Inspection Reports for Brookdale Roanoke
1127 Persinger Rd SW, Roanoke, VA 24015, VA, 24017
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Inspection Report
Monitoring
Census: 55
Deficiencies: 0
Oct 21, 2025
Visit Reason
The inspection was a monitoring visit conducted following a self-report received by VDSS Division of Licensing regarding allegations in resident care and additional requirements for facilities caring for adults with serious cognitive impairments.
Findings
The investigation did not support the self-report of non-compliance with standards or law. No deficiencies or non-compliance were found during the inspection.
Report Facts
Number of resident records reviewed: 1
Number of staff interviews conducted: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Holly Copeland | Licensing Inspector | Current inspector conducting the monitoring inspection |
Inspection Report
Renewal
Deficiencies: 0
Mar 12, 2025
Visit Reason
The inspection was conducted as a renewal inspection to evaluate compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection found no violations with applicable standards or laws. The inspection summary will be posted publicly within five business days.
Inspection Report
Complaint Investigation
Census: 52
Deficiencies: 0
Jan 15, 2025
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2025-01-10 regarding allegations in the areas of resident care and related services and additional requirements for facilities that care for residents with serious cognitive impairments.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. No deficiencies were cited.
Complaint Details
Complaint related inspection triggered by complaint number 61315. The complaint was not substantiated.
Report Facts
Number of residents present: 52
Number of resident records reviewed: 0
Number of staff records reviewed: 1
Number of interviews conducted with residents: 0
Number of interviews conducted with staff: 2
Inspection Report
Complaint Investigation
Census: 52
Deficiencies: 0
Jan 15, 2025
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2025-01-10 regarding allegations related to resident care and additional requirements for facilities caring for adults with serious cognitive impairments.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. No deficiencies were cited as a result of this complaint investigation.
Complaint Details
Complaint related to resident care and additional requirements for adults with serious cognitive impairments; the complaint was not substantiated.
Report Facts
Number of residents present: 52
Number of staff records reviewed: 1
Number of staff interviews conducted: 2
Number of resident records reviewed: 0
Number of resident interviews conducted: 0
Inspection Report
Complaint Investigation
Census: 55
Deficiencies: 0
Jul 30, 2024
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2024-07-08 regarding allegations in the areas of resident care and related services, and resident accommodations and related provisions.
Findings
The investigation did not support the allegations of non-compliance with standards or law. No deficiencies or violations were found during the inspection.
Complaint Details
Complaint related to resident care and related services, and resident accommodations and related provisions. The allegations were not substantiated.
Report Facts
Number of residents present: 55
Number of resident records reviewed: 1
Number of staff records reviewed: 1
Number of staff interviews conducted: 2
Number of resident interviews conducted: 0
Inspection Report
Monitoring
Census: 55
Deficiencies: 2
Jun 28, 2024
Visit Reason
The inspection was a monitoring visit conducted to review compliance with resident care and related services following a self-reported incident received on 2024-06-18.
Findings
The investigation supported the self-report of non-compliance with standards related to direct care staff providing services outside their scope of practice and failure to notify a resident's designated contact person of a fall within 24 hours. Violations were issued and corrective actions were planned.
Deficiencies (2)
| Description |
|---|
| Facility failed to ensure that direct care staff provide services only within the scope of their practice and training. |
| Facility failed to notify a resident's next of kin, legal representative, or designated contact person within 24 hours of a resident's fall. |
Report Facts
Number of residents present: 55
Number of resident records reviewed: 1
Number of staff records reviewed: 1
Number of staff interviews conducted: 1
Date of fall incident: Jun 14, 2024
Inspection Report
Monitoring
Deficiencies: 1
Apr 2, 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 applicable standards related to staff training. Specifically, the facility failed to ensure that all new staff were adequately trained in emergency and disaster plans, resident emergency procedures, infection control measures, and other required areas.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure all new staff were trained in relevant laws, regulations, facility policies, emergency and disaster plans, resident emergency procedures, infection control measures, and other required areas. |
Inspection Report
Monitoring
Census: 49
Deficiencies: 1
Jul 11, 2023
Visit Reason
The inspection was a monitoring visit triggered by a self-reported incident received on 2023-06-22 regarding allegations in the area of provision of resident care and related services.
Findings
The investigation supported some but not all of the self-report; a violation was found related to resident care and resident rights. The facility failed to ensure a resident was treated with courtesy, respect, and dignity, and that their known needs were not neglected or ignored by staff.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure that a resident's rights and responsibilities were upheld, including ensuring the resident was not neglected or ignored and was treated with courtesy, respect, and dignity. |
Report Facts
Number of residents present: 49
Number of resident records reviewed: 1
Number of staff records reviewed: 1
Number of interviews conducted with staff: 1
Inspection Report
Renewal
Deficiencies: 3
Apr 11, 2023
Visit Reason
The inspection was conducted as a renewal inspection to assess compliance with applicable standards and laws for continued licensure of the assisted living facility.
Findings
The inspection identified non-compliance with several standards including incomplete tuberculosis risk assessments for staff, improper storage of cleaning supplies and hazardous materials, and maintenance issues such as stained flooring, holes in flooring, stained carpets, peeling paint, and unclean areas within the facility.
Deficiencies (3)
| Description |
|---|
| Facility failed to ensure each staff person submitted a tuberculosis risk assessment form completed on or within seven days prior to first day of work. |
| Facility failed to ensure cleaning supplies and hazardous materials were stored in a locked area. |
| Facility failed to maintain the interior of the building in good repair, clean and free of rubbish, including stained flooring, holes in flooring, stained carpets, peeling and chipping paint, and spills on walls. |
Report Facts
Date of hire: Aug 30, 2022
Inspection time: 7
Number of neighborhoods: 4
Number of resident rooms: 56
Room number: 35
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Holly Copeland | Licensing Inspector | Current inspector conducting the renewal inspection |
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 21, 2022
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2022-11-18 regarding allegations of inappropriate placement in a secured unit and resident rights violations.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law.
Complaint Details
Complaint #56479 regarding inappropriate placement in secured unit and resident rights violations was investigated and found unsubstantiated.
Report Facts
Number of resident records reviewed: 1
Number of interviews conducted with staff: 2
Inspection Report
Monitoring
Deficiencies: 0
Jun 10, 2022
Visit Reason
The inspection was a monitoring visit conducted to review compliance with resident care and related services standards.
Findings
The inspection found no violations of applicable standards or laws during the monitoring visit.
Inspection Report
Renewal
Census: 38
Deficiencies: 8
Mar 29, 2022
Visit Reason
An unannounced renewal study was conducted to assess compliance with assisted living facility standards, including a tour, medication pass observation, record reviews, and staff/resident interviews.
Findings
The facility was found deficient in multiple areas including fall risk rating updates, completion and accuracy of uniform assessment instruments and individualized service plans, diet preparation according to physician orders, medication management and documentation, building maintenance, and completeness of the first aid kit in the transport vehicle.
Deficiencies (8)
| Description |
|---|
| Facility failed to ensure that the fall risk rating was reviewed and updated after a fall. |
| Facility failed to ensure that uniform assessment instruments (UAIs) were completed as required. |
| Facility failed to ensure individualized service plans (ISPs) were completed as required, including accuracy and signatures. |
| Facility failed to ensure diets prescribed by a physician were prepared and served according to orders. |
| Facility failed to implement its written plan for medication management regarding accurate counts of controlled substances during shift changes. |
| Facility failed to document all medications administered to residents on medication administration records (MAR). |
| Facility failed to ensure the interior of the building was maintained in good repair. |
| Facility failed to ensure the first aid kit in the transport vehicle was complete and did not contain expired items. |
Report Facts
Residents in care: 38
Medication carts audited: 3
Dates of missed controlled substance audits: 3
Dates of resident falls: 3
Inspection Report
Monitoring
Deficiencies: 0
Jul 12, 2021
Visit Reason
A non-mandated focused monitoring inspection was initiated to review compliance and was conducted over two days, including a telephone investigation and documentation review.
Findings
The evidence gathered during the investigation did not support non-compliance with standards or law.
Inspection Report
Renewal
Census: 32
Deficiencies: 1
Apr 19, 2021
Visit Reason
A renewal inspection was initiated to review compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection found non-compliance related to the Assessment of Serious Cognitive Impairment for a resident admitted to the memory care unit, specifically that the resident was incorrectly assessed as able to recognize danger and protect safety.
Deficiencies (1)
| Description |
|---|
| Failure to ensure that prior to admission to a safe, secure environment, the resident was assessed as having a serious cognitive impairment with inability to recognize danger or protect own safety and welfare. |
Report Facts
Resident census: 32
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