Inspection Reports for
Babcock Manor, Inc.
Babcock Manor, APPOMATTOX, VA, 24522
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
12.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
35% worse than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
16
12
8
4
0
Census
Latest occupancy rate
28 residents
Based on a June 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Oct 24, 2025
Visit Reason
The inspection was conducted in response to a complaint received on 2025-10-14 regarding allegations in the areas of personnel, staffing, resident care and related services, building and grounds, and additional requirements for facilities that care for residents with serious cognitive impairments.
Complaint Details
The complaint was substantiated in part, specifically regarding additional requirements for facilities that care for residents with serious cognitive impairments. The complaint involved personnel, staffing, resident care, building and grounds, and additional requirements, but only the latter was found non-compliant.
Findings
The investigation supported some of the allegations related to additional requirements for facilities caring for residents with serious cognitive impairments. Violations were found regarding the lack of protective devices on windows in common areas and inadequate lighting in an interior bathroom.
Deficiencies (2)
The facility failed to ensure that protective devices were on windows in common areas to prevent residents with serious cognitive impairments from opening windows wide enough to crawl through.
The facility failed to ensure that interior areas were adequately lighted for the safety and comfort of residents and staff; specifically, lighting in the bathroom upstairs by room 3 was inoperable during inspection.
Report Facts
Number of resident records reviewed: 1
Number of staff records reviewed: 4
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia Jo Ball | Licensing Inspector | Conducted the inspection and investigation |
Inspection Report
Renewal
Census: 28
Deficiencies: 13
Date: Jun 4, 2025
Visit Reason
The inspection was conducted as a renewal inspection to assess compliance with applicable standards and laws for continued licensing of the assisted living facility.
Findings
The inspection identified multiple violations related to facility security, staff training, record retention, resident care documentation, medication reviews, emergency preparedness, and physical plant safety issues. The facility was found non-compliant in several areas and issued a violation notice with plans of correction required.
Deficiencies (13)
Failed to ensure doors leading to the outside had a system of security monitoring for residents with serious cognitive impairments; door alarms were inoperable.
Failed to ensure direct care staff received at least two hours of infection control training annually.
Failed to retain records for all staff at the facility.
Failed to ensure tuberculosis screening was completed on or within seven days prior to first day of work for staff.
Failed to ensure a documented interview was completed prior to or on the day of resident admission.
Failed to ensure resident physical examinations contained a statement that the individual does not have prohibited conditions or care needs.
Failed to ensure a fall risk rating was completed after a resident fall for residents assessed as assisted living level of care.
Failed to ensure an annual review of resident rights was completed with staff and residents.
Failed to ensure oversight of special diets was signed and dated by the dietician or nutritionist.
Failed to ensure residents assessed as assisted living level of care received a medication review every six months.
Failed to post a 'No-Smoking Oxygen in Use' sign on all rooms where oxygen is being used.
Failed to ensure cleaning supplies were stored in a locked area.
Failed to ensure a review of the facility emergency preparedness plan was completed semi-annually with all residents.
Report Facts
Number of residents present: 28
Number of resident records reviewed: 6
Number of staff records reviewed: 3
Number of resident interviews conducted: 2
Number of staff interviews conducted: 3
Inspection Report
Monitoring
Census: 29
Deficiencies: 4
Date: Aug 12, 2024
Visit Reason
The inspection was a monitoring visit conducted to review compliance with applicable standards and laws at the assisted living facility.
Findings
The inspection found non-compliance with several standards related to staff orientation and training, maintenance of staff records, updating of individualized service plans for residents, and completion of sworn statements for employment applicants. Violations were documented and a plan of correction was requested.
Deficiencies (4)
Facility failed to ensure that new staff received orientation and training within the first seven working days of employment.
Facility failed to ensure that all personal and social data was maintained in staff records.
Facility failed to ensure that Individualized service plans (ISP) were updated as needed for a significant change of a resident's condition.
Facility failed to ensure that a sworn statement or affirmation was completed for all applicants for employment.
Report Facts
Number of residents present: 29
Number of resident records reviewed: 4
Number of staff records reviewed: 3
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 3
Inspection Report
Complaint Investigation
Census: 29
Deficiencies: 0
Date: Aug 12, 2024
Visit Reason
The inspection was conducted as a complaint investigation to review allegations of non-compliance with standards or law at the assisted living facility.
Complaint Details
The inspection was complaint-related, but the investigation did not substantiate the allegations of non-compliance.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. The inspection findings will be posted publicly and a copy is required to be posted on the premises.
Report Facts
Number of resident records reviewed: 1
Number of staff records reviewed: 3
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 3
Inspection Report
Renewal
Census: 30
Deficiencies: 10
Date: May 24, 2024
Visit Reason
The inspection was a renewal inspection conducted to assess compliance with applicable standards and laws for continued licensing of the assisted living facility.
Findings
The inspection found multiple violations including failure to maintain security monitoring on doors, lack of access to staff records, incomplete or outdated resident assessments and service plans, missing physician orders, inadequate medication reviews, improper restraint documentation, unsafe storage of cleaning supplies, and lack of annual fire inspection.
Deficiencies (10)
Failed to ensure a system of security monitoring on all doors leading outside for residents with serious cognitive impairments.
Failed to ensure department representatives had reasonable opportunity to inspect all facility buildings, books, and records.
Failed to complete or update uniform assessment instruments (UAI) when significant changes in residents were observed.
Failed to update individualized service plans (ISP) as needed for significant changes in residents' conditions.
Failed to maintain physician orders in resident records.
Failed to ensure residents assessed as assisted living level of care received medication reviews at least every 6 months.
Failed to obtain physician's written order specifying condition, circumstances, and duration for use of restraints.
Failed to keep records of restraint usage, outcomes, checks, and assistance required.
Failed to ensure cleaning supplies and hazardous materials were stored in a locked area.
Failed to ensure compliance with Statewide Fire Prevention Code by ensuring annual fire inspection.
Report Facts
Number of residents present: 30
Number of resident records reviewed: 5
Number of staff records reviewed: 0
Number of resident interviews conducted: 2
Number of staff interviews conducted: 2
Date of last fire inspection: Jun 13, 2022
Inspection Report
Renewal
Census: 27
Deficiencies: 11
Date: Jun 26, 2023
Visit Reason
The inspection was conducted as a renewal inspection to assess compliance with applicable standards and laws for the assisted living facility license renewal.
Findings
The inspection found multiple violations related to staff training, tuberculosis screening, individualized service plans, resident rights reviews, diet and medication administration, restraint use, physical plant maintenance, and staff criminal history reports. The facility was cited for non-compliance and given the opportunity to submit plans of correction.
Deficiencies (11)
Facility failed to ensure direct care staff met required training requirements.
Facility failed to ensure tuberculosis screening was completed within seven days prior to first day of work for new employees.
Individualized service plans (ISP) were not completed as required for some residents.
ISPs were not signed and dated by residents or legal representatives.
Annual review of resident rights was not completed with some residents and staff.
Diet prescribed by physician was not prepared and served according to orders.
Medications were not administered in accordance with physician's instructions.
Medical procedures or treatments ordered by physician were not provided or documented as required.
Restraint was used without physician orders/instructions.
Interior of the building was not maintained in good repair (baseboard heater separating, cracked floorboards, inoperable door knob, broken door frame).
Criminal history report was not completed within 30 days of employment for a staff member.
Report Facts
Residents present: 27
Resident records reviewed: 6
Staff records reviewed: 4
Resident interviews conducted: 2
Staff interviews conducted: 4
Residents with special diet: 13
Inspection Report
Renewal
Census: 25
Deficiencies: 9
Date: Jun 21, 2022
Visit Reason
The inspection was a renewal visit to assess compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection found multiple violations related to incomplete disclosure statements, inadequate staff training, failure to conduct timely sex offender screenings, incomplete individualized service plans, lack of annual training on resident rights, missing current resident photos, failure to prepare special diets as prescribed, missing safety signage, and expired items in the first aid kit.
Deficiencies (9)
Facility failed to ensure the disclosure statement included all required components, including emergency electrical power source information.
Facility failed to ensure all staff received annual training in methods of dealing with residents with aggressive behaviors.
Facility failed to ascertain prior to admission whether a potential resident was a registered sex offender.
Facility failed to ensure all identified needs were reflected on resident individualized service plans (ISPs).
Facility failed to ensure annual training on resident rights and responsibilities with all staff.
Facility failed to ensure a current resident photo was available for identification purposes.
Facility failed to ensure special diets prescribed to residents were prepared and served according to physician instructions.
Facility failed to post a 'No Smoking-Oxygen in Use' sign at all rooms where oxygen is in use.
Facility failed to ensure that expiration dates have not passed on items inside the first aid kit.
Report Facts
Number of residents present: 25
Number of resident records reviewed: 5
Number of staff records reviewed: 3
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 3
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