Inspection Reports for Hermitage Deep Run

The inspection was conducted as a follow-up to a self-reported incident received by VDSS Division of Licensing regarding allegations in resident care and protection of adults.

The investigation found the allegations to be unfounded, with no evidence supporting non-compliance. The resident involved had passed away prior to the inspection.

The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2025-08-21 regarding allegations related to staffing and supervision, resident care and related services, protection of adults and reporting, and complaint investigation.

The investigation supported some, but not all, of the allegations. A violation was found related to staff not being considerate and respectful of the rights, dignity, and sensitivities of residents. Specifically, staff members recorded an altercation with a resident using cell phones, violating facility policy.

The complaint was substantiated in part. Evidence showed staff violated policies by recording an altercation with a resident on cell phones. Disciplinary actions were taken against involved staff, including removal from the Memory Care Unit and retraining on resident rights and mandated reporting.

The inspection was conducted following a self-reported incident received by VDSS Division of Licensing regarding allegations in staffing, resident care, and additional requirements for facilities caring for adults with serious cognitive impairments.

The investigation did not support the self-report of non-compliance with standards or law. No violation notice was issued, and the inspection findings will be posted publicly.

The inspection was a renewal visit to assess compliance with applicable standards and laws for the assisted living facility.

The inspection included a tour of the facility, review of resident and staff records, observation of resident activities and medication pass, and evaluation of emergency preparedness and safety systems. No violations were found during the inspection.

The inspection was a monitoring visit conducted to review compliance with applicable standards and laws at the assisted living facility Hermitage Deep Run.

The inspection included a tour of the physical plant, review of resident and staff records, observation of medication pass, emergency preparedness drills, and other facility operations. No violations or deficiencies were found during the inspection.

The inspection was an initial licensing inspection for new ownership of the assisted living facility.

The inspection found no violations with applicable standards or laws. The licensing inspector completed a tour of the physical plant and conducted staff interviews.