Inspection Reports for
Chesterbrook Residences
2030 Westmoreland Street, FALLS CHURCH, VA, 22043
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
2.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
71% better than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
88 residents
Based on a August 2025 inspection.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 88
Deficiencies: 5
Date: Aug 28, 2025
Visit Reason
The inspection was conducted in response to a complaint received by the VDSS Division of Licensing on 08/28/2025 regarding allegations related to buildings and grounds at the facility.
Complaint Details
The complaint was substantiated with evidence supporting non-compliance with standards related to buildings and grounds, including mold presence and maintenance issues.
Findings
The investigation found multiple violations including failure to maintain the building and grounds, presence of mold in resident rooms, failure to post the name of the current on-site person in charge, improper storage of hazardous materials, poor interior maintenance with pest issues, and inadequate ventilation with musty odors. Corrective actions and systemic changes were planned and implemented for each violation.
Deficiencies (5)
Facility failed to ensure responsibility for general administration, management, and day-to-day operation including maintaining the building and grounds, with mold found in Resident 1's room.
Facility failed to ensure the name of the current on-site person in charge was posted in the facility.
Facility failed to ensure all cleaning supplies and hazardous materials were stored in a locked area.
Facility failed to ensure the interior of all buildings was maintained in good repair and kept clean and free of rubbish, with mold and pest issues observed.
Facility failed to ensure the building was well ventilated and free from foul, stale, and musty odors.
Report Facts
Number of residents present: 88
Number of resident interviews: 2
Number of staff interviews: 4
Plan of correction completion date: Sep 30, 2025
Plan of correction completion date: Sep 10, 2025
Plan of correction completion date: Sep 12, 2025
Plan of correction completion date: Sep 22, 2025
Plan of correction completion date: Sep 25, 2025
Inspection Report
Renewal
Census: 87
Deficiencies: 1
Date: May 9, 2025
Visit Reason
The inspection was conducted as a renewal inspection of the assisted living facility to assess compliance with applicable regulations and standards.
Findings
The inspection found non-compliance related to the facility's failure to ensure that the posted weekly menu contained all meals and snacks, specifically missing snack information on the posted menu.
Deficiencies (1)
Facility failed to ensure that the posted weekly menu contained all meals and snacks, specifically snacks were not included on the posted menu.
Report Facts
Number of residents present: 87
Number of resident records reviewed: 6
Number of staff records reviewed: 4
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 3
Inspection Report
Renewal
Census: 86
Deficiencies: 3
Date: Apr 25, 2024
Visit Reason
The inspection was a renewal inspection conducted to assess compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection found non-compliance with several regulatory standards including failure to implement infection control procedures related to medication equipment labeling, incomplete training documentation for medication aides, and delays in obtaining criminal history reports for employees.
Deficiencies (3)
Facility failed to implement and follow their infection control plan related to labeling of blood glucose meters and storage bags.
Facility failed to ensure training for a medication aide was completed as required by the Virginia Board of Nursing.
Facility failed to obtain the criminal history report on or prior to the 30th day of employment for six employees.
Report Facts
Number of residents present: 86
Number of resident records reviewed: 7
Number of staff records reviewed: 3
Number of interviews conducted with residents: 3
Number of interviews conducted with staff: 3
Number of employees with late criminal history reports: 6
Inspection Report
Monitoring
Census: 80
Deficiencies: 3
Date: May 8, 2023
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 several regulatory standards including improper medication handling, failure to document medication administration, and missing criminal history record reports for multiple staff members. Plans of correction were outlined to address these deficiencies.
Deficiencies (3)
Facility failed to ensure medications remain in the pharmacy issued container with prescription label until administered.
Facility failed to document all medications administered to residents on the medication administration record (MAR).
Facility failed to make available criminal history record reports for multiple staff members.
Report Facts
Number of residents present: 80
Number of resident records reviewed: 10
Number of staff records reviewed: 5
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 1
Number of staff missing criminal history reports: 9
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Velasco | Licensing Inspector | Current inspector conducting the monitoring inspection |
| Jamie Eddy | Licensing Inspector | Contact person for questions regarding the inspection |
| Director of Nursing | Director of Nursing (DON) | Responsible for retraining staff and overseeing medication administration corrections |
| Business Office Manager | Business Office Manager (BOM) | Reviewed employee files and conducted compliance in-service |
| Executive Director | Executive Director | Monitors compliance through audits and quality assurance meetings |
Inspection Report
Renewal
Census: 97
Deficiencies: 0
Date: Feb 23, 2022
Visit Reason
An unannounced renewal study was initiated to assess compliance prior to the expiration of the current license.
Findings
No violations were cited during the inspection. Resident and staff records were reviewed, criminal background checks were verified, and medication administration was observed without issue.
Report Facts
Resident records reviewed: 10
Staff records reviewed: 5
Volunteer records reviewed: 2
Pet records reviewed: 3
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Dec 27, 2021
Visit Reason
The inspection was an unannounced complaint investigation regarding concerns about the qualifications of the administrator at Chesterbrook Residences.
Complaint Details
Complaint regarding qualifications of the administrator was investigated and found not valid based on evidence gathered.
Findings
The complaint regarding the qualifications of the administrator was deemed not valid as the preponderance of evidence gathered during the investigation did not support the allegations.
Inspection Report
Monitoring
Census: 87
Deficiencies: 1
Date: Mar 15, 2021
Visit Reason
A monitoring inspection was initiated due to a state of emergency health pandemic declared by the Governor of Virginia, conducted remotely to ensure compliance with applicable standards and laws.
Findings
The inspection found non-compliance with applicable standards or law, specifically that the facility failed to ensure that each direct care staff member had current certification in first aid within 60 days of employment.
Deficiencies (1)
The facility failed to ensure that each direct care staff member who does not have current certification in first aid received certification within 60 days of employment.
Report Facts
Staff without current First Aid Certification: 2
Days to obtain First Aid Certification: 60
Inspection dates: 2
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