Deficiencies per Year
8
6
4
2
0
Unclassified
Census Over Time
Inspection Report
Renewal
Census: 79
Deficiencies: 1
Aug 20, 2025
Visit Reason
The inspection was conducted as a renewal of the facility's license to ensure compliance with applicable standards and laws.
Findings
The inspection found non-compliance related to medication storage, specifically that medications were not kept in pharmacy-issued containers with proper labeling until administration. A violation notice was issued and a plan of correction was submitted.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure medications remained in the pharmacy issued container, with the prescription label or direction label attached, until administered to the resident. |
Report Facts
Number of residents present: 79
Number of resident records reviewed: 6
Number of staff records reviewed: 3
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 1
Quantity of tablets found improperly stored: 9
Medication dosage: 25
Plan of correction monitoring frequency: 1
Plan of correction monitoring duration: 4
Inspection Report
Monitoring
Census: 81
Deficiencies: 2
May 30, 2025
Visit Reason
The inspection was conducted as a monitoring visit following a self-reported incident received by VDSS Division of Licensing on 2025-03-25 regarding allegations in Resident Care and Related Services.
Findings
The investigation supported the self-report of non-compliance with regulations, resulting in violations issued related to failure to submit a timely incident report and failure to ensure staff treated residents with dignity and respect. Corrective actions including suspension and termination of staff were implemented.
Deficiencies (2)
| Description |
|---|
| Facility failed to submit a written report of each incident to the regional licensing office within seven days from the date of the incident. |
| Facility failed to ensure that staff were considerate and respectful of the rights, dignity, and sensitivities of persons who are aged, infirm, or disabled. |
Report Facts
Number of residents present: 81
Number of resident records reviewed: 1
Number of staff records reviewed: 1
Number of staff interviews conducted: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff 1 | Confirmed failure to submit final incident report and acknowledged findings of disrespectful care | |
| Staff 3 | Involved in incident with resident, suspended and terminated for disrespectful care | |
| Jacquelyn Kabiri | Licensing Inspector | Conducted the inspection and investigation |
Inspection Report
Monitoring
Census: 61
Deficiencies: 0
Nov 26, 2024
Visit Reason
The inspection was a monitoring visit conducted on November 26, 2024, to review compliance with personnel, admission, retention and discharge of residents, and resident care and related services regulations.
Findings
The inspection found no violations of applicable standards or laws. The licensing inspector completed a tour of the facility and reviewed resident and staff records, with no deficiencies identified.
Report Facts
Number of resident records reviewed: 1
Number of staff records reviewed: 1
Number of interviews conducted with staff: 1
Number of interviews conducted with residents: 0
Inspection Report
Routine
Deficiencies: 6
Aug 12, 2024
Visit Reason
Routine inspection of Brightview Dulles Corner assisted living facility to assess compliance with state regulations, licensing terms, and facility policies.
Findings
The facility was found non-compliant with multiple regulations including slow call bell response times, incomplete individualized service plans, missing resident signatures on orientation forms, failure to maintain resident equipment, improper labeling and storage of medical supplies, and incomplete physician orders for oxygen therapy.
Deficiencies (6)
| Description |
|---|
| Facility failed to comply with call bell response time policy; several call bells were answered significantly later than the 7-10 minute policy. |
| Resident 7's Individualized Service Plan did not specify duties and frequency of companion personnel services. |
| Resident 2 and 5 did not have signed orientation acknowledgment forms upon admission. |
| Resident 12's wheelchair armrest was torn, exposing foam and metal, causing discomfort and safety concerns. |
| Single-use medical supplies (BD Nano 2nd gen pen needles) were found without prescription labels or identifiable information. |
| Resident 3's physician order for oxygen therapy did not specify the oxygen source. |
Report Facts
Call bell response times: 105
Call bell response times: 45
Call bell response times: 48
Call bell response times: 39
Call bell response times: 59
Inspection Report
Renewal
Census: 28
Deficiencies: 0
Sep 18, 2023
Visit Reason
The inspection was conducted as a renewal inspection to review the facility's compliance with licensing requirements.
Findings
The Licensing Inspector reviewed multiple areas including administration, personnel, resident care, and emergency preparedness. The inspection included review of records, interviews, and observation of residents and facility activities.
Report Facts
Records reviewed: 6
Interviews conducted: 8
Inspection Report
Original Licensing
Deficiencies: 0
Mar 15, 2023
Visit Reason
An announced initial inspection was conducted to verify compliance with licensing standards, including physical plant review, policies, procedures, and staff records.
Findings
No violations were cited during the inspection. The inspector verified window and room measurements, reviewed policies and procedures, staff records, and tested the call bell system. Building, fire, elevator, and health inspections were submitted and reviewed.
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