Inspection Reports for Golden Years & More Assisted Living
13114 Canova Dr, Manassas, VA 20112, United States, VA, 20112
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Inspection Report
Renewal
Census: 3
Deficiencies: 6
Oct 8, 2025
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 identified multiple violations related to staff training, certification, resident assessments, and documentation. The facility was found non-compliant with several regulatory standards and issued a violation notice.
Deficiencies (6)
| Description |
|---|
| Failed to document required orientation and initial training for staff. |
| Failed to ensure staff without current first aid certification received certification within 60 days of employment. |
| Failed to complete a fall risk rating by the time the comprehensive ISP is completed and at least annually. |
| Failed to assess all residents using the uniform assessment instrument (UAI) prior to admission. |
| Failed to develop a preliminary plan of care on or within seven days prior to the day of admission. |
| Failed to obtain a criminal history record report within 30 days of employment. |
Report Facts
Number of residents present: 3
Number of resident records reviewed: 2
Number of staff records reviewed: 3
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 1
Inspection Report
Renewal
Census: 3
Deficiencies: 11
Nov 7, 2024
Visit Reason
The inspection was a renewal visit conducted to assess compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection identified multiple violations including failure to have a licensed administrator on record, failure to notify the licensing office of administrator changes, failure to ascertain if potential residents are registered sex offenders, incomplete individualized service plans, inadequate healthcare oversight, failure to review residents' rights annually, incomplete medication administration records, lack of bi-yearly medication reviews, failure to document restraint usage, and deficiencies in emergency preparedness training and documentation.
Deficiencies (11)
| Description |
|---|
| Facility failed to have an administrator licensed as an assisted living facility administrator on record. |
| Facility failed to notify the department's regional licensing office in writing within 14 days of a change in a facility's administrator. |
| Facility failed to ascertain, prior to admission, whether a potential resident is a registered sex offender. |
| Facility failed to develop an Individualized Service Plan (ISP) that identified needs and dates based on assessments including fall risk. |
| Facility failed to have licensed healthcare professional provide healthcare oversight at least every six months. |
| Facility failed to review the rights and responsibilities of residents with the resident or legal representative annually. |
| Facility failed to document on medication administration records all medication administered including dates, times, and initials of staff. |
| Facility failed to perform bi-yearly review of all medications for residents. |
| Facility failed to keep a record of restraint usage, outcomes, checks, and assistance required, and failed to document checks every 30 minutes. |
| Facility failed to develop and implement orientation and semi-annual review on emergency preparedness and response plan for all staff, residents, and volunteers. |
| Facility failed to review procedures and plan for resident emergencies with staff every six months and document the review. |
Report Facts
Number of residents present: 3
Number of resident records reviewed: 2
Number of staff records reviewed: 2
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Philip Calubaquib | Named in relation to reinstatement of ALFA license | |
| Melissa Weatherholtz | Named in relation to reinstatement and renewal of ALFA license | |
| Sarah Pearson | Licensing Inspector | Conducted the inspection and named in contact information |
Inspection Report
Monitoring
Census: 5
Deficiencies: 3
Dec 7, 2023
Visit Reason
The inspection was a monitoring visit to review various areas including administration, personnel, resident care, and emergency preparedness, and to assess compliance with regulations.
Findings
The inspection identified three violations related to failure to have a physical examination within 30 days preceding admission, failure to lock a Schedule II drug in a separate locked compartment, and failure to have a physician's written order or legal consent for use of a physical restraint (bedrail).
Deficiencies (3)
| Description |
|---|
| Facility failed to have a physical examination by an independent physician within 30 days preceding admission for Resident A. |
| Facility failed to lock a Schedule II drug under a separate locked storage compartment; Resident B's prescribed Schedule II drug was inside an unlocked refrigerator. |
| Facility failed to have a physician's written order or written consent from the resident's legal representative prior to using a physical restraint (bedrail) for Resident B. |
Report Facts
Records reviewed: 6
Interviews conducted: 3
Inspection Report
Renewal
Census: 5
Deficiencies: 7
Oct 26, 2022
Visit Reason
The inspection was a renewal inspection conducted to review compliance with licensing standards and regulations for the assisted living facility.
Findings
The inspection identified multiple deficiencies including failure to obtain required admitting documentation, failure to develop and update preliminary and individualized plans of care, failure to complete required dietary and medication reviews every six months, and failure to conduct semi-annual emergency preparedness reviews and resident emergency drills with staff.
Deficiencies (7)
| Description |
|---|
| Facility failed to obtain admitting documentation as required; Res C had no initial tuberculosis risk assessment completed. |
| Facility failed to develop a preliminary plan of care when the resident was admitted; Res C had no documented preliminary plan of care on file at time of inspection. |
| Facility failed to update the Individualized Service Plan to indicate a change in condition; Res B's plan did not include Home Health Physical Therapy services. |
| Facility failed to complete a dietary review of special diets every six months; last review was on 11/15/21. |
| Facility failed to complete a Medication Review every six months; no medication review documented within last six months. |
| Facility failed to conduct a semi-annual review with staff for Emergency Preparedness; last review was 2/14/22. |
| Facility failed to conduct resident emergencies review/drills with staff every six months; last documented review was 11/7/2021. |
Report Facts
Records reviewed: 7
Interviews conducted: 2
Inspection Report
Monitoring
Census: 4
Deficiencies: 3
Mar 11, 2022
Visit Reason
The inspection was a monitoring visit to review compliance with various regulatory standards including personnel, staffing, resident care, building and grounds, and emergency preparedness.
Findings
The facility was found deficient in admitting documentation, tuberculosis risk assessments, and lacked a current fire inspection. Plans of correction were provided for each deficiency.
Deficiencies (3)
| Description |
|---|
| Facility failed to have admitting documentation as required, including physical prior to admission and initial tuberculosis risk assessment. |
| Facility failed to have documentation of a subsequent tuberculosis evaluation as required. |
| Facility failed to have a current fire inspection as required; last documentation was from 2019. |
Report Facts
Records reviewed: 2
Records reviewed: 2
Interviews conducted: 4
Inspection Report
Monitoring
Census: 5
Deficiencies: 0
May 14, 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.
Findings
The inspection reviewed resident and staff records and found no violations with applicable standards or law; no deficiencies were issued.
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