Inspection Reports for
Heritage Village Assisted Living and Memory Care
13650 Heathcote Boulevard, GAINESVILLE, VA, 20155
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
1 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
89% better than Virginia average
Virginia average: 9.1 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
115 residents
Based on a May 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 115
Deficiencies: 0
Date: May 7, 2025
Visit Reason
The inspection was conducted in response to a complaint received by the VDSS Division of Licensing regarding allegations in the area of Building and Grounds.
Complaint Details
Complaint related inspection with allegations concerning Building and Grounds; evidence did not support the allegation of non-compliance.
Findings
The investigation did not support the allegation of non-compliance with standards or law related to the complaint. The licensing inspector completed a tour of the physical plant including building and grounds.
Inspection Report
Complaint Investigation
Census: 115
Deficiencies: 0
Date: May 7, 2025
Visit Reason
The inspection was conducted in response to a complaint received by the VDSS Division of Licensing on 2025-10-01 regarding allegations in the area of Resident Care and Related Services.
Complaint Details
Complaint related to Resident Care and Related Services; the complaint was not substantiated.
Findings
The evidence gathered during the investigation did not support the allegations or self-report of non-compliance with standards or law.
Report Facts
Number of resident records reviewed: 2
Number of interviews conducted with staff: 1
Inspection Report
Monitoring
Census: 115
Deficiencies: 3
Date: May 6, 2025
Visit Reason
The inspection was a monitoring visit conducted on May 6 and 7, 2025, to review compliance with applicable standards and laws at Heritage Village Assisted Living and Memory Care.
Findings
The inspection found non-compliance with applicable standards and laws, resulting in documented violations related to staff orientation, medication administration documentation, and completion of sworn statements for employees.
Deficiencies (3)
The facility failed to orient staff to required training as outlined in subsections B and C, including purpose of the facility, organization structure, services, duties, emergency procedures, and first aid kit knowledge.
The facility failed to document medication administration at the time of administration on the medication administration record (MAR) for multiple medications in April 2025.
The facility failed to ensure sworn statements were completed for all applicants for employment, with some statements missing from employee files.
Report Facts
Number of residents present: 115
Number of resident records reviewed: 8
Number of staff records reviewed: 4
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 4
Inspection Report
Complaint Investigation
Census: 98
Deficiencies: 0
Date: Mar 22, 2024
Visit Reason
The inspection was conducted as a complaint investigation following an allegation of non-compliance at Heritage Village Assisted Living and Memory Care.
Complaint Details
The inspection was complaint-related, but the allegation was not substantiated based on the evidence gathered during the investigation.
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 within five business days.
Report Facts
Number of residents present: 98
Number of resident records reviewed: 1
Number of staff interviews conducted: 2
Inspection Report
Renewal
Census: 84
Deficiencies: 0
Date: Jul 20, 2023
Visit Reason
The inspection was conducted as a renewal inspection of the Heritage Village Assisted Living and Memory Care facility.
Findings
The Licensing Inspector reviewed 18 records and conducted 3 interviews, observed residents participating in activities and eating lunch, and observed a medication administration pass. All facility self-reported incidents since the last inspection were reviewed.
Report Facts
Records reviewed: 18
Interviews conducted: 3
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Jul 7, 2023
Visit Reason
The inspection was conducted as a complaint investigation related to Administration and Administrative Services, and Resident Care and Related Services.
Complaint Details
Complaint was determined not valid.
Findings
The complaint was investigated and determined to be not valid.
Inspection Report
Monitoring
Census: 83
Deficiencies: 0
Date: May 2, 2023
Visit Reason
The inspection was a monitoring visit to review various areas including administration, personnel, resident care, and emergency preparedness at Heritage Village Assisted Living and Memory Care.
Findings
The inspection included review of 5 records and 6 interviews, observation of residents engaged in activities and lunch, and observation of medication administration. All facility self-reported incidents since the last inspection were reviewed.
Report Facts
Records reviewed: 5
Interviews conducted: 6
Inspection Report
Monitoring
Census: 91
Deficiencies: 1
Date: Oct 18, 2022
Visit Reason
The inspection was a monitoring visit to review personnel records and compliance with training requirements.
Findings
The facility failed to document Staff A's initial assisted living facility orientation and training within seven working days of employment. A plan of correction was submitted and training was completed on 10/20/2022.
Deficiencies (1)
Facility failed to document Staff A's initial ALF orientation and training within seven working days of employment.
Report Facts
Number of records reviewed: 1
Number of interviews conducted: 2
Inspection Report
Monitoring
Census: 84
Deficiencies: 0
Date: Apr 22, 2022
Visit Reason
The inspection was a monitoring visit to review various areas including administration, personnel, staffing, resident care, building and grounds, emergency preparedness, and additional requirements for adults with serious cognitive impairments.
Findings
The inspection included review of 4 resident records, 3 staff records, and 8 interviews. The inspector reviewed all facility self-reported incidents since the last inspection, observed residents during activities and lunch, and reviewed fire drills, dietician report, pharmacy review, and health care oversight.
Report Facts
Records reviewed: 4
Records reviewed: 3
Interviews conducted: 8
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: May 20, 2021
Visit Reason
This complaint inspection was conducted due to a complaint received regarding insufficient training for a staff person impacting the health of individuals.
Complaint Details
Complaint was regarding insufficient training for a staff person and its impact on health. The complaint was found invalid due to insufficient information and no evidence of health impact.
Findings
The complaint was found to be invalid after review of staff records, interviews, and absence of incident reports. Staff had received training but final testing was delayed due to COVID-19; no health impact was found.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 28, 2021
Visit Reason
A complaint inspection was initiated due to allegations regarding resident care and administrator coverage at Heritage Village Assisted Living and Memory Care.
Complaint Details
A complaint was received concerning resident care and administrator coverage; the investigation did not substantiate the allegations.
Findings
The investigation, conducted remotely due to a state of emergency health pandemic, found no evidence supporting the allegations of non-compliance with standards or law.
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Mar 19, 2021
Visit Reason
A complaint inspection was initiated due to allegations regarding staffing and resident care at Heritage Village Assisted Living and Memory Care.
Complaint Details
The complaint was substantiated as evidence supported non-compliance with standards or law related to staffing and resident care.
Findings
The investigation found non-compliance with staffing standards, specifically that the facility did not maintain a written work schedule including names and job classifications of all staff for each shift, and multiple days lacked minimum scheduled staffing.
Deficiencies (1)
Facility did not maintain a written work schedule including names and job classifications of all staff working each shift; not all absences, substitutions, or changes were noted.
Report Facts
Inspection dates: Inspection conducted from March 19, 2021 through March 24, 2021
Staff schedule period: Staff schedule reviewed covered February 28, 2021 through March 27, 2021
Plan of correction retention period: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sarah Pearson | Inspector | Current inspector conducting the complaint investigation |
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