Inspection Reports for Hessler Heights Gracious Retirement Living
19540 Sandridge Way, Leesburg, VA 20176, United States, VA, 20176
Back to Facility Profile
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 28, 2025
Visit Reason
The inspection visit was conducted due to a complaint related to visitor policies and residents' rights to choose visitors, unless legally incapable or incompetent to make decisions.
Findings
The report provides technical assistance regarding visitor policies and residents' rights but does not specify detailed findings or deficiencies.
Complaint Details
Complaint related to visitor policies and residents' rights to choose visitors, if not deemed legally incapable or incompetent.
Inspection Report
Complaint Investigation
Census: 45
Deficiencies: 1
Aug 28, 2025
Visit Reason
The inspection was conducted in response to a complaint received on 2025-08-18 regarding allegations in the areas of Direct Care and Related Services, Administration and Administrative Services, and Building and Grounds.
Findings
The investigation supported the allegations of non-compliance, resulting in violations being issued. Specifically, the facility failed to report a major incident involving suspected mold in HVAC units within 24 hours as required.
Complaint Details
A complaint was substantiated regarding failure to timely report an incident involving suspected mold detected in HVAC units of six occupied resident rooms. Staff 1 submitted an incident report on 2025-08-18 about an event that occurred on 2025-08-15, but the report was not made within the required 24-hour timeframe.
Deficiencies (1)
| Description |
|---|
| The facility failed to report to the regional licensing office within 24 hours any major incident that has negatively affected or threatens the life, health, safety, or welfare of any resident. |
Report Facts
Number of residents present: 45
Number of resident records reviewed: 1
Number of staff records reviewed: 0
Number of interviews conducted with staff: 2
Incident date: Aug 15, 2025
Incident report submission date: Aug 18, 2025
Inspection Report
Monitoring
Census: 46
Deficiencies: 1
Jul 11, 2025
Visit Reason
The inspection was a monitoring visit to review compliance with applicable standards and laws at Lansdowne Heights, LLC.
Findings
The inspection found non-compliance with the standard 22VAC40-73-530-C, specifically that residents were locked out of their rooms, which was confirmed by direct observation and staff interview.
Deficiencies (1)
| Description |
|---|
| Facility failed to ensure that residents were not locked out of their rooms. |
Report Facts
Number of locked resident rooms observed: 6
Number of residents present: 46
Number of resident records reviewed: 4
Number of staff records reviewed: 3
Number of staff interviews conducted: 1
Number of resident interviews conducted: 0
Inspection Report
Renewal
Census: 53
Deficiencies: 5
Jul 29, 2024
Visit Reason
The inspection was a renewal inspection conducted to assess compliance with applicable standards and laws for the assisted living facility.
Findings
The inspection found multiple violations including failure to obtain written acknowledgment regarding sex offender registry information, unsigned individualized service plans, outdated pharmacy reference materials, incomplete physician oxygen orders, and missing 'No Smoking-Oxygen in Use' signs in resident rooms.
Deficiencies (5)
| Description |
|---|
| Failed to obtain written acknowledgment that each resident or legal representative is fully informed about sex offender registry information at admission and annually. |
| Individualized service plans (ISP) were not signed and dated by the licensee, administrator, or legal representative. |
| Medication room lacked a pharmacy reference book or drug guidebook no more than two years old; the reference book was dated 2020. |
| Physician's oxygen orders did not specify the source of oxygen such as compressed gas or concentrators. |
| No 'No Smoking-Oxygen in Use' signs posted in or on rooms where oxygen is in use. |
Report Facts
Number of residents present: 53
Number of resident records reviewed: 12
Number of staff records reviewed: 4
Number of resident interviews: 1
Number of staff interviews: 3
Inspection Report
Monitoring
Census: 56
Deficiencies: 0
Sep 13, 2023
Visit Reason
The inspection was conducted to ensure that previous violations that resulted in an intensive plan of correction were corrected.
Findings
The evidence gathered during the inspection determined no violations with applicable standards or law.
Report Facts
Number of resident records reviewed: 4
Number of staff records reviewed: 0
Number of interviews conducted with residents: 0
Number of interviews conducted with staff: 0
Inspection Report
Renewal
Census: 60
Deficiencies: 0
Jul 25, 2023
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 no violations of applicable standards or laws. The licensing inspector observed medication administration, resident activities, and conducted a tour of the physical plant.
Report Facts
Resident records reviewed: 10
Staff records reviewed: 5
Resident interviews conducted: 2
Staff interviews conducted: 0
Inspection Report
Monitoring
Census: 58
Deficiencies: 0
Jul 5, 2023
Visit Reason
The inspection was a monitoring visit conducted by the licensing inspector to review allegations related to resident care and additional requirements for facilities caring for adults with serious cognitive impairments, following self-reports received by VDSS.
Findings
The evidence gathered during the investigation did not support the self-report of non-compliance with standards or law. An exit meeting was planned to review the inspection findings.
Report Facts
Number of resident records reviewed: 3
Number of staff records reviewed: 0
Number of interviews conducted with residents: 0
Number of interviews conducted with staff: 2
Inspection Report
Monitoring
Deficiencies: 3
Jun 5, 2023
Visit Reason
The inspection was a monitoring visit conducted on June 5, 2023 and July 5, 2023, following a self-reported incident received by VDSS Division of Licensing on May 30, 2023 regarding allegations in administration and resident care.
Findings
The investigation supported the self-report of non-compliance with regulations, resulting in violations issued related to failure to report major incidents within 24 hours, improper discontinuation of medications without valid physician orders, and failure to document actions taken in response to medication review recommendations.
Deficiencies (3)
| Description |
|---|
| Facility failed to report to the regional licensing office within 24 hours any major incident that threatens the life, health, safety, or welfare of any resident. |
| Facility failed to ensure that no medications were discontinued without a valid order from a physician or other prescriber. |
| Facility failed to document any action taken in response to recommendations noted in the medication review conducted on 12/1/2022. |
Report Facts
Number of resident records reviewed: 1
Number of staff records reviewed: 0
Number of interviews conducted with residents: 0
Number of interviews conducted with staff: 2
Inspection Report
Complaint Investigation
Census: 59
Deficiencies: 0
Apr 28, 2023
Visit Reason
The inspection was conducted in response to a complaint received by the Virginia Department of Social Services Division of Licensing on April 20, 2023, regarding allegations in the area of resident care and related services.
Findings
The evidence gathered during the investigation did not support the allegations of non-compliance with standards or law. An exit meeting was planned to review the inspection findings, and the inspection summary will be posted publicly.
Complaint Details
Complaint received on 2023-04-20 regarding resident care and related services; investigation did not substantiate allegations.
Report Facts
Number of residents present: 59
Number of resident records reviewed: 1
Number of staff records reviewed: 0
Number of interviews conducted with residents: 0
Number of interviews conducted with staff: 1
Inspection Report
Complaint Investigation
Census: 59
Deficiencies: 2
Apr 28, 2023
Visit Reason
The inspection was conducted in response to a complaint received by the VDSS Division of Licensing on 4/27/2023 regarding allegations in the area of resident care and related services.
Findings
The investigation did not substantiate the complaint allegations; however, violations unrelated to the complaint were identified, including failure to report a major incident within 24 hours and failure to administer medications according to physician orders.
Complaint Details
Complaint was related to resident care and related services; the evidence gathered did not support the allegation of non-compliance with standards or law.
Deficiencies (2)
| Description |
|---|
| Facility failed to report to the regional licensing office within 24 hours any major incident that negatively affected or threatened the health, safety, or welfare of a resident. |
| Facility failed to ensure medications were administered in accordance with physician's instructions and standards of practice. |
Report Facts
Number of residents present: 59
Number of resident records reviewed: 1
Number of staff interviews conducted: 3
Dates medication not administered: 3
Inspection Report
Monitoring
Census: 58
Deficiencies: 1
Apr 6, 2023
Visit Reason
The inspection was a monitoring visit conducted on April 6 and April 10, 2023, to review compliance with resident care, buildings and grounds, and additional requirements for adults with serious cognitive impairments.
Findings
The investigation did not support the self-report of non-compliance, but violations unrelated to the self-report were identified. One deficiency was cited related to failure to include hospice services in the individualized service plan for a resident receiving hospice care.
Deficiencies (1)
| Description |
|---|
| The facility failed to ensure that when hospice care is provided, the assisted living facility and the licensed hospice organization communicate and establish an agreed upon coordinated plan of care for the resident, including hospice services in the individualized service plan. |
Report Facts
Number of residents present: 58
Number of resident records reviewed: 3
Number of staff records reviewed: 0
Number of interviews conducted with staff: 3
Hospice admission date: Feb 9, 2023
Plan of correction completion date: Apr 28, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Velasco | Licensing Inspector | Current inspector conducting the monitoring inspection |
| Jamie Eddy | Licensing Inspector | Contact person for questions regarding the inspection |
Inspection Report
Monitoring
Census: 60
Deficiencies: 0
Mar 10, 2023
Visit Reason
The inspection was a monitoring visit conducted on March 10, 2023, following self-reported incidents received by VDSS Division of Licensing regarding allegations in the area of resident care.
Findings
The evidence gathered during the investigation did not support the self-reports of non-compliance with standards or law. No deficiencies were explicitly stated in the report.
Report Facts
Number of resident records reviewed: 2
Number of staff records reviewed: 0
Number of interviews conducted with residents: 0
Number of interviews conducted with staff: 2
Inspection Report
Monitoring
Deficiencies: 0
Dec 12, 2022
Visit Reason
The inspection was a monitoring visit conducted following a self-reported incident received by VDSS Division of Licensing on 2022-11-29 regarding allegations in the area of resident care and related services.
Findings
The inspection involved review of one resident record and one staff interview, with observations made by the licensing inspector. An exit meeting was planned to review the inspection findings.
Report Facts
Number of resident records reviewed: 1
Number of interviews conducted with staff: 1
Inspection Report
Complaint Investigation
Deficiencies: 0
Nov 15, 2022
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 11/4/2022 regarding allegations in the area(s) of resident care and related services.
Findings
The evidence gathered during the investigation did not support the allegation of non-compliance with standards or law. The licensing inspector conducted a tour of the facility, reviewed one resident record, and interviewed residents and staff.
Complaint Details
Complaint investigation related to resident care and related services; the complaint was not substantiated.
Report Facts
Number of resident records reviewed: 1
Number of staff records reviewed: 0
Number of interviews conducted with residents: 1
Number of interviews conducted with staff: 2
Inspection Report
Complaint Investigation
Census: 61
Deficiencies: 0
Sep 30, 2022
Visit Reason
The inspection was conducted in response to a complaint received by VDSS Division of Licensing on 2022-09-08 regarding allegations in the area of resident care.
Findings
The evidence gathered during the investigation did not support the allegation of non-compliance with standards or law. An exit meeting will be conducted to review the inspection findings.
Complaint Details
Complaint related to resident care; the allegation was not substantiated based on the investigation findings.
Report Facts
Number of residents present: 61
Number of resident records reviewed: 2
Number of staff records reviewed: 0
Number of interviews conducted with residents: 0
Number of interviews conducted with staff: 2
Inspection Report
Monitoring
Census: 58
Deficiencies: 0
Aug 26, 2022
Visit Reason
The inspection was a monitoring visit conducted by the licensing inspector to review resident care and related services at the assisted living facility.
Findings
The inspection found no violations of applicable standards or laws. The inspector observed medication administration and documentation and completed a tour of the physical plant.
Report Facts
Resident records reviewed: 7
Staff records reviewed: 0
Resident interviews conducted: 0
Staff interviews conducted: 0
Inspection Report
Renewal
Census: 58
Deficiencies: 3
Jul 26, 2022
Visit Reason
The inspection was a renewal visit to assess compliance with applicable standards and laws for continued licensing of the assisted living facility.
Findings
The inspection found non-compliance with medication management regulations, including inaccurate transcription of medication orders, improper timing of medication administration, and incomplete documentation on medication administration records. Violation notices were issued with plans of correction required.
Deficiencies (3)
| Description |
|---|
| Failed to implement the medication management plan to ensure medication orders were accurately transcribed to medication administration records within 24 hours of receipt of a new or changed order. |
| Failed to ensure medication was administered not earlier than one hour before and not later than one hour after the facility's standard dosing schedule. |
| Failed to document on medication administration records all medications administered to residents, including over-the-counter medications and dietary supplements. |
Report Facts
Number of residents present: 58
Number of resident records reviewed: 8
Number of staff records reviewed: 4
Number of interviews conducted with staff: 1
Number of interviews conducted with residents: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Personal Care, Licensed Practical Nurse | Responsible position named in medication management deficiencies and plans of correction | |
| Medication Aide | Responsible position named in medication management deficiencies and plans of correction |
Inspection Report
Monitoring
Deficiencies: 0
Nov 4, 2021
Visit Reason
A non-mandated monitoring inspection was initiated to ensure correction of B-2 violations cited during the previous inspection.
Findings
The evidence gathered during the investigation did not support any non-compliance with standards or law.
Inspection Report
Complaint Investigation
Deficiencies: 3
Oct 4, 2021
Visit Reason
A non-mandated self-report inspection was initiated following a self-reported incident regarding allegations in the areas of resident supervision.
Findings
The investigation supported the self-report of non-compliance with standards or law, resulting in violations related to fire exit obstruction, inadequate supervision of a resident, and failure to maintain equipment in good repair.
Complaint Details
The visit was complaint-related based on a self-reported incident regarding resident supervision. The investigation substantiated non-compliance with standards.
Deficiencies (3)
| Description |
|---|
| The facility failed to ensure compliance with all regulations including local fire ordinance; a sofa was placed blocking the main entrance/exit door to the safe secure environment. |
| The facility failed to provide supervision of resident schedules, care, and activities, including prevention of falls and wandering; Resident #1 exited the safe secure environment without staff supervision. |
| The facility failed to ensure all equipment was kept clean and in good repair; the locking mechanism to the safe secure environment failed, allowing Resident #1 to exit unsupervised. |
Report Facts
Inspection dates: Oct 4, 2021
Incident date: Aug 22, 2021
Equipment repair date: Aug 22, 2021
Equipment inspection date: Sep 15, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Velasco | Inspector | Named as current inspector conducting the investigation |
| Lynette Storr | Contact person for questions regarding the inspection | |
| Director of Personal Care | Director of Personal Care | Responsible for updating Individualized Service Plan and Uniform Assessment Instrument for Resident #1 |
Inspection Report
Complaint Investigation
Deficiencies: 0
Sep 30, 2021
Visit Reason
A non-mandated self-report/complaint inspection was initiated due to a self-reported incident and a subsequent complaint regarding allegations in the areas of resident care.
Findings
The evidence gathered during the investigation did not support the allegations or self-report of non-compliance with standards or law.
Complaint Details
The investigation was initiated based on a self-reported incident and a complaint regarding the same incident with additional concerns. The allegations were not substantiated by the evidence gathered.
Inspection Report
Complaint Investigation
Deficiencies: 0
Aug 4, 2021
Visit Reason
A non-mandated complaint inspection was initiated due to a complaint received by the department regarding allegations in the area of resident care.
Findings
The evidence gathered during the investigation did not support the allegation of non-compliance with standards or law.
Complaint Details
Complaint related visit; the complaint was investigated and found to be unsubstantiated.
Inspection Report
Renewal
Census: 30
Deficiencies: 2
Aug 4, 2021
Visit Reason
A renewal inspection was initiated on August 4, 2021 and concluded on August 11, 2021 to review compliance with applicable standards and laws for Lansdowne Heights, LLC.
Findings
The inspection identified non-compliances related to medication administration documentation, including failure to properly document medication administration times and resident absence during scheduled medication times. Violations were documented on the violation notice issued to the facility.
Deficiencies (2)
| Description |
|---|
| Facility failed to implement the written plan for medication management to ensure effective use of Medication Administration Records (MAR) for documentation. |
| Facility failed to ensure documentation on MAR of all medications administered to residents, including over-the-counter medications and dietary supplements, at the time of administration. |
Report Facts
Medication administration times documented late: 19
Inspection duration days: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amanda Velasco | Inspector | Current inspector conducting the inspection |
| Director of Personal Care | Participated in exit interview | |
| Business Office Manager | Participated in exit interview | |
| Staff #3 | Interviewed regarding medication administration documentation |
Loading inspection reports...
