Inspection Reports for
Elizabeth House Assisted Living
3590 Mountain Road, GLEN ALLEN, VA, 23060
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
67% better than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
52 residents
Based on a November 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Monitoring
Census: 52
Deficiencies: 0
Date: Nov 17, 2025
Visit Reason
The inspection was a monitoring visit conducted on November 17, 2025, following a complaint/self-reported incident received on October 30, 2025, regarding allegations in personnel and resident care and related services.
Complaint Details
A complaint/self-reported incident was received on 10/30/2025 regarding allegations in personnel and resident care and related services. The investigation did not substantiate the allegations.
Findings
The licensing inspector completed a tour of the facility and reviewed relevant areas. The evidence gathered did not support the allegations or self-report of non-compliance with standards or law.
Report Facts
Number of residents present: 52
Number of staff records reviewed: 1
Number of staff interviews conducted: 2
Inspection Report
Monitoring
Census: 47
Deficiencies: 0
Date: Jul 2, 2025
Visit Reason
The inspection was a monitoring visit conducted on July 2, 2025, following self-reported incidents received by VDSS regarding allegations in general provisions, administration, personnel, and resident care.
Findings
The investigation found no evidence to support the allegations or self-reported non-compliance with standards or law. The inspection findings were reviewed in an exit meeting and will be publicly disclosed.
Report Facts
Number of resident records reviewed: 1
Number of interviews conducted with staff: 1
Inspection Report
Monitoring
Census: 49
Deficiencies: 0
Date: Apr 16, 2025
Visit Reason
The inspection was a monitoring visit conducted on April 16 and April 24, 2025, to review compliance with applicable standards and regulations at Elizabeth House Assisted Living.
Findings
The inspection found no violations of applicable standards or laws. Observations included medication administration, physician's orders, emergency supplies, housekeeping, and maintenance logs, all in compliance.
Report Facts
Number of resident records reviewed: 6
Number of staff records reviewed: 3
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Belinda Dyson | Licensing Inspector | Inspector conducting the monitoring inspection |
Inspection Report
Complaint Investigation
Census: 43
Deficiencies: 0
Date: Nov 18, 2024
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2024-10-28 regarding allegations in areas including general provisions, administration, personnel, staffing and supervision, admission, retention and discharge of residents, and resident care and related services.
Complaint Details
Complaint received on 2024-10-28 regarding multiple areas of concern; investigation did not substantiate any non-compliance.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. The inspection findings will be posted publicly and an exit meeting was planned to review the findings.
Report Facts
Number of residents present: 43
Number of resident records reviewed: 1
Number of staff interviews conducted: 3
Inspection Report
Complaint Investigation
Census: 37
Deficiencies: 0
Date: Aug 16, 2024
Visit Reason
The inspection was conducted in response to a complaint/self-reported incident received by VDSS Division of Licensing on 6/20/2024 and 8/14/2024 regarding allegations in staffing and supervision, admission, retention and discharge of residents, resident care and related services, resident accommodations and related provisions, and buildings and grounds.
Complaint Details
The complaint investigation was related to allegations in staffing and supervision, admission, retention and discharge of residents, resident care and related services, resident accommodations and related provisions, and buildings and grounds. The evidence did not substantiate non-compliance.
Findings
The evidence gathered during the investigation did not support the allegations or self-report of non-compliance with standards or law. The facility was observed to be clean with housekeeping staff on duty, and staff members were given the opportunity to ask questions.
Report Facts
Number of residents present: 37
Number of resident records reviewed: 1
Number of staff interviews conducted: 2
Inspection Report
Renewal
Census: 36
Deficiencies: 0
Date: May 3, 2024
Visit Reason
The inspection was conducted as a renewal inspection of the Elizabeth House Assisted Living facility on May 3, 2024.
Findings
The inspection found no violations of applicable standards or laws. The licensing inspector completed a tour of the physical plant and reviewed resident and staff records, as well as conducted interviews and observations.
Report Facts
Number of resident records reviewed: 8
Number of staff records reviewed: 4
Number of interviews conducted with residents: 4
Number of interviews conducted with staff: 4
Inspection Report
Monitoring
Census: 36
Deficiencies: 0
Date: Mar 13, 2024
Visit Reason
The inspection was conducted as a monitoring visit following a complaint/self-reported incident received on 2024-03-05 regarding allegations in the area of Admission, Retention and Discharge of Residents.
Complaint Details
A complaint/self-reported incident was received regarding allegations in Admission, Retention and Discharge of Residents. The investigation did not substantiate the allegations.
Findings
The evidence gathered during the investigation did not support the allegations or self-report of non-compliance with standards or law. An exit meeting was planned to review the inspection findings.
Report Facts
Number of residents present: 36
Number of interviews conducted with staff: 1
Inspection Report
Complaint Investigation
Census: 32
Deficiencies: 0
Date: Oct 4, 2023
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2023-10-03 regarding allegations in the area of Administration and Administrative Services.
Complaint Details
Complaint related to Administration and Administrative Services; substantiation status: not supported.
Findings
The evidence gathered during the investigation did not support the allegation of non-compliance with standards or law. The inspection findings will be posted to the VDSS website within 5 business days of receipt.
Report Facts
Number of residents present: 32
Number of staff interviews: 3
Inspection Report
Renewal
Census: 36
Deficiencies: 4
Date: Jun 14, 2023
Visit Reason
The inspection was conducted as a renewal inspection of the Elizabeth House Assisted Living facility to assess compliance with applicable standards and laws.
Findings
The inspection found multiple violations including missing documentation of required annual staff training hours, incomplete tuberculosis screening records for staff, lack of annual review documentation of residents' rights in some resident files, and cleanliness issues with soiled or stained carpet in hallways. Plans of correction were proposed for each violation.
Deficiencies (4)
One out of eight staff records reviewed did not have documentation of required annual training hours.
Three of four staff records reviewed did not have current or initial tuberculosis test or screening results documented.
Four out of eight resident records reviewed did not have documentation of annual review of residents rights and responsibilities.
During a tour of the physical plant, all areas were not clean; hallways had soiled or dark stained carpet.
Report Facts
Residents present: 36
Resident records reviewed: 8
Staff records reviewed: 4
Resident interviews: 4
Staff interviews: 4
Inspection Report
Complaint Investigation
Census: 36
Deficiencies: 0
Date: Jun 14, 2023
Visit Reason
The inspection was conducted in response to a self-reported incident/complaint received by VDSS Division of Licensing on 2023-06-12 regarding allegations in the areas of resident care, accommodations, and buildings and grounds.
Complaint Details
The complaint was self-reported on 2023-06-12 and involved allegations related to resident care, accommodations, and buildings and grounds. The evidence gathered did not substantiate the allegations.
Findings
The investigation found no evidence to support the allegations of non-compliance with standards or law. The inspection included a tour of the facility, review of resident records, and interviews with staff and residents.
Report Facts
Number of residents present: 36
Number of resident records reviewed: 1
Number of staff interviewed: 2
Number of resident interviews: 1
Number of staff interviews: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Belinda Dyson | Licensing Inspector | Conducted the inspection and is the contact person for the report |
Inspection Report
Monitoring
Census: 36
Deficiencies: 0
Date: Jun 14, 2023
Visit Reason
The inspection was a monitoring visit conducted on June 14, 2023, June 26, 2023, and July 6, 2023, following a complaint/self-reported incident received regarding allegations in the area of Admission, Retention and Discharge of Residents.
Complaint Details
A complaint/self-reported incident was received by VDSS Division of Licensing on 6/14/2023 regarding allegations in the area(s) of Admission, Retention and Discharge of Residents. The evidence gathered did not support the allegations.
Findings
The evidence gathered during the investigation did not support the allegations or self-report of non-compliance with standards or law. The inspection findings will be posted publicly and a copy is required to be posted at the facility.
Report Facts
Number of residents present: 36
Number of resident records reviewed: 5
Number of interviews conducted with residents: 4
Number of interviews conducted with staff: 4
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Feb 10, 2023
Visit Reason
The inspection was conducted as a complaint-related investigation to assess compliance with applicable standards and laws at Elizabeth House Assisted Living.
Complaint Details
The complaint was not substantiated. The evidence gathered during the investigation did not support the allegation of non-compliance with standards or law.
Findings
The investigation did not substantiate the complaint allegation of non-compliance; however, a violation unrelated to the complaint was identified regarding the facility's failure to ensure all records were made available for inspection by the department's representative.
Deficiencies (1)
Facility failed to ensure that all records shall be made available for inspection by the department's representative.
Inspection Report
Complaint Investigation
Census: 20
Deficiencies: 3
Date: Jan 14, 2023
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 01/04/2022 regarding allegations in the areas of Resident Care and Related Services, Staffing and Supervision, and Administration and Administrative Services.
Complaint Details
Complaint investigation was triggered by allegations in Resident Care and Related Services, Staffing and Supervision, and Administration and Administrative Services. The evidence supported some allegations but not all.
Findings
The investigation supported some, but not all, of the allegations. Areas of non-compliance were found in Resident Care and Related Services, Staffing and Supervision, and Administration and Administrative Services. Several violations were cited including failure to adhere to COVID-19 visitation policies, insufficient staffing, and failure to maintain a written work schedule indicating in-charge staff.
Deficiencies (3)
Facility failed to adhere to policies and procedures concerning visitation during the COVID-19 Pandemic, including lack of entrance screenings and face mask provision.
Facility failed to have sufficient staff in numbers, confirmed by staff interviews and administrator.
Facility failed to maintain a written work schedule identifying names, job classifications, and in-charge staff for each shift.
Report Facts
Number of residents present: 20
Number of resident records reviewed: 8
Number of staff records reviewed: 0
Number of staff interviews conducted: 1
Inspection Report
Renewal
Census: 28
Deficiencies: 2
Date: Jun 10, 2022
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 applicable standards and laws, resulting in documented violations related to staff first aid certification and medication administration practices.
Deficiencies (2)
Facility failed to maintain first aid certification for each direct care staff member; staff record #2 lacked First Aid/CPR certification.
Facility failed to administer all medications according to physician's or prescriber's instructions; medication left over from morning pass was found during afternoon medication pass.
Report Facts
Number of residents present: 28
Number of resident records reviewed: 6
Number of staff records reviewed: 5
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 2
Medication aide refresher course duration: 4
Plan of correction timeframe: 30
Plan of correction timeframe: 14
Inspection Report
Complaint Investigation
Census: 28
Deficiencies: 0
Date: May 13, 2022
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on March 24, 2022, regarding allegations in the areas of Admission, Retention and Discharge of Residents and Staffing and Supervision.
Complaint Details
Complaint was received on March 24, 2022, alleging issues with Admission, Retention and Discharge of Residents and Staffing and Supervision. The complaint was not substantiated based on the investigation findings.
Findings
The evidence gathered during the investigation did not support the complaint of non-compliance with standards or law. The licensing inspector completed a tour of the physical plant including buildings and grounds, conducted interviews with one resident and one staff member, and reviewed relevant areas.
Report Facts
Number of residents present: 28
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 1
Inspection Report
Monitoring
Census: 28
Deficiencies: 2
Date: May 13, 2022
Visit Reason
The inspection was a monitoring visit focused on a self-report received by VDSS Division of Licensing regarding allegations in the areas of Staffing and Supervision, Resident Care and Related Services, and Buildings/Grounds.
Findings
The investigation supported some, but not all, of the self-reported allegations. Violations were found related to personnel records, including failure to retain all staff records and failure to maintain required documentation in staff records.
Deficiencies (2)
Facility failed to retain all staff records; two out of four staff records were not accessible during the monitoring inspection.
Facility failed to maintain all required documentation in each staff record, including date of hire, criminal record report, sworn disclosure statement, and orientation training document.
Report Facts
Number of residents present: 28
Number of resident records reviewed: 5
Number of staff records reviewed: 4
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 2
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