Inspection Reports for Brandermill Woods Healthcare Communities
2100 Brandermill Pkwy, Midlothian, VA 23112, United States, VA, 23112
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Inspection Report
Monitoring
Census: 55
Deficiencies: 3
Oct 9, 2025
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 applicable standards and laws, resulting in documented violations related to resident records and medication administration.
Deficiencies (3)
| Description |
|---|
| The facility failed to ensure that prior to or at the time of admission, personal and social information required on a person shall be obtained. Records for Resident #3 and Resident #5 lacked all required personal and social information. |
| The facility failed to ensure that the resident's record contained the physician's or other prescriber's signed written order. Records for three residents observed during medication pass did not contain signed physician's orders. |
| The facility failed to ensure that medications were administered in accordance with the physician's or other prescriber's instructions. Resident #2's eye drops were not administered at the prescribed time during medication pass. |
Report Facts
Number of resident records reviewed: 6
Number of staff records reviewed: 3
Number of interviews conducted with residents: 4
Number of interviews conducted with staff: 4
Inspection Report
Renewal
Census: 57
Deficiencies: 2
Sep 10, 2024
Visit Reason
The inspection was conducted as a renewal inspection to assess compliance with applicable standards and laws for licensing renewal.
Findings
The inspection found non-compliance with applicable standards related to staff certification in first aid and annual review of residents' rights and responsibilities. Violations were documented and a plan of correction was requested.
Deficiencies (2)
| Description |
|---|
| Facility failed to ensure that each direct care staff member maintained current certification in first aid. |
| Facility failed to ensure that the rights and responsibilities of residents were reviewed annually with each resident or staff person. |
Report Facts
Number of residents present: 57
Number of resident records reviewed: 6
Number of staff records reviewed: 3
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 3
Inspection Report
Renewal
Census: 56
Deficiencies: 0
Sep 20, 2023
Visit Reason
The inspection was conducted as a renewal visit to assess compliance with licensing requirements for the assisted living facility.
Findings
The inspection included a tour of the physical plant, review of resident and staff records, and interviews with residents and staff. No violations of applicable standards or laws were found during the inspection.
Report Facts
Resident records reviewed: 8
Staff records reviewed: 4
Resident interviews conducted: 3
Staff interviews conducted: 4
Inspection Report
Complaint Investigation
Census: 52
Deficiencies: 0
Feb 13, 2023
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2022-11-28 regarding allegations in the area of resident care.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. No violation notice was issued.
Complaint Details
Complaint related to resident care; the complaint was not substantiated.
Report Facts
Number of resident records reviewed: 1
Number of interviews conducted with staff: 2
Inspection Report
Monitoring
Census: 52
Deficiencies: 1
Feb 13, 2023
Visit Reason
The inspection was a monitoring visit conducted on February 13, 2023, following a self-reported incident received on January 3, 2023, regarding allegations in the area of resident care.
Findings
The inspection found non-compliance with applicable standards related to medication administration. Specifically, the facility failed to administer prescribed medication to a resident, resulting in a seizure and hospitalization.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure medications were administered according to physician's orders, resulting in a resident missing doses of Clonazepam for two days and subsequent seizure. |
Report Facts
Residents present: 52
Resident records reviewed: 1
Staff interviews conducted: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Davis | Licensing Inspector | Named as the current inspector conducting the inspection |
Inspection Report
Renewal
Census: 50
Deficiencies: 0
Oct 28, 2022
Visit Reason
The inspection was conducted as a renewal inspection to evaluate compliance with applicable standards and laws for continued licensure of the assisted living facility.
Findings
The inspection included a tour of the physical plant, review of resident and staff records, and observation of facility documentation and emergency supplies. No violations of applicable standards or laws were found during the inspection.
Report Facts
Number of resident records reviewed: 8
Number of staff records reviewed: 4
Number of interviews conducted with residents: 3
Number of interviews conducted with staff: 4
Inspection Report
Monitoring
Census: 50
Deficiencies: 1
Oct 28, 2022
Visit Reason
The inspection was conducted as a monitoring visit following a self-reported incident received by VDSS on 2022-08-19 regarding allegations related to additional requirements for facilities that care for adults with serious cognitive impairments.
Findings
The inspection found non-compliance with applicable standards related to the facility's failure to ensure that doors leading to unprotected areas were properly monitored or secured with appropriate devices, resulting in a resident eloping from the facility. A violation notice was issued and the facility submitted a plan of correction.
Deficiencies (1)
| Description |
|---|
| Failure to ensure that doors leading to unprotected areas were monitored or secured through devices conforming to applicable building and fire codes, including door alarms, cameras, constant staff oversight, security bracelets, pressure pads, delayed egress mechanisms, locking devices, or perimeter fence gates. |
Report Facts
Number of residents present: 50
Number of resident records reviewed: 1
Number of staff interviews: 2
Inspection Report
Monitoring
Census: 56
Deficiencies: 1
Oct 5, 2021
Visit Reason
A monitoring inspection was initiated to review compliance with applicable standards and laws, including a remote documentation review and an on-site inspection.
Findings
The inspection found non-compliance related to the facility's failure to post a list of staff with current first aid or CPR certification. The facility corrected this deficiency during the inspection.
Deficiencies (1)
| Description |
|---|
| Facility failed to post a listing of all staff who have current certification in first aid or CPR so that the information is readily available to all staff at all times. |
Report Facts
Resident records reviewed: 4
Staff records reviewed: 4
Inspection dates: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Davis | Inspector | Conducted the inspection and communicated findings |
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