Inspection Reports for Bickford of Spotsylvania

The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2025-07-01 regarding allegations related to building and grounds, and staffing at the facility.

The investigation did not support the allegation of non-compliance with standards or law. However, a violation unrelated to the complaint was identified concerning the cleanliness and repair of furnishings in the memory care area.

Complaint was related to building and grounds, and staffing. The evidence gathered did not support the allegation of non-compliance with standards or law.

The inspection was conducted as an 'Other' type of inspection following a self-reported incident received by VDSS Division of Licensing regarding allegations in resident care and staffing.

The investigation did not support the self-report of non-compliance; however, a violation unrelated to the self-report was identified concerning the facility's use of acting administrators exceeding the allowable limit within a two-year period.

The inspection was a monitoring visit triggered by a self-reported incident received on 2025-04-03 regarding allegations in the areas of resident care and staffing and supervision.

The investigation supported the self-report of non-compliance and identified multiple violations related to door security, assessment and service plan completion, supervision of resident care including elopement prevention, documentation of safety rounds, and emergency exercises. The facility failed to ensure secure doors, timely assessments, individualized service plans, supervision to prevent wandering, proper documentation, and regular emergency drills.

The inspection was conducted as a renewal inspection of the assisted living facility to assess compliance with applicable regulations and licensing requirements.

The inspection identified multiple violations including failure to follow facility policies and procedures, incomplete staff orientation and training, lack of updated CPR/First Aid certification postings, incomplete resident agreements, missing certifications on medication reviews, inadequate emergency preparedness training and documentation, unapproved emergency evacuation plans, incomplete fire drills, and insufficient resident emergency reviews and exercises.

The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2024-11-19 regarding allegations related to resident records.

The investigation did not support the allegation of non-compliance with standards or law. No violations were found and no violation notice was issued.

Complaint related to resident records; the evidence gathered did not substantiate the allegation of non-compliance.

The inspection was conducted in response to a complaint received on 2024-11-08 regarding allegations in the area of resident care at the facility.

The investigation did not substantiate the complaint allegations; however, a violation unrelated to the complaint was identified involving failure to implement the facility's written medication management plan, specifically regarding discontinued medications not being removed or destroyed timely.

Complaint was received on 2024-11-08 regarding resident care. The evidence gathered did not support the allegation of non-compliance with standards or law.

The inspection was conducted as a complaint investigation following a complaint received on 2024-09-11 regarding allegations in the area of resident care.

The investigation did not substantiate the complaint allegations; however, violations unrelated to the complaint were identified, including failure to notify the Regional Licensing Office of a major incident, failure to complete a UAI prior to admission, inadequate supervision of residents including wandering and elopement, and failure to document safety rounds properly.

Complaint was received on 2024-09-11 regarding resident care. The evidence gathered did not support the allegation of non-compliance with standards or law.

The inspection was conducted in response to a complaint received on May 22, 2024, regarding allegations in the area of Resident Care at the assisted living facility.

The investigation did not substantiate the complaint allegations of non-compliance; however, several violations unrelated to the complaint were identified, including failure to notify the Regional Licensing Office of major incidents, failure to update fall risk ratings and Individualized Service Plans after resident falls, and failure to review the resident emergency plan every six months.

Complaint was related to Resident Care and was not substantiated by the evidence gathered during the investigation.

The inspection was conducted in response to a complaint received on 2024-05-07 regarding allegations related to admission, retention, and discharge of residents.

The investigation did not find evidence to support the allegation of non-compliance with standards or law. The inspection included a tour of the physical plant and review of resident records.

Complaint related to admission, retention, and discharge of residents; the complaint was not substantiated.

The inspection was a monitoring visit to review compliance with applicable standards and laws at the assisted living facility.

The inspection identified non-compliance with applicable standards, including missing TB screening documentation for one staff member and lack of a completed quarterly Health Care Oversight document.

The inspection was a renewal inspection conducted to review compliance with licensing standards and regulations for the assisted living facility.

The facility was found to have a deficiency related to the failure to have a coordinated plan of care on the Individualized Service Plan (ISP) for a resident receiving hospice services.

The inspection was conducted due to a complaint alleging faulty equipment and inadequate staffing to meet the needs of a resident in care.

The facility was found to have equipment not in good repair, specifically a pendant for Resident A that was not working at the time of admission. Part of the complaint was substantiated and a violation was issued.

The complaint was related to faulty equipment and inadequate staffing. Part of the allegation was determined to be valid.

The inspection was conducted as a complaint investigation following an allegation of neglect for a resident in care.

The allegation of neglect was found to be not valid with no supporting evidence. However, a violation was cited for failure to have a schedule of activities posted as required.

There was an allegation of neglect for a resident in care which was determined to be not valid due to lack of evidence.

The inspection was conducted due to a complaint alleging neglect of a resident in care.

The complaint was investigated and determined to be not valid; no violations were found during the inspection.

There was an allegation of neglect for a resident in care. The report was determined to be not valid and there were no violations found during the inspection.

The inspection was a monitoring visit to review various areas including personnel, staffing, resident admission and discharge, buildings and grounds, emergency preparedness, and safe environment.

The facility was found deficient for failing to have a coordinated plan of care on the Individualized Service Plan (ISP) between the Hospice agency and the facility for Resident A. The deficiency was documented and a plan of correction was submitted.

A renewal inspection was initiated on March 19, 2021 and concluded on March 23, 2021 to review compliance with applicable standards and laws for the assisted living facility.

The inspection reviewed resident and staff records, staff schedules, fire drills, training, and healthcare oversight documentation. No violations or deficiencies were found during the inspection.