Deficiencies (last 3 years)
Deficiencies (over 3 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
70% better than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
38 residents
Based on a August 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Monitoring
Census: 38
Deficiencies: 1
Aug 7, 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 related to the improper storage of cleaning supplies and hazardous materials, which were not secured in locked areas as required.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure that cleaning supplies and other hazardous materials were stored in a locked area. |
Report Facts
Number of residents present: 38
Number of resident records reviewed: 4
Number of staff records reviewed: 3
Number of staff interviews conducted: 2
Inspection Report
Complaint Investigation
Census: 44
Deficiencies: 0
Jan 10, 2025
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2024-12-25 regarding allegations related to resident conditions and admission policy.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. No deficiencies were noted in the report.
Complaint Details
Complaint investigation related to allegations of resident conditions and admission policy; the allegations were not substantiated.
Report Facts
Number of residents present: 44
Number of resident records reviewed: 4
Number of staff records reviewed: 0
Number of interviews conducted with residents: 0
Number of interviews conducted with staff: 2
Inspection Report
Complaint Investigation
Census: 37
Deficiencies: 1
Oct 16, 2024
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received on 2024-09-27 regarding allegations in the areas of direct care and hygiene.
Findings
The investigation did not support the allegations of non-compliance related to the complaint. However, a violation unrelated to the complaint was identified regarding failure to ensure all resident records were kept in a locked area.
Complaint Details
Complaint was received regarding direct care and hygiene. The evidence gathered did not support the allegations of non-compliance with standards or law.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure all resident records shall be kept in a locked area; observed computer screen on medication cart open with resident information displayed. |
Report Facts
Residents present: 37
Resident photos displayed: 16
Inspection Report
Complaint Investigation
Census: 37
Deficiencies: 1
Oct 16, 2024
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received on 2024-09-27 regarding allegations in the area of Resident Care and Related Services.
Findings
The investigation did not support the allegations of non-compliance related to the complaint; however, a violation unrelated to the complaint was identified regarding unsecured resident records on a medication cart computer screen.
Complaint Details
Complaint was related to Resident Care and Related Services and was not substantiated by the evidence gathered during the investigation.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure all resident records were kept in a locked area; medication cart computer screen was open to public view displaying resident photos and room numbers. |
Report Facts
Residents present: 37
Resident photos displayed: 16
Staff interviews conducted: 2
Inspection Report
Renewal
Census: 38
Deficiencies: 3
Jul 25, 2024
Visit Reason
The inspection was conducted as a renewal inspection to assess compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection found non-compliance with several standards including failure to develop comprehensive individualized service plans (ISP), lack of a current drug reference book in the medication area, and maintenance issues with damaged floor tiles posing a tripping hazard.
Deficiencies (3)
| Description |
|---|
| Facility failed to develop a comprehensive ISP to meet residents' service needs, specifically missing 'STOP SIGN' velcro banner indications. |
| Facility failed to have a readily accessible drug reference book no more than two years old on medication carts or nurse's station. |
| Facility failed to maintain interior and exterior of buildings in good repair; damaged and lifted floor tiles in kitchen walkway area posed a tripping hazard. |
Report Facts
Residents present: 38
Resident records reviewed: 3
Staff records reviewed: 4
Staff interviews conducted: 2
Flooring removal area: 813
Flooring removal cost per square foot: 2
Flooring removal total cost: 1626
Floor preparation cost: 750
Concrete sealing cost: 813
New flooring installation cost: 4065
Inspection Report
Renewal
Census: 47
Deficiencies: 2
Jul 27, 2023
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 non-compliance with medication administration standards, specifically related to adherence to physician orders and inclusion of diagnosis or indications on the Medication Administration Record (MAR). Violations were documented and a plan of correction was requested.
Deficiencies (2)
| Description |
|---|
| Facility failed to ensure medication was administered in accordance with physician's instructions; medication was administered on the wrong date for Resident #5. |
| Facility failed to ensure the Medication Administration Record (MAR) included diagnosis, condition, or specific indications for administering the drug or supplement for Resident #3. |
Report Facts
Number of residents present: 47
Number of resident records reviewed: 8
Number of staff records reviewed: 4
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 1
Inspection Report
Monitoring
Census: 47
Deficiencies: 0
Jun 1, 2023
Visit Reason
The inspection was a monitoring visit conducted to review compliance with applicable standards and regulations at the assisted living facility.
Findings
The inspection found no violations of applicable standards or laws. The licensing inspector completed a tour of the physical plant, reviewed resident and staff records, and observed medication administration and resident meals.
Report Facts
Number of resident records reviewed: 8
Number of staff records reviewed: 4
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 1
Inspection Report
Original Licensing
Deficiencies: 0
Feb 21, 2023
Visit Reason
The inspection was an initial licensing inspection conducted to evaluate the facility for compliance with applicable standards and laws.
Findings
The inspection found no violations with applicable standards or laws. The licensing inspector completed a tour of the physical plant, including building and grounds, and observed emergency supplies and fire exits functioning properly.
Report Facts
Staff records reviewed: 64
Resident records reviewed: 0
Interviews conducted with staff: 1
Interviews conducted with residents: 0
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