Inspection Reports for
Assisted Living at Lucy Corr

6800 Lucy Corr Boulevard, CHESTERFIELD, VA, 23832

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 2.6 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

71% better than Virginia average
Virginia average: 9.1 deficiencies/year

Deficiencies per year

8 6 4 2 0
2020
2021
2022
2024
2025

Census

Latest occupancy rate 44 residents

Based on a February 2025 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy over time

21 28 35 42 49 56 Mar 2021 Jan 2022 Aug 2022 Feb 2024 Feb 2025

Inspection Report

Monitoring
Deficiencies: 0 Date: Nov 5, 2025

Visit Reason
The inspection was a non-mandated monitoring visit conducted to review allegations related to Resident Care and Related Services based on two self-reported incidents received by VDSS.

Findings
The investigation found no evidence of non-compliance with standards or law. The inspection findings were reviewed in an exit meeting and will be posted publicly.

Report Facts
Number of resident records reviewed: 0 Number of staff records reviewed: 0 Number of interviews conducted with residents: 0 Number of interviews conducted with staff: 1 Number of self-reported incidents: 2

Employees mentioned
NameTitleContext
Yvonne RandolphLicensing InspectorInspector conducting the monitoring visit

Inspection Report

Monitoring
Census: 44 Deficiencies: 2 Date: Feb 26, 2025

Visit Reason
The inspection was a monitoring visit conducted to review compliance with applicable standards and laws at the Assisted Living at Lucy Corr facility.

Findings
The inspection found non-compliance with applicable standards or laws, resulting in documented violations. The licensee was given the opportunity to submit a plan of correction to address the cited violations and maintain future compliance.

Deficiencies (2)
The facility did not ensure that individuals shall not be admitted or retained with a prohibited condition or care need.
A written Do Not Resuscitate (DNR) order is not included in the individualized service plan (ISP) for one resident.
Report Facts
Number of residents present: 44 Number of resident records reviewed: 4 Number of staff records reviewed: 4 Number of interviews conducted with residents: 2 Number of interviews conducted with staff: 2

Employees mentioned
NameTitleContext
Yvonne RandolphLicensing InspectorNamed as the current inspector conducting the inspection

Inspection Report

Renewal
Census: 45 Deficiencies: 3 Date: Feb 15, 2024

Visit Reason
The inspection was a renewal inspection conducted to assess compliance with applicable standards and laws for the assisted living facility.

Findings
The inspection found non-compliance with applicable standards or laws, including medication administration issues, missing Do Not Resuscitate orders on service plans, and incomplete individualized service plans regarding residents' ability to use signaling devices.

Deficiencies (3)
Medication ordered for PRN administration was not available for one resident.
Written Do Not Resuscitate (DNR) Orders were not included on the individualized service plan for a resident.
Residents with inability to use the signaling device did not have this addressed in their individualized service plans.
Report Facts
Residents present: 45 Resident records reviewed: 8 Staff records reviewed: 4 Staff interviews conducted: 3 Residents with signaling device deficiency: 3

Employees mentioned
NameTitleContext
Yvonne RandolphLicensing InspectorInspector conducting the renewal inspection

Inspection Report

Complaint Investigation
Deficiencies: 2 Date: Oct 3, 2022

Visit Reason
The inspection was conducted following a self-reported incident and a subsequent online complaint regarding resident care and medication administration at the facility.

Complaint Details
The visit was complaint-related, triggered by a self-reported incident and an online complaint regarding medication administration and resident care. The on-site inspection was terminated early due to potential COVID exposure. The evidence did not determine non-compliance.
Findings
The inspection found that medication was not administered in accordance with physician instructions for one resident, and medication administration was not accurately documented on the medication administration record (MAR). However, the evidence gathered did not determine non-compliance with applicable standards or law.

Deficiencies (2)
Medication was not administered in accordance with physician instructions for one resident.
Medication administered was not accurately documented on the medication administration record (MAR) for one resident.
Report Facts
Inspection Date: Oct 3, 2022 Medication administration start date: Aug 3, 2022 Medication administration start time: 2200 Medication dose: 650 Medication frequency: 6 Plan of Correction completion date: Oct 19, 2022 Plan of Correction review start date: Oct 7, 2022

Employees mentioned
NameTitleContext
Yvonne RandolphLicensing InspectorNamed as current inspector and contact for the inspection

Inspection Report

Monitoring
Census: 39 Deficiencies: 2 Date: Aug 2, 2022

Visit Reason
The inspection was a monitoring visit conducted to review compliance with applicable standards and laws at the Assisted Living at Lucy Corr facility.

Findings
The inspection found non-compliance with applicable standards or laws, specifically deficiencies related to resident assessments prior to admission to the safe, secure environment and failure to obtain tuberculosis risk assessment results for two residents.

Deficiencies (2)
Facility failed to have two residents assessed prior to admission to the safe, secure environment by an independent clinical psychologist or physician as having a serious cognitive impairment.
Facility failed to obtain the results of a risk assessment for two residents documenting the absence of tuberculosis in a communicable form.
Report Facts
Number of residents present: 39 Number of resident records reviewed: 3

Inspection Report

Renewal
Census: 38 Deficiencies: 4 Date: Jan 11, 2022

Visit Reason
A renewal inspection was completed on 1/11/2022 to assess compliance with applicable standards and laws at the assisted living facility.

Findings
The inspection found multiple non-compliances including failure to document order of priority for placement in the Special Care Unit, unsigned individualized service plans, lack of accessible pharmacy reference materials, and missing Do Not Resuscitate orders in resident plans.

Deficiencies (4)
Facility failed to document that the order of priority was followed for placement in the Special Care Unit.
Individualized service plan for one resident was not signed or dated by the resident or legal representative.
Facility did not have readily accessible at least one pharmacy reference book, drug guide, or medication handbook for staff who administer medications.
Do Not Resuscitate order for one resident was not included in the resident's individualized service plan.
Report Facts
Residents present: 38 Resident files reviewed: 3 Staff files reviewed: 3

Inspection Report

Renewal
Census: 28 Deficiencies: 0 Date: Mar 1, 2021

Visit Reason
A renewal inspection was initiated and conducted to evaluate compliance with applicable standards and laws for the assisted living facility.

Findings
The inspection found no violations with applicable standards or law after reviewing staff and resident files, background checks, and required documentation.

Inspection Report

Monitoring
Deficiencies: 0 Date: Oct 29, 2020

Visit Reason
A monitoring inspection was initiated due to a self-reported incident regarding medication administration, conducted using an alternative remote protocol during a state of emergency pandemic.

Findings
The investigation and review of medication administration records, physician orders, and staff schedules found no non-compliance with applicable standards or law.

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