Inspection Reports for English Meadows Abingdon Campus
15089 Harmony Hills Lane, VA, 24211
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
3.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
58% better than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
71 residents
Based on a September 2025 inspection.
Census over time
Inspection Report
Renewal
Census: 71
Deficiencies: 0
Sep 10, 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 licensing inspector completed a tour of the physical plant, reviewed resident and staff records, and conducted interviews with residents and staff.
Report Facts
Number of resident records reviewed: 7
Number of staff records reviewed: 6
Number of interviews conducted with residents: 2
Number of interviews conducted with staff: 4
Inspection Report
Complaint Investigation
Census: 71
Deficiencies: 4
Sep 10, 2025
Visit Reason
The inspection was conducted as a complaint investigation following a complaint received on 2025-07-29 regarding allegations related to resident care and complaint investigation standards.
Findings
The investigation supported the allegations of non-compliance with multiple standards related to fall risk assessment, documentation of fall analysis and interventions, notification of next of kin after incidents, and maintenance of current resident records. Violations were issued based on these findings.
Complaint Details
The complaint investigation was substantiated with violations issued. The complaint involved failure to update fall risk ratings, document fall analyses and interventions, notify next of kin of a fall incident, and maintain current resident records.
Deficiencies (4)
| Description |
|---|
| Facility failed to ensure the fall risk rating was reviewed and updated after a fall. |
| Facility failed to document analysis of the circumstances of a fall and interventions initiated to prevent or reduce risk of subsequent falls. |
| Facility failed to notify next of kin or designated contact person of a resident fall incident within 24 hours and document the notification. |
| Facility failed to ensure all resident records were kept current, including documentation of incidents and notifications. |
Report Facts
Number of residents present: 71
Number of resident records reviewed: 1
Number of staff interviews conducted: 6
Inspection Report
Complaint Investigation
Census: 74
Deficiencies: 0
Aug 14, 2024
Visit Reason
The inspection was conducted in response to a complaint received on 2024-08-07 regarding allegations in the areas of resident care and related services, food, and nutrition.
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 within 5 business days.
Complaint Details
Complaint received by VDSS Division of Licensing on 2024-08-07 regarding allegations in resident care and related services, food and nutrition. The allegations were not substantiated.
Report Facts
Number of residents present: 74
Number of resident interviews: 3
Number of staff interviews: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Berry | Licensing Inspector | Inspector conducting the complaint investigation |
Inspection Report
Monitoring
Census: 74
Deficiencies: 3
Aug 13, 2024
Visit Reason
The inspection was a monitoring visit conducted on August 13 and 14, 2024, to assess compliance with applicable standards and laws at the assisted living facility.
Findings
The inspection found non-compliance with standards related to maintenance and cleanliness of the facility's interior and exterior, furnishings, and lighting. Multiple violations were documented regarding stains, dirt, and inadequate lighting in resident rooms and common areas.
Deficiencies (3)
| Description |
|---|
| Facility failed to ensure the interior and exterior of all buildings were maintained in good repair and kept clean and free of rubbish, with stains and dirt observed in multiple resident rooms and hallways. |
| Facility failed to ensure all furnishings, fixtures, and equipment were kept clean and in good repair, with dirt and stains observed in resident room #126 on the shower floor and toilet bowl. |
| Facility failed to ensure all interior and exterior areas were adequately lighted for safety and comfort, with a non-working light in the entryway of resident room #101. |
Report Facts
Number of residents present: 74
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: 4
Inspection Report
Complaint Investigation
Census: 68
Deficiencies: 2
Dec 18, 2023
Visit Reason
The inspection was conducted in response to a complaint received by the VDSS Division of Licensing on 12/18/2023 regarding allegations related to resident accommodations and related provisions.
Findings
The investigation supported the allegations of non-compliance with standards related to resident accommodations. Violations were found including the absence of a proper bed for a resident and poor condition of furnishings, with corrective actions planned.
Complaint Details
Complaint related: Yes. The complaint was substantiated as violations were issued based on the investigation findings.
Deficiencies (2)
| Description |
|---|
| Facility failed to ensure bedrooms contained a separate bed with comfortable mattress, springs, and pillow for each resident; observed no bed in the room for resident #1, only a mattress on the floor. |
| Facility failed to ensure all furnishings, fixtures, and equipment were kept clean and in good repair; mattress for resident #1 was stained and bed frame was broken and removed. |
Report Facts
Number of residents present: 68
Number of resident records reviewed: 1
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 3
Inspection Report
Renewal
Census: 80
Deficiencies: 2
Aug 3, 2023
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 or laws, resulting in documented violations. The facility failed to address all identified needs on one resident's Individualized Service Plan and failed to keep the activities schedule current.
Deficiencies (2)
| Description |
|---|
| Facility failed to address all identified needs on the comprehensive Individualized Service Plan (ISP) for one of the nine resident files reviewed. |
| Facility failed to keep current the activities schedule; the activities calendar was dated June 2023 during the August 3, 2023 inspection. |
Report Facts
Number of residents present: 80
Number of resident records reviewed: 9
Number of staff records reviewed: 5
Number of interviews conducted with residents: 4
Number of interviews conducted with staff: 3
Inspection Report
Renewal
Census: 79
Deficiencies: 4
Sep 19, 2022
Visit Reason
The inspection was a renewal type conducted to assess compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection found non-compliance with several standards including incomplete personal and social information at admission, incomplete individualized service plans regarding oxygen needs, missing annual resident rights review documentation, and failure to ensure accurate counts of controlled substances during medication staff changes.
Deficiencies (4)
| Description |
|---|
| Facility failed to obtain all personal and social information prior to or at the time of admission for one resident. |
| Facility failed to ensure that the comprehensive individualized service plan (ISP) included all identified needs, specifically oxygen orders. |
| Facility failed to ensure that the annual review of resident rights and responsibilities was filed in the resident's record. |
| Facility failed to implement its written plan for medication management regarding accurate counts of controlled substances during medication staff changes. |
Report Facts
Number of residents present: 79
Number of resident records reviewed: 14
Number of staff records reviewed: 16
Number of resident interviews: 4
Number of staff interviews: 5
Inspection Report
Routine
Deficiencies: 0
Aug 8, 2022
Visit Reason
Routine inspection of English Meadows Abingdon Campus to review compliance with applicable standards and laws.
Findings
The inspection found no violations with applicable standards or laws. The facility was in compliance with all reviewed areas.
Inspection Report
Original Licensing
Deficiencies: 0
Apr 5, 2022
Visit Reason
The licensing inspector conducted the initial announced inspection of English Meadows Abingdon Campus on April 5, 2022.
Findings
Residents, activities, lunch, staff and resident interactions, building and grounds, and the safe secure unit were observed. The first aid kit was checked. No violations were cited as a result of this inspection.
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