Inspection Reports for
Brandon Oaks
3804 Brandon Avenue SW, ROANOKE, VA, 24018
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
78% better than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
37 residents
Based on a May 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Renewal
Census: 37
Deficiencies: 0
Date: May 5, 2025
Visit Reason
The inspection was conducted as a renewal of the facility's license.
Findings
The inspection found no violations of applicable standards or laws. The licensing inspector completed a tour of the physical plant and reviewed resident and staff records without identifying any deficiencies.
Report Facts
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: 4
Inspection Report
Monitoring
Deficiencies: 3
Date: May 22, 2024
Visit Reason
The inspection was a monitoring visit conducted to assess compliance with applicable standards and laws at the assisted living facility.
Findings
The inspection found non-compliance with medication management procedures, including discrepancies in medication administration records and unsecured medication storage. Additionally, the facility failed to post the findings of the most recent inspection on the premises as required.
Deficiencies (3)
The facility failed to implement a portion of its medication management plan, specifically regarding methods for monitoring medication administration and the effective use of medication administration records (MARs) for documentation.
The facility failed to ensure that a medicine cabinet, container, or compartment used for storage of facility-administered medications and dietary supplements prescribed for residents is locked and that the individual responsible for medication administration keeps the keys on their person.
The facility failed to ensure that the findings of the most recent facility inspection were posted on the premises.
Report Facts
Medication inventory discrepancy: 1
Inspection duration: 6
Inspection Report
Renewal
Deficiencies: 2
Date: Jun 14, 2023
Visit Reason
The inspection was a renewal inspection conducted to assess compliance with applicable standards and laws for the facility's license renewal.
Findings
The inspection found non-compliance with applicable standards or laws, specifically related to medication storage and storage of hazardous materials, resulting in documented violations.
Deficiencies (2)
Facility failed to ensure that medications were stored in a locked area.
Facility failed to store cleaning supplies and other hazardous materials in a locked area.
Inspection Report
Monitoring
Census: 38
Deficiencies: 0
Date: Aug 23, 2022
Visit Reason
The inspection was a monitoring visit conducted following a self-reported incident received by VDSS regarding allegations in the area of Resident Care and Related Services.
Findings
The inspection found no violations with applicable standards or laws based on the evidence gathered during the inspection.
Report Facts
Number of resident records reviewed: 1
Number of interviews conducted with staff: 2
Number of interviews conducted with residents: 1
Inspection Report
Monitoring
Census: 30
Deficiencies: 3
Date: Jun 6, 2022
Visit Reason
The inspection was a monitoring visit to review compliance with applicable standards and laws at the assisted living facility.
Findings
The inspection found non-compliance with several standards including incomplete private duty personnel records, failure to ensure first aid training within 60 days for new direct care staff, and failure to administer medications within one hour of the scheduled time.
Deficiencies (3)
Facility failed to have some required information in the record for private duty personnel.
Facility failed to ensure a new direct care staff person had first aid training within 60 days of hire.
Facility failed to administer medications within one hour of the scheduled time.
Report Facts
Number of residents present: 30
Number of resident records reviewed: 7
Number of staff records reviewed: 3
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 2
Days late for first aid training: 106
Medication administration delay: 95
Inspection Report
Renewal
Census: 39
Deficiencies: 2
Date: Jun 10, 2021
Visit Reason
A renewal inspection was initiated to assess compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection identified non-compliance related to the infection control plan not fully addressing safe injection practices and the failure to complete uniform assessment instruments (UAI) accurately for residents.
Deficiencies (2)
The facility's infection control plan did not fully address the use of safe injection practices and other procedures where the potential for exposure to blood or body fluids exists.
The facility failed to complete uniform assessment instruments (UAI) in accordance with Assessment in Assisted Living Facilities, with duplicate entries for mobility noted in resident records.
Report Facts
Resident records reviewed: 3
Staff records reviewed: 3
Current census: 39
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