were locked out or inside their rooms.
22VAC40-73-450-E: Individualized service plans were not signed and dated by required parties.
22VAC40-80-120-E-1: Required documents including license and inspection findings were not posted conspicuously.
22VAC40-73-680-C: Medication was administered outside the facility's standard dosing schedule time frame.
22VAC40-73-950-E: Emergency preparedness plan orientation and semiannual review was not documented.
22VAC40-73-100-A: Infection control program was not implemented regarding hand hygiene practices.
22VAC40-73-680-B: Medications were not kept in pharmacy-issued containers with labels until administered.
22VAC40-73-350-B: Sex offender screenings were not ascertained prior to admission for potential residents.
22VAC40-73-870-A: Interior of building was not maintained in good repair and was not clean or free of rubbish.
22VAC40-73-860-I: Cleaning supplies and hazardous materials were not stored in a locked area.
22VAC40-73-640-A: Written medication management plan was not implemented as required (complaint survey).
22VAC40-73-680-D: Medication was not administered in accordance with physician's instructions (complaint survey).
Report Facts
Violations cited: 31
Distinct standards: 29
Inspections on page: 4
Inspections with violations: 3
Complaint visits: 1
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