Inspection Reports for Goodwin House Bailey’s Crossroads
3440 South Jefferson Street, VA, 22041
Back to Facility ProfileDeficiencies per Year
4
3
2
1
0
Unclassified
Census Over Time
Inspection Report
Renewal
Census: 309
Deficiencies: 3
Mar 25, 2025
Visit Reason
The inspection was conducted as a renewal of the facility's license to ensure compliance with applicable standards and regulations.
Findings
The inspection found non-compliance with medication management and resident record documentation standards, including missed medication dosages, unsigned physician orders, and unavailable PRN medications. The facility was required to submit a plan of correction to address these deficiencies.
Deficiencies (3)
| Description |
|---|
| The facility did not ensure that the medication management plan was implemented to ensure that each resident's medications are filled and refilled in a timely manner to avoid missed dosages. |
| The facility did not ensure that the resident record contains the physician's signed written orders. |
| The facility did not ensure that PRN medications are available and properly stored at the facility. |
Report Facts
Number of residents present: 309
Number of resident records reviewed: 6
Number of resident interviews: 4
Number of staff interviews: 3
Medication record audit percentage: 10
Physician order signature audit percentage: 100
Inspection Report
Complaint Investigation
Deficiencies: 0
Feb 7, 2025
Visit Reason
The inspection was conducted in response to a complaint received by the Fairfax Licensing Office on 12/9/24 regarding staffing and supervision and emergency preparedness.
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 publicly.
Complaint Details
Complaint related to staffing and supervision and emergency preparedness; the complaint was not substantiated.
Report Facts
Number of resident interviews: 4
Number of staff interviews: 3
Inspection Report
Monitoring
Census: 52
Deficiencies: 1
Jun 21, 2024
Visit Reason
The inspection was a monitoring visit conducted to review various areas including administration, personnel, resident care, and building safety at the assisted living facility.
Findings
The inspection found non-compliance with applicable standards or laws, specifically the facility failed to review and update the written fall risk rating annually for residents. A violation notice was issued and the licensee was given the opportunity to submit a plan of correction.
Deficiencies (1)
| Description |
|---|
| Facility failed to review and update the written fall risk rating annually. |
Report Facts
Number of residents present: 52
Number of resident records reviewed: 6
Number of staff records reviewed: 19
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 5
Inspection Report
Monitoring
Census: 40
Deficiencies: 0
Apr 28, 2023
Visit Reason
The inspection was a monitoring visit to review various operational and care areas of the assisted living facility, including administration, personnel, resident care, emergency preparedness, and compliance with additional requirements for adults with serious cognitive impairments.
Findings
The inspection included review of 8 records and 7 interviews, observation of resident activities, medication and treatment administration, and a tour of the kitchen and emergency food and water supplies. No complaint was related to this visit.
Report Facts
Records reviewed: 8
Interviews conducted: 7
Inspection Report
Renewal
Census: 50
Deficiencies: 0
Jun 6, 2022
Visit Reason
The inspection was conducted as a renewal inspection to review compliance with licensing requirements for the assisted living facility.
Findings
The Licensing Inspector reviewed multiple areas including administration, personnel, resident care, buildings and grounds, and emergency preparedness. The inspector observed residents during lunch and activities and reviewed various documents such as fire drills, healthcare oversight, and dietician reports.
Report Facts
Number of resident records reviewed: 4
Number of staff records reviewed: 4
Number of interviews conducted: 5
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