Inspection Reports for Elancé at Tuckahoe
567 N Parham Rd, Henrico, VA 23229, United States, VA, 23229
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Inspection Report
Renewal
Census: 102
Deficiencies: 9
Oct 28, 2025
Visit Reason
The inspection was a renewal inspection conducted to assess compliance with applicable standards and laws for licensing renewal of the assisted living facility.
Findings
The inspection identified multiple violations related to resident record documentation, staff certifications, resident care plans, emergency preparedness, and facility disclosures. The facility was found non-compliant with several regulatory standards and was required to submit plans of correction.
Deficiencies (9)
| Description |
|---|
| Failure to perform six month review of appropriateness of resident placement in special care unit. |
| Failure to provide disclosure statements to prospective residents and their legal representatives. |
| Direct care staff did not have current first aid certification within 60 days of employment. |
| Failure to provide written assurance of appropriate facility license to residents at admission. |
| Failure to complete annual tuberculosis risk assessments for residents. |
| Failure to provide and document orientation to the facility for residents and/or their legal representatives. |
| Failure to document annual review of resident rights and responsibilities in resident records. |
| Do not resuscitate (DNR) orders were not included in the individualized service plan for a resident. |
| Failure to document semi-annual review of emergency preparedness and response plan for all staff, residents, and volunteers. |
Report Facts
Number of residents present: 102
Number of resident records reviewed: 8
Number of staff records reviewed: 4
Number of interviews with residents: 3
Number of interviews with staff: 3
Staff hire date: 2025
Plan of correction completion dates: 2025
Inspection Report
Complaint Investigation
Census: 143
Deficiencies: 0
Sep 15, 2025
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2025-08-15 regarding allegations related to admission, retention, and discharge of residents.
Findings
The investigation found no evidence to support the allegation of non-compliance with standards or law. The potential resident was not admitted, so no resident record existed. The inspection findings will be posted publicly.
Complaint Details
Complaint related to admission, retention, and discharge of residents; the allegation was not substantiated.
Report Facts
Number of residents present: 143
Number of resident records reviewed: 0
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: 132
Deficiencies: 0
Jan 15, 2025
Visit Reason
The inspection was conducted in response to a complaint received on 2024-11-22 regarding allegations in staffing and supervision and additional requirements for facilities that care 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 violation notice was issued.
Complaint Details
Complaint related to staffing and supervision and additional requirements for facilities caring for adults with serious cognitive impairments; allegations were not substantiated.
Report Facts
Number of interviews conducted with staff: 5
Inspection Report
Complaint Investigation
Census: 132
Deficiencies: 0
Jan 15, 2025
Visit Reason
The inspection was conducted in response to a complaint received on 2024-12-09 regarding allegations in the area of resident care and related services.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. No violation notice was issued.
Complaint Details
Complaint received on 2024-12-09 regarding resident care and related services; investigation did not substantiate the allegations.
Report Facts
Number of residents present: 132
Number of resident records reviewed: 1
Number of staff interviews conducted: 1
Inspection Report
Complaint Investigation
Census: 132
Deficiencies: 0
Jan 15, 2025
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2025-01-14 regarding allegations in the area of buildings and grounds.
Findings
The licensing inspector toured the physical plant including the building and grounds. The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law.
Complaint Details
Complaint related to buildings and grounds; evidence did not support allegations of non-compliance.
Report Facts
Number of interviews conducted with staff: 2
Inspection Report
Complaint Investigation
Census: 132
Deficiencies: 0
Jan 15, 2025
Visit Reason
The inspection was conducted in response to a complaint received on 2024-12-09 regarding allegations related to building and grounds conditions at the facility.
Findings
The investigation found no evidence to support the allegations of non-compliance with standards or laws related to the complaint. No violations or deficiencies were cited.
Complaint Details
Complaint received by VDSS Division of Licensing on 2024-12-09 regarding building and grounds. The evidence gathered did not support the allegations of non-compliance.
Inspection Report
Complaint Investigation
Census: 132
Deficiencies: 0
Oct 31, 2024
Visit Reason
A complaint was received by VDSS Division of Licensing on 09/13/2024 regarding allegations in the area of staffing at the assisted living facility.
Findings
The evidence gathered during the investigation did not support the allegation of non-compliance with standards or law. No violation notice was issued.
Complaint Details
Complaint related to staffing allegations received on 09/13/2024; investigation found no substantiation of non-compliance.
Report Facts
Number of residents present: 132
Number of staff interviews: 4
Inspection Report
Monitoring
Census: 132
Deficiencies: 0
Oct 31, 2024
Visit Reason
The inspection was a monitoring visit conducted on October 31, 2024 and November 12, 2024, following a self-report received regarding allegations in the areas of resident care and related services for adults with cognitive impairments.
Findings
The investigation did not support the allegations of non-compliance with standards or law. No violation notice was issued, and the inspection findings will be posted publicly.
Report Facts
Number of resident records reviewed: 3
Number of staff interviews conducted: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tyia Venable | Licensing Inspector | Current inspector conducting the monitoring inspection |
| Angela Rodgers-Reaves | Licensing Inspector | Contact person for questions regarding the inspection |
Inspection Report
Monitoring
Census: 132
Deficiencies: 1
Oct 31, 2024
Visit Reason
The inspection was conducted as a monitoring visit following a self-report received by VDSS Division of Licensing regarding allegations in the area of resident care and related services for adults with serious cognitive impairments.
Findings
The investigation supported the allegation of non-compliance with standards or law, resulting in violation(s) issued. Specifically, the facility failed to ensure medications were administered according to physician orders, with one staff member admitting to administering medications not prescribed by the resident's physician.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure medications were administered in accordance with physician's instructions and standards of practice; staff administered medications not prescribed by the resident's physician. |
Report Facts
Number of residents present: 132
Number of resident records reviewed: 1
Number of staff interviews conducted: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff #1 | Admitted to administering four different medications not prescribed by the resident's physician |
Inspection Report
Complaint Investigation
Census: 132
Deficiencies: 1
Oct 31, 2024
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 10/02/2024 regarding allegations in the area of resident care and related services.
Findings
The investigation supported the allegations of non-compliance with standards or law, resulting in violations issued. Specifically, the facility failed to ensure medications were administered according to physician's orders and standards of practice.
Complaint Details
Complaint related: Yes. The evidence gathered supported the allegations of non-compliance with standards or law. Violation notice was issued.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure that medications were administered in accordance with the physician's or other prescriber's instructions and consistent with the standards of practice outlined in the current medication aide curriculum approved by the Virginia Board of Nursing. |
Report Facts
Number of residents present: 132
Number of resident records reviewed: 1
Number of staff interviews conducted: 2
Inspection Report
Renewal
Census: 132
Deficiencies: 4
Oct 31, 2024
Visit Reason
The inspection was conducted as a renewal inspection of the assisted living facility to assess compliance with applicable standards and regulations.
Findings
The inspection found non-compliance with several standards including failure to ensure protective window devices, incomplete employee criminal background checks, incomplete staff records, and missing tuberculosis screening documentation. A violation notice was issued and the facility was given the opportunity to submit a plan of correction.
Deficiencies (4)
| Description |
|---|
| Failed to ensure protective devices on bedroom and common area windows prevent windows from being opened wide enough for a resident to crawl through. |
| Failed to ensure a criminal history record report was obtained on or prior to the 30th day of employment for each employee. |
| Failed to ensure that all staff records are retained at the facility, including annual training documentation and third-party provider agreements. |
| Failed to ensure that an initial tuberculosis examination and report was obtained as required and properly documented. |
Report Facts
Number of residents present: 132
Number of resident records reviewed: 6
Number of staff records reviewed: 4
Number of interviews conducted with residents: 4
Number of interviews conducted with staff: 5
Staff #1 date of hire: Dec 13, 2023
Date facility rectified employee record: Dec 4, 2024
Sampling frequency: 5
Inspection Report
Routine
Census: 145
Deficiencies: 1
Jul 24, 2024
Visit Reason
The inspection was a routine licensing visit including a tour of the physical plant, review of resident and staff records, and observation of medication administration.
Findings
The inspection found noncompliance with medication storage standards, specifically that medications and dietary supplements were stored in an unlocked and accessible manner in residents' rooms and cabinets.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure that medications and dietary supplements were stored so that they are not accessible to other residents. |
Report Facts
Number of residents present: 145
Number of resident records reviewed: 9
Number of staff records reviewed: 5
Number of interviews with residents: 5
Number of interviews with staff: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Tyia Venable | Licensing Inspector | Current inspector conducting the inspection |
| Angela Rodgers-Reaves | Licensing Inspector | Contact person for questions about the inspection |
| Executive Director | Responsible for implementing preventative measures in plan of correction | |
| Director of Clinical Services | Responsible for implementing preventative measures in plan of correction | |
| Assistant Director of Clinical Services | Responsible for implementing preventative measures in plan of correction |
Inspection Report
Original Licensing
Deficiencies: 2
Apr 25, 2024
Visit Reason
The inspection was an initial licensing inspection conducted to evaluate compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection found non-compliance with applicable standards related to equipment repair and temperature control in common areas. Temporary portable air conditioning units were used due to an inoperable air conditioner motor, and temperatures in common areas exceeded 80°F.
Deficiencies (2)
| Description |
|---|
| Facility failed to ensure that all equipment was in good repair and condition, specifically the air conditioning system. |
| Facility failed to ensure that temperatures in common areas used by residents did not exceed 80°F. |
Report Facts
Temperature reading: 82
Temperature reading: 81.3
Temperature reading: 81
Number of portable AC units rented and installed: 8
Number of additional portable AC units rented and installed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Facility Administrator | Accompanied inspector during tour and involved in findings | |
| Maintenance Director | Provided evidence and temperature readings related to air conditioning issues | |
| Angela Rodgers-Reaves | Licensing Inspector | Contact person for questions about the inspection |
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