Inspection Reports for Harpers Station Yorktown
4501 Victory Boulevard, VA, 23693
Back to Facility ProfileDeficiencies (last 2 years)
Deficiencies (over 2 years)
8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
12% better than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
45 residents
Based on a February 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 45
Deficiencies: 3
Feb 3, 2025
Visit Reason
An on-site mandated renewal inspection was conducted to assess compliance with applicable standards and laws for facility licensing renewal.
Findings
The inspection found non-compliance with several standards including lack of a written meal agreement for residents eating in their rooms, undated snack menus, and discrepancies in Do Not Resuscitate (DNR) orders documentation. Violation notices were issued with plans of correction required.
Deficiencies (3)
| Description |
|---|
| Facility failed to ensure resident's record included an agreement as an option to have all meals in room. |
| Facility failed to ensure the menu for the snacks for the current week was dated and posted in an area conspicuous to residents. |
| Facility failed to ensure when a valid written order for Do Not Resuscitate (DNR) is in the record it should be included in the individualized service plan (ISP). |
Report Facts
Number of residents present: 45
Number of resident records reviewed: 4
Number of staff records reviewed: 3
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Willie Barnes | Licensing Inspector | Contact person for questions regarding the inspection findings |
Inspection Report
Monitoring
Census: 47
Deficiencies: 1
Jan 16, 2025
Visit Reason
An on-site unannounced monitoring inspection was conducted following a self-reported incident received by VDSS Division of Licensing regarding allegations in the area of resident care and related services.
Findings
The investigation supported the self-report of non-compliance related to supervision failures resulting in a resident elopement from the safe, secure unit. Violations were issued and corrective actions were required.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure supervision of resident schedules, care, and activities, including prevention of falls and wandering, resulting in resident elopement from the safe, secure unit. |
Report Facts
Number of residents present: 47
Number of resident records reviewed: 1
Number of staff interviews conducted: 4
Completion date: Dec 30, 2024
Inspection Report
Monitoring
Census: 12
Deficiencies: 8
Oct 21, 2024
Visit Reason
An on-site monitoring inspection was conducted to assess compliance with applicable standards and laws at the assisted living facility.
Findings
The inspection identified multiple violations including improper labeling of blood glucose instruments, inadequate posting of documents, incomplete staff work schedules, missing resident orientation documentation, discrepancies in individualized service plans, failure to post dated menus, lack of a current diet manual, and unavailable PRN medications.
Deficiencies (8)
| Description |
|---|
| Facility failed to ensure blood glucose monitoring practices consistent with CDC recommendations; glucometer was not labeled. |
| Facility failed to ensure documents required to be posted were in at least 12-point type; activities calendar font was too small. |
| Facility failed to ensure written work schedules included names, job classifications, and indication of person in charge. |
| Facility failed to have documentation acknowledging resident orientation for two of three records reviewed. |
| Individualized service plans did not include assessed needs for three of three records reviewed. |
| Menu for meals and snacks for the current week was not dated and posted in a conspicuous area. |
| Facility failed to ensure a current diet manual was kept and readily available to personnel responsible for food preparation. |
| Medications ordered for PRN administration were not available, properly labeled, or properly stored at the facility. |
Report Facts
Number of residents present: 12
Number of resident records reviewed: 3
Number of staff records reviewed: 3
Number of resident interviews: 1
Number of staff interviews: 5
Inspection Report
Original Licensing
Deficiencies: 4
Aug 22, 2024
Visit Reason
An announced on-site initial inspection was conducted to assess compliance with applicable standards and laws for licensing of the assisted living facility.
Findings
The inspection found multiple violations including improper hot water temperature, building and grounds in need of repair, lack of accessible toilet tissue and soap, and incomplete fire and emergency evacuation postings. The facility was given a violation notice and an opportunity to submit a plan of correction.
Deficiencies (4)
| Description |
|---|
| Facility failed to ensure hot water at taps was maintained within 105 to 120 degrees Fahrenheit. |
| Facility failed to maintain interior and exterior of buildings in good repair and free of rubbish. |
| Facility failed to ensure toilet tissue and soap were accessible in bathrooms. |
| Facility failed to ensure fire and emergency evacuation drawings included all required information. |
Report Facts
Water temperature: 122.4
Water temperature: 124.9
Number of staff interviews: 2
Correction date: Aug 22, 2023
Correction date: Sep 2, 2024
Correction date: Aug 22, 2024
Loading inspection reports...
